case_images: PMC4878253_01
case_images: Medial and lateral malleolar defect
case_images: IJPS-49-95-g001.jpg
case_images: PMC4878253_01_IJPS-49-95-g001.jpg
case_images: F1
case_images: A 14-year-old boy presented to us with a 2 weeks old infected bimalleolar defect with dimensions of 12 cm x 7 cm medially and 8 cm x 4 cm laterally [Figure 1] at the ankle.
case_images: Chimeric anterolateral thigh and anteromedial thigh flaps
case_images: IJPS-49-95-g002.jpg
case_images: PMC4878253_01_IJPS-49-95-g002.jpg
case_images: F2
case_images: Considering the dimensions and proximity of the two defects, a chimeric fasciocutanous anteromedial thigh (AMT) and anterolateral thigh (ALT) flap [Figure 2] based on the lateral circumflex, femoral vessels was planned and their perforators marked with hand held Doppler.
case_images: Settled anterolateral thigh and anteromedial thigh flaps
case_images: IJPS-49-95-g003.jpg
case_images: PMC4878253_01_IJPS-49-95-g003.jpg
case_images: F3
case_images: Both the flaps survived without any complications [Figure 3].
case_images: X-ray showing post arthritic sequele
case_images: IJPS-49-95-g004.jpg
case_images: PMC4878253_01_IJPS-49-95-g004.jpg
case_images: F4
case_images: At 11 months follow-up, the patient is ambulatory with a stiff ankle in slight varus position with X-ray showing extensive post-septic arthritic sequale of the ankle joint [Figure 4].