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Page 10 of 16 Deldar et al. Plast Aesthet Res 2022;9:13 https://dx.doi.org/10.20517/2347-9264.2021.100
Figure 9. Flexor digitorum brevis (FDM) local flap. (A) Initial presentation of plantar wound. (B) Dissection of the FDM muscle; arrow
points to the dominant vascular pedicle (lateral plantar artery). (C) Flap inset. (D) The wound and donor site incisions were closed
primarily and healed well.
Figure 10. Anterolateral thigh (ALT) free flap. (A) large non-healing wound with exposed hardware and bone over anterior ankle. (B)
Harvest of ALT flap from the ipsilateral thigh. (C) Flap inset over the wound. (D) Healed flap.
of the beveled flap artery. It is critical to make the slit arteriotomy in a smooth fashion to prevent intimal
flap formation. The vessels are then hand-sewn ETS using 8-0 or 9-0 nylon suture from outside-to-inside
fashion on the flap vessel and an inside-to-outside fashion on the recipient vessel to allow for intimal
tacking. Our center showed 93% flap success and a limb salvage rate of 83.5% with longitudinal slit
arteriotomy ETS anastomosis . When feasible, dual venous anastomoses to the deep or superficial venous
[43]
