PMC2772285_01
(a) Trophic ulcer before debridement (b) Post-debridement trophic ulcer
IJPS-42-115-g001.jpg
PMC2772285_01_IJPS-42-115-g001.jpg
F0001
He presented to us with a large trophic ulcer over the first, second and third metatarsal head region [Figures 1a and b].
Dissection of the Dorsalis pedis - recipient artery
IJPS-42-115-g002.jpg
PMC2772285_01_IJPS-42-115-g002.jpg
F0002
Debridement of the ulcer was done under tourniquet control; bony prominences and osteomyelitic bone were nibbled off and recipient vessels dissected [Figure 2].
PMC2772285_02
Well-settled flap - plantar view
IJPS-42-115-g003.jpg
PMC2772285_02_IJPS-42-115-g003.jpg
F0003
After nine months of follow-up there was no recurrence of the ulcer and the flap was well settled [Figures 3 and 4].
Well-settled flap - dorsal view
IJPS-42-115-g004.jpg
PMC2772285_02_IJPS-42-115-g004.jpg
F0004
After nine months of follow-up there was no recurrence of the ulcer and the flap was well settled [Figures 3 and 4].