Lower Extremity Salvage with Thoracodorsal Artery Perforator Free Flap in Condition of Symmetrical Peripheral Gangrene

Figure 1

(a) and (b) Necrosis of both ischemic feet after use of norphin in septic shock: (a) Rt. Foot and (b) Lt. Foot. (c) Lisfranc amputation and debridement of skin and soft tissue were performed. (d) Transmetatarsal amputation and debridement of skin and soft tissue were performed. (e) A thoracodorsal artery perforator flap was harvested for Rt. Foot reconstruction. (f) A thoracodorsal artery perforator flap was harvested for Lt. Foot reconstruction. (g) Immediate postoperative view of Rt. Foot. (h) Immediate postoperative view of Lt. Foot. (i) Postoperative 6-month view.

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