PMC6381905_01
Intraoperative situs: A: about 5 x 6 cm and further distal 3 x 2 cm covering defect with exposed atrophic tend; B: surgical cleaning; C: deposition of gentamycin mini chains; D: negative pressure wound therapy.
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F1
SM was detected in blood cultures and in drained pus gained from the pretibial ulcers (Fig. 1). The wounds (6 x 4 and 2 x 2 cm) had to be surgically revised repeatedly (in detail: incision and drainage on day -54; debridement of extensors tendon sheath and of muscles, negative wound pressure therapy on day -40; debridement and renewing of negative wound pressure therapy on days -33 and -28, finally debridement of muscles and resection of extensor hallucis longus muscles' tendon on day -23 before SCT) and were initially treated with bandages changed daily and then with negative wound pressure therapy (for illustration see Fig. 1).
Postoperative results: A: 9 days; and B: 20 months after surgical intervention.
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F2
On day +54 after allogeneic SCT, autologous full-thickness meshed skin graft transplantation from his lower leg was performed in the absence of signs of acute GvHD (for results see Fig. 2).