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Fig. 4 | Journal of Orthopaedic Surgery and Research

Fig. 4

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. 4

Case 3. A male patient, 22 years old, was transferred from a local hospital due to postoperative infection for 2 weeks caused by traffic injury of the right leg. Upon admission, extensive necrosis of the lateral soft tissues of the middle and lower right leg observed, accompanied with fracture of the middle fibula, free and exposed bones, and purulent secretions in the wounds (a, b). Upon admission, thorough debridement combined with VSD (twice) was performed, and granulation tissues surrounding the wounds grew well (c-e). The chimeric anterolateral thigh perforator flap was designed and harvested (f, g). The muscle flap was utilized to obliterate the dead space of the lateral leg, and the skin flap was used to cover the wound. The blood supply was excellent after vascular anastomosis (h, i). The flap was normal in appearance (j, k). During postoperative follow-up for 12 months, no obvious sinus tract formation was observed and the infection was properly controlled

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