PMC6411489_01
Wound of the groin (A) myocutaneous flap after groin necrosis. (B) Pre-operative status. (C) Distal anastomosis to the popliteal artery by lateral exposure.
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This was managed with a myocutaneous flap (Fig. 1A), topical negative pressure wound therapy, and split skin grafting. As a consequence of the extensive groin and medial thigh wounds (Fig. 1B), a common iliac to popliteal bypass, through the iliac wing was selected for revascularisation. The distal anastomosis was constructed, using a cold stored venous allograft, to the retro-articular popliteal artery laterally (Fig. 1C).
Post-operative computed tomography with three dimensional reconstructions, (A) anterior view, (B) lateral view, (C) posterior view, showing the distal anastomosis to the retro-articular popliteal artery.
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The post-operative course was uneventful (Fig. 2), with complete resolution of tissue loss after minor amputation.