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Fig. 3 | Journal of Orthopaedic Surgery and Research

Fig. 3

From: A neglected problem in the utilization of free anterolateral thigh flap toward reconstructing complicated wounds of extremities: the obliteration of deep dead space

Fig. 3

Case 2. A 24-year-old patient suffered from bilateral pilon fractures caused by high falling, open fracture (Gustilo type II) on the right side. After admission, thorough debridement was given, followed by internal fixation of the tibial and fibulal fractures (a, b), wound healing was poor, secondary infection occurred, and the internal fixation plate was exposed. The internal fixation plate was removed and filled with bone meal (c), but the wound infection remained uncontrolled (d). The chimeric anterolateral thigh perforator flap was designed and excised (e, f). The muscle flap was employed to obliterate the dead space (g, h), the skin flap was used for wound coverage (i). Postoperative infection was well controlled and the flaps were normal in appearance and texture (j)

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