case_images: PMC6040606_01
case_images: Appearance of a 55-year-old woman patient's right (a) and left (b) legs with full thickness burns at admission, before the releasing incisions were performed
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case_images: PMC6040606_01_41038_2018_107_Fig1_HTML.jpg
case_images: Fig1
case_images: A 55-year-old woman without relevant medical history was referred to our burn center with 35% total body surface area full thickness thermal burns (third degree) from flames on her lower limbs, hands and face (UBS 110, ABSI 9) (Fig. 1).
case_images: Appearence of lower right extremity of a 55-year-old woman burn patient after debridment of necrotic tissues. Tibia and fibula were exposed. Ankle, mediotarsal, and tarso-metatarsal capsules were burnt and some joints were open
case_images: 41038_2018_107_Fig2_HTML.jpg
case_images: PMC6040606_01_41038_2018_107_Fig2_HTML.jpg
case_images: Fig2
case_images: Ankle, mediotarsal and tarso-metatarsal capsules were burnt, some joints were open (Fig. 2) and vasculo-nervous pedicle was at high risk of exposure.
case_images: Appearence of lower right extremity of a 55-year-old woman burn patient after a free latissimus dorsi musculo-cutaneous flap with vertical skin paddle was performed to cover dorsal foot and ankle
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case_images: PMC6040606_01_41038_2018_107_Fig3_HTML.jpg
case_images: Fig3
case_images: The skin paddle of the latissimus dorsi flap was originally intended for flap monitoring (Fig. 3).
case_images: Appearence of lower limbs of a 55-year-old woman burn patient with exposure of left patellar tendon and superior third of the tibia requiring coverage with a flap
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case_images: PMC6040606_01_41038_2018_107_Fig4_HTML.jpg
case_images: Fig4
case_images: Nevertheless, the left patellar tendon was still exposed and needed to be covered with a flap (Fig. 4).
case_images: Appearance of both legs of a 55-year-old woman burn patient after a pedicled flap was raised from the previous free flap; (a) a cross leg transferred to cover the left patellar tendon and (b) both legs were immobilized together using an external fixation (Hoffmann apparatus)
case_images: 41038_2018_107_Fig5_HTML.jpg
case_images: PMC6040606_01_41038_2018_107_Fig5_HTML.jpg
case_images: Fig5
case_images: Both legs were immobilized together using an external fixation (Hoffmann apparatus, Fig. 5).
case_images: Appearance of a 55-year-old woman burn patient's legs at 6 months post-surgery, after the patient left the rehabilitation centre
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case_images: PMC6040606_01_41038_2018_107_Fig6_HTML.jpg
case_images: Fig6
case_images: At 6 months post-burns, the patient was able to walk and left the rehabilitation centre (Fig. 6).