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Direct transfer without HBO group Flap tip necrosis and skin grafting Nil Flap tip necrosis and skin grafting Flap tip necrosis and skin grafting Nil Nil Flap tip necrosis and skin grafting Nil Flap tip necrosis and skin grafting Nil Partial flap loss and skin grafting

Complications

HBO with flap delay groups Recurrent infection to joint, debridement and suturing Nil Flap tip discoloration and no secondary intervention Nil Nil Nil Nil Nil Nil Nil Nil Nil

Direct transfer without Lateral supra malleolar flap Lateral supra malleolar flap Lateral supra malleolar flap Lateral supra malleolar flap Reverse sural artery flap Reverse sural artery flap Reverse sural artery flap Reverse sural artery flap cover Reverse sural artery flap Reverse sural artery flap Reverse sural artery flap

Flaps HBO group

HBO with flap delay groups Lateral supra malleolar flap Lateral supra malleolar flap Lateral supra malleolar flap Lateral supra malleolar flap Lateral supra malleolar flap Posterior tibial artery perforator plus flap Reverse sural artery flap Reverse sural artery flap Extended reverse sural artery flap Reverse sural artery flap Reverse sural artery flap Extended reverse sural artery flap

Table 3: Table comparing HBO with flap delay and direct flap transfer without HBO

Direct transfer without HBO group

Co-morbidity Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil

HBO with flap delay groups Diabetes mellitus Diabetes mellitus Diabetes mellitus Varicose veins Diabetes mellitus Cellulitis Diabetes mellitus Multiple wounds in ankle region

Direct transfer without HBO group 52 48 47 37 48 42 39 24 43 13 23

Age (years)

HBO with flap delay groups 68 40 43 36 52 21 60 23 62 55 55 34 HBO: Hyperbaric oxygen

No. 1 2 3 4 5 6 7 8 9 10 11 12

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