case_images: PMC8313345_01
case_images: Clinical photographs of the right foot. Active infection and necrosis were limited to the feet.
case_images: CRIOR2021-6654969.001.jpg
case_images: PMC8313345_01_CRIOR2021-6654969.001.jpg
case_images: fig1
case_images: Nevertheless, infection and necrosis in the right foot progressed rapidly and worsened to a condition requiring additional surgery (Figure 1).
case_images: Lateral view of the tibial plain radiograph. The point of the anterior angulation started about 10 cm away from the tibial plateau.
case_images: CRIOR2021-6654969.002.jpg
case_images: PMC8313345_01_CRIOR2021-6654969.002.jpg
case_images: fig2
case_images: Therefore, we decided to perform tibial bone cutting at the point of the anterior angulation in the nail to leave as much of the tibia as possible (Figure 2).
case_images: The amputated limb and IM nail were removed from the lower extremities together.
case_images: CRIOR2021-6654969.003.jpg
case_images: PMC8313345_01_CRIOR2021-6654969.003.jpg
case_images: fig3
case_images: Then, the amputated limb was separated from the proximal tibia with the IM nail connected (Figure 3).
case_images: Postoperative photograph of the right lower extremity. No additional incision was applied to remove the IM nail except a mini-incision for the removal of the proximal interlocking screw.
case_images: CRIOR2021-6654969.004.jpg
case_images: PMC8313345_01_CRIOR2021-6654969.004.jpg
case_images: fig4
case_images: After irrigation and drainage insertion, the deep fascia and skin were sutured without tension (Figure 4).
case_images: Postoperative plane radiograph. No hardware remained after surgery.
case_images: CRIOR2021-6654969.005.jpg
case_images: PMC8313345_01_CRIOR2021-6654969.005.jpg
case_images: fig5
case_images: No hardware remained after surgery (Figure 5).