Article Figures & Data
Figures
- Figure 1
Extent of the decubitus ulcer is shown. Posterior pelvis and femur are exposed in the base of the wound. The small contralateral decubitus ulcer was treated successfully with local wound care.
- Figure 2
Mid-shank guillotine amputation followed by removal of the remaining tibia and fibula and disarticulation of the femur.
- Figure 3
A step-by-step drawing of the surgical process. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. (B) Sever all knee ligaments. Remove the tibia and fibula. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. (C) Define vascular anatomy to avoid injury. (D) The folded newly created final flap. Created by approximating the skin of the most distal portion of the flap (the mid-shank) to the superior most aspect of the sacral decubitus ulcer and suturing laterally and medially flap to pelvis, then flap to flap to close the wound.
- Figure 4
The mature flap several months postoperatively.
