PMC6040606_01
Appearance of a 55-year-old woman patient's right (a) and left (b) legs with full thickness burns at admission, before the releasing incisions were performed
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Fig1
A 55-year-old woman without relevant medical history was referred to our burn center with 35% total body surface area full thickness thermal burns (third degree) from flames on her lower limbs, hands and face (UBS 110, ABSI 9) (Fig. 1).
Appearence of lower right extremity of a 55-year-old woman burn patient after debridment of necrotic tissues. Tibia and fibula were exposed. Ankle, mediotarsal, and tarso-metatarsal capsules were burnt and some joints were open
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Fig2
Ankle, mediotarsal and tarso-metatarsal capsules were burnt, some joints were open (Fig. 2) and vasculo-nervous pedicle was at high risk of exposure.
Appearence of lower right extremity of a 55-year-old woman burn patient after a free latissimus dorsi musculo-cutaneous flap with vertical skin paddle was performed to cover dorsal foot and ankle
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Fig3
The skin paddle of the latissimus dorsi flap was originally intended for flap monitoring (Fig. 3).
Appearence of lower limbs of a 55-year-old woman burn patient with exposure of left patellar tendon and superior third of the tibia requiring coverage with a flap
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Fig4
Nevertheless, the left patellar tendon was still exposed and needed to be covered with a flap (Fig. 4).
Appearance of both legs of a 55-year-old woman burn patient after a pedicled flap was raised from the previous free flap; (a) a cross leg transferred to cover the left patellar tendon and (b) both legs were immobilized together using an external fixation (Hoffmann apparatus)
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Fig5
Both legs were immobilized together using an external fixation (Hoffmann apparatus, Fig. 5).
Appearance of a 55-year-old woman burn patient's legs at 6 months post-surgery, after the patient left the rehabilitation centre
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Fig6
At 6 months post-burns, the patient was able to walk and left the rehabilitation centre (Fig. 6).