case_images: PMC4878242_01
case_images: Soft tissue injury to limb with ischemia
case_images: IJPS-49-35-g001.jpg
case_images: PMC4878242_01_IJPS-49-35-g001.jpg
case_images: D1
case_images: She presented to us with a devascularised hand [Figure 1].
case_images: Reverse vein graft for vascularity and flap cover to soft tissue defect
case_images: IJPS-49-35-g002.jpg
case_images: PMC4878242_01_IJPS-49-35-g002.jpg
case_images: D2
case_images: She was taken up for an emergency flow through flap which was hooked to the ulnar vessels and the hand was salvaged [Figures 2-4].
case_images: Simultaneous coverage and restoration of vascularity of limb by flow through flap
case_images: IJPS-49-35-g003.jpg
case_images: PMC4878242_01_IJPS-49-35-g003.jpg
case_images: D3
case_images: She was taken up for an emergency flow through flap which was hooked to the ulnar vessels and the hand was salvaged [Figures 2-4].
case_images: Ischemic hand with soft tissue loss
case_images: IJPS-49-35-g006.jpg
case_images: PMC4878242_01_IJPS-49-35-g006.jpg
case_images: F1
case_images: She was taken up for an emergency flow through flap which was hooked to the ulnar vessels and the hand was salvaged [Figures 2-4].
case_images: PMC4878242_02
case_images: Harvesting of flow through anterolateral thigh flap
case_images: IJPS-49-35-g007.jpg
case_images: PMC4878242_02_IJPS-49-35-g007.jpg
case_images: F2
case_images: Emergency below knee amputation of the left lower limb and debridement of right lower limb with fracture fixation by external fixator was done at the primary care centre [Figure 5].
case_images: Harvested flow through flap
case_images: IJPS-49-35-g008.jpg
case_images: PMC4878242_02_IJPS-49-35-g008.jpg
case_images: F3
case_images: Adequate debridement and flow through ALT flap [Figures 6 and 7] was done to the posterior tibial vessels to salvage the limb and provide soft tissue cover [Figure 8].
case_images: Salvaged limb
case_images: IJPS-49-35-g009.jpg
case_images: PMC4878242_02_IJPS-49-35-g009.jpg
case_images: F4
case_images: Adequate debridement and flow through ALT flap [Figures 6 and 7] was done to the posterior tibial vessels to salvage the limb and provide soft tissue cover [Figure 8].
case_images: Soft tissue defect of leg with ischemia of foot
case_images: IJPS-49-35-g010.jpg
case_images: PMC4878242_02_IJPS-49-35-g010.jpg
case_images: F5
case_images: Adequate debridement and flow through ALT flap [Figures 6 and 7] was done to the posterior tibial vessels to salvage the limb and provide soft tissue cover [Figure 8].
case_images: PMC4878242_03
case_images: Harvested flow through flap
case_images: IJPS-49-35-g011.jpg
case_images: PMC4878242_03_IJPS-49-35-g011.jpg
case_images: F6
case_images: A 13-year-old boy presented to us 5 h after a railway accident with an amputation at left forearm level and left lower limb vascular injury [Figures 9 and 10].
case_images: Flap cutaneous side
case_images: IJPS-49-35-g012.jpg
case_images: PMC4878242_03_IJPS-49-35-g012.jpg
case_images: F7
case_images: A 13-year-old boy presented to us 5 h after a railway accident with an amputation at left forearm level and left lower limb vascular injury [Figures 9 and 10].
case_images: Salvaged foot and coverage of leg
case_images: IJPS-49-35-g013.jpg
case_images: PMC4878242_03_IJPS-49-35-g013.jpg
case_images: F8
case_images: The patient started developing necrosis of forearm skin and gradual ischaemia of replanted hand [Figure 11].
case_images: Amputation at distal forearm
case_images: IJPS-49-35-g014.jpg
case_images: PMC4878242_03_IJPS-49-35-g014.jpg
case_images: F9
case_images: On debridement, it was found that the radial vessels were thrombosed for 10 cm segment and hence a flow through ALT flap was harvested and anastomosed with radial vessels [Figure 12].
case_images: Proximal stump
case_images: IJPS-49-35-g015.jpg
case_images: PMC4878242_03_IJPS-49-35-g015.jpg
case_images: F10
case_images: The post-operation recovery was uneventful [Figures 13 and 14].
case_images: Necrosis of forearm skin and ischemic hand
case_images: IJPS-49-35-g016.jpg
case_images: PMC4878242_03_IJPS-49-35-g016.jpg
case_images: F11
case_images: The post-operation recovery was uneventful [Figures 13 and 14].
case_images: PMC4878242_04
case_images: Harvested flow through flap
case_images: IJPS-49-35-g017.jpg
case_images: PMC4878242_04_IJPS-49-35-g017.jpg
case_images: F12
case_images: A 35-year-old patient presented 14 h after a crush injury to the distal right forearm with doubtful vascularity of hand [Figure 15].