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Complications and secondary procedure Recurrent infection of joint; debridement and suturing Nil Tip discoloration Nil Nil Nil Nil Nil Nil Nil Nil Nil

Type of flap, delay procedure, HBOT Lateral supra malleolar fasciocutaneous flap Lateral supra malleolar fasciocutaneous flap Lateral supra malleolar fasciocutaneous flap Lateral supra malleolar fasciocutaneous flap Lateral supra malleolar fasciocutaneous flap Posterior tibial artery perforator plus flap Reverse sural artery fasciocutaneous flap Reverse sural artery fasciocutaneous flap Extended reverse sural ar

Table 1: Patients treated for soft tissue defects of the lower third of the leg and foot with reverse pedicle flaps with flap delay and HBO

Exposure of the lateral malleolus and ankle joint Exposure of extensor tendons of 2nd , 3rd, 4th, 5th toes Exposure of base of first metatarsal bone Exposure of distal achilles tendon Exposure of lateral malleolus Exposure of distal third of tibia Exposure of distal achilles tendon Exposure of medial calcaneus Exposure of distal achilles tendon Exposure of distalmedial malleolus and ankle joint Exposure of lower thir

Details and ankle joint

Flap size (cm 2 ) 6 × 4 7 × 4 7 × 4 5 × 4 6 × 4 7 × 4 7 × 4 6 × 4 7 × 4 7 × 4 6 × 4 14 × 5

Defect size (cm 2 ) 5 × 4 6 × 4 6 × 4 4 × 4 5 × 4 6 × 4 6 × 4 5 × 4 6 × 4 6 × 4 5 × 4 13 × 5

Lateral malleolar region with ankle joint exposure Mid-distal junction of dorsum of foot Proximal foot dorso- medial aspect Achilles tendon Lateral malleolus Distal third of tibia Achilles tendon Medial aspect of Achilles tendon Medial malleolus Lower third of tibia Heel pad, base of calcaneus and Achilles tendon

Site calcaneus

Co-morbidities Diabetes mellitus Diabetes mellitus Diabetes mellitus Varicose veins Diabetes mellitus Cellulitis Diabetes mellitus Multiple wounds in ankle region

Trauma/ etiology Diabetic ulcer Road traffic accident Road traffic accident Road traffic accident Road traffic accident Road traffic accident Road traffic accident Road traffic accident Road traffic accident Infected snake bite injury Road traffic accident Road traffic accident HBO: Hyperbaric oxygen, HBOT: Hyperbaric oxygen therapy

Age (years)/ gender 68/male 40/female 43/male 36/female 52/female 21/male 60/male 23/male 62/female 55/male 55/male 34/male

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132 Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015