PMC6522902_01
(a) Necrosis of the medial head of gastrocnemius on the left leg, indicated by the black arrow: loss of the skin graft over the area of muscle necrosis; (b) Pus formation was also noted under the necrotic muscle. (c) The wound had granulated well for STSG coverage. (d) Three days after STSG coverage and NPWT application.
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The overlying skin graft was also lost (Figure 1a and 1b). After the wound had well granulated (Figure 1c), the defect was covered with STSG, approximately 140 cm2 from his left thigh, for the second time. NPWT was used for 3 days postoperatively (Figure 1d).
PMC6522902_02
(a) Partial loss of the skin graft and (b) necrotic underlying muscle of the medial gastrocnemius at the donor site, indicated by the black arrow.
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However, poor healing of the skin graft at the donor site was noted 9 days later with underlying gastrocnemius medial head muscle necrosis (Figure 2).