case_images: PMC3871676_01
case_images: Preoperative view of extensive soft tissue defect of the dorsum and weight-bearing sole of the foot with exposure of the transverse tarsal joint.
case_images: pone.0083696.g001.jpg
case_images: PMC3871676_01_pone.0083696.g001.jpg
case_images: pone-0083696-g001
case_images: No ulceration occurred during a 36 month follow-up (Fig. 1-5).
case_images: The ALT flap (20x16 cm) was designed according to a template made from the area of the defect.
case_images: pone.0083696.g002.jpg
case_images: PMC3871676_01_pone.0083696.g002.jpg
case_images: pone-0083696-g002
case_images: No ulceration occurred during a 36 month follow-up (Fig. 1-5).
case_images: Intraoperative view after elevation of the ALT septocutaneous perforator flap.
case_images: pone.0083696.g003.jpg
case_images: PMC3871676_01_pone.0083696.g003.jpg
case_images: pone-0083696-g003
case_images: No ulceration occurred during a 36 month follow-up (Fig. 1-5).
case_images: Appearance 15 days after operation with complete flap survival.
case_images: pone.0083696.g004.jpg
case_images: PMC3871676_01_pone.0083696.g004.jpg
case_images: pone-0083696-g004
case_images: No ulceration occurred during a 36 month follow-up (Fig. 1-5).
case_images: Appearance 14 months after debulking procedure.
case_images: pone.0083696.g005.jpg
case_images: PMC3871676_01_pone.0083696.g005.jpg
case_images: pone-0083696-g005
case_images: No ulceration occurred during a 36 month follow-up (Fig. 1-5).
case_images: PMC3871676_02
case_images: Preoperative view of extensive soft tissue defect of the dorsal foot with exposed tendon and bone.
case_images: pone.0083696.g006.jpg
case_images: PMC3871676_02_pone.0083696.g006.jpg
case_images: pone-0083696-g006
case_images: The flap survived completely and the result was satisfactory (Fig. 6-8).
case_images: Intraoperative view after elevation of the thinned ALT musculocutaneous perforator flap.
case_images: pone.0083696.g007.jpg
case_images: PMC3871676_02_pone.0083696.g007.jpg
case_images: pone-0083696-g007
case_images: The flap survived completely and the result was satisfactory (Fig. 6-8).
case_images: Early postoperative view of the flap.
case_images: pone.0083696.g008.jpg
case_images: PMC3871676_02_pone.0083696.g008.jpg
case_images: pone-0083696-g008
case_images: The flap survived completely and the result was satisfactory (Fig. 6-8).
case_images: PMC3871676_03
case_images: Preoperative view of extensive soft tissue defect of the degloved foot.
case_images: pone.0083696.g009.jpg
case_images: PMC3871676_03_pone.0083696.g009.jpg
case_images: pone-0083696-g009
case_images: The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
case_images: The thinned ALT flap (25x16 cm) was designed according to a template made from the area of the defect.
case_images: pone.0083696.g010.jpg
case_images: PMC3871676_03_pone.0083696.g010.jpg
case_images: pone-0083696-g010
case_images: The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
case_images: The elevated thinned ALT flap with three perforators surrounded by small cuffs of deep fascia.
case_images: pone.0083696.g011.jpg
case_images: PMC3871676_03_pone.0083696.g011.jpg
case_images: pone-0083696-g011
case_images: The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
case_images: Appearance 12 days after operation with complete flap survival.
case_images: pone.0083696.g012.jpg
case_images: PMC3871676_03_pone.0083696.g012.jpg
case_images: pone-0083696-g012
case_images: The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
case_images: Three month follow-up with healed tissue envelope.
case_images: pone.0083696.g013.jpg
case_images: PMC3871676_03_pone.0083696.g013.jpg
case_images: pone-0083696-g013
case_images: The vascular anastomosis was performed end to end onto the tibialis anterior vessels and saphenous vein, and split-thickness skin grafting was used for the donor site. The flap survived completely without any complications (Fig. 9-13).
case_images: PMC3871676_04
case_images: Preoperative view of extensive soft tissue defect over the hind foot and medial ankle.
case_images: pone.0083696.g014.jpg
case_images: PMC3871676_04_pone.0083696.g014.jpg
case_images: pone-0083696-g014
case_images: A visual gait analysis showed only minor abnormalities and the patient was not hindered from running (Fig. 14-17).
case_images: Design of the ALT flap (24x16 cm).
case_images: pone.0083696.g015.jpg
case_images: PMC3871676_04_pone.0083696.g015.jpg
case_images: pone-0083696-g015
case_images: A visual gait analysis showed only minor abnormalities and the patient was not hindered from running (Fig. 14-17).