PMC9809361_01
Preoperative photos.
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A 4-year-old patient suffered from a domestic trauma caused by a lawnmower resulting in a sub-amputation of the right foot heel plantar skin and subcutaneous tissue (Figure 1).
Intraoperative photos. (A) The perforator of the descending branch of lateral circumflex femoral artery is shown between rectus femoris and vastus lateralis muscle. (B) The perforator is isolate. (C) Anastomosis. (D) Suture of the flap.
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We applied a 'Penrose' drainage and used a single-stitch suture (Figure 2).
Postoperative photos, 18 months.
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After 18 months of follow-up, the aesthetic outcome was good, and no ulceration occurred in the flap (Figure 3).