PMC8313345_01
Clinical photographs of the right foot. Active infection and necrosis were limited to the feet.
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fig1
Nevertheless, infection and necrosis in the right foot progressed rapidly and worsened to a condition requiring additional surgery (Figure 1).
Lateral view of the tibial plain radiograph. The point of the anterior angulation started about 10 cm away from the tibial plateau.
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fig2
Therefore, we decided to perform tibial bone cutting at the point of the anterior angulation in the nail to leave as much of the tibia as possible (Figure 2).
The amputated limb and IM nail were removed from the lower extremities together.
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fig3
Then, the amputated limb was separated from the proximal tibia with the IM nail connected (Figure 3).
Postoperative photograph of the right lower extremity. No additional incision was applied to remove the IM nail except a mini-incision for the removal of the proximal interlocking screw.
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fig4
After irrigation and drainage insertion, the deep fascia and skin were sutured without tension (Figure 4).
Postoperative plane radiograph. No hardware remained after surgery.
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fig5
No hardware remained after surgery (Figure 5).