case_images: PMC4604747_01
case_images: Liquification necrosis
case_images: IPRS-04-01-g-001.jpg
case_images: PMC4604747_01_IPRS-04-01-g-001.jpg
case_images: F1
case_images: Planta pedis, heel and toe region remained intact (Figure 1 (Fig. 1)).
case_images: After debridement and wound bed preparation
case_images: IPRS-04-01-g-002.jpg
case_images: PMC4604747_01_IPRS-04-01-g-002.jpg
case_images: F2
case_images: During surgical debridement we discovered a full-thickness liquefactive necrosis involving the tendons of the Musculus extensor digitorum longus (Figure 2 (Fig. 2)).
case_images: Nine weeks post-op
case_images: IPRS-04-01-g-003.jpg
case_images: PMC4604747_01_IPRS-04-01-g-003.jpg
case_images: F3
case_images: The initial care was performed by our outpatient unit with weekly follow-up visits and short-term visits after 9 weeks (Figure 3 (Fig. 3)) and 5 months post surgery (Figure 4 (Fig. 4)).
case_images: Five month post-op
case_images: IPRS-04-01-g-004.jpg
case_images: PMC4604747_01_IPRS-04-01-g-004.jpg
case_images: F4
case_images: The initial care was performed by our outpatient unit with weekly follow-up visits and short-term visits after 9 weeks (Figure 3 (Fig. 3)) and 5 months post surgery (Figure 4 (Fig. 4)).
case_images: Intraoperative marking
case_images: IPRS-04-01-g-005.jpg
case_images: PMC4604747_01_IPRS-04-01-g-005.jpg
case_images: F5
case_images: We chose a preauricular incision and dissected the temporal fascia under constant surveillance of the superficial temporal artery and without crossing Pitanguy's line (Figure 5 (Fig. 5) and Figure 6 (Fig. 6)).
case_images: Temporoparietal fascial flap
case_images: IPRS-04-01-g-006.jpg
case_images: PMC4604747_01_IPRS-04-01-g-006.jpg
case_images: F6
case_images: We chose a preauricular incision and dissected the temporal fascia under constant surveillance of the superficial temporal artery and without crossing Pitanguy's line (Figure 5 (Fig. 5) and Figure 6 (Fig. 6)).
case_images: Recipient site
case_images: IPRS-04-01-g-007.jpg
case_images: PMC4604747_01_IPRS-04-01-g-007.jpg
case_images: F7
case_images: Simultanously the preparation of the recipient vessels was performed, including the dorsalis pedis artery with two concomitant veins (Figure 7 (Fig. 7)).
case_images: Temporoparietal fascial flap with skin-graft
case_images: IPRS-04-01-g-008.jpg
case_images: PMC4604747_01_IPRS-04-01-g-008.jpg
case_images: F8
case_images: Eventually we took a split-thickness skin graft from the patient's ipsilateral thigh and covered the flap (Figure 8 (Fig. 8)).