PMC4793796_01
Photograph of the injury three weeks after admission showing extensive soft-tissue and muscle loss in the right lower extremity (above) and soft tissue loss with exposure of the tibial bone in the left extremity (below).
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F1
On the left side, after debridement, the soft tissue defect measured 18 x 16 cm on the lateral lower leg with tibia exposure (Figure 1).
Pedicled fillet foot flap based on the tibial anterior vessels was harvested to close below-knee amputation stump on the right side.
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F2
Six days after amputation, the patient got a split-thickness skin graft on the remaining wound surfaces on the stump (Figures 2 and 3).
Radiographs showing the level of fracture in the left leg preoperatively (on the left) and after below-knee amputation and fillet foot flap (on the right).
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F3
Six days after amputation, the patient got a split-thickness skin graft on the remaining wound surfaces on the stump (Figures 2 and 3).
Photograph of the extremities at 6 months follow-up showing complete wound healing after performing a fillet foot flap in the right side and a free gracilis flap on the left side.
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F4
Six months after surgery, the patient regained a stable, independent and painless gait. (Figures 4 and 5).
Preservation of the knee function allowed to have a satisfactory gait rehabilitation and prosthesis fitting.
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F5
Six months after surgery, the patient regained a stable, independent and painless gait. (Figures 4 and 5).