case_images: PMC2938606_01
case_images: The right below-knee stump in a 32 year old amputee who presented with unstable scar, recurrent chronic inflammation and failure to use prosthesis
case_images: IJPS-43-108-g001.jpg
case_images: PMC2938606_01_IJPS-43-108-g001.jpg
case_images: F0001
case_images: The stump had healed with secondary intention owing to insufficient soft tissue cover and infection [Figure 1].
case_images: Excised unstable scar and exposed prominent tibial projection along with harvested anterolateral thigh flap with vastus lateralis muscle. Vastus muscle is used to cover projecting bony stump
case_images: IJPS-43-108-g002.jpg
case_images: PMC2938606_01_IJPS-43-108-g002.jpg
case_images: F0002
case_images: About 2 cm tibial end was projecting in the wound [Figure 2].
case_images: End to end anastomosis to popliteal vessels, and muscle covering the bony stump
case_images: IJPS-43-108-g003.jpg
case_images: PMC2938606_01_IJPS-43-108-g003.jpg
case_images: F0003
case_images: Anastomosis was done end-to-end to popliteal vessels with minimal vessel diameter discrepancy [Figure 3].
case_images: Well settled flap at 20 months post surgery without any pressure ulcerations or flap redundancy
case_images: IJPS-43-108-g004.jpg
case_images: PMC2938606_01_IJPS-43-108-g004.jpg
case_images: F0004
case_images: He is symptom free at 20 months after the surgery and flap does not show any atrophy or redundancy [Figure 4].
case_images: Patient is ambulatory and he is on the prosthesis for about 70 hours per week
case_images: IJPS-43-108-g005.jpg
case_images: PMC2938606_01_IJPS-43-108-g005.jpg
case_images: F0005
case_images: His pain free walking distance has increased from half a mile preoperatively to two miles post-operatively [Figure 5].