|
Exposed bone |
|
cross leg flap being in setted |
|
At one week post op |
|
First dressing after division |
|
flap and skin graft in situ |
|
healed flap and healing graft |
|
wound healing at 2 weeks
|
|
healed donor site
|
|
healed wounds
|
patient suffered gun shot injury due to which popliteal artery injury which was repaired by a vascular surgeon . Patient had a stormy post op course with multiple debridement done as a result patient lost lot of muscle in all compartment of leg. He had a exposed bone and lot of wounds which needed cover . Two months after the injury patient was planned for reconstructive surgery, during this time VAC dressing was applied .
CT Angio showed that repaired artery is patent and venous drainage was superficial veins ruling out any microvascular surgery. So decision was taken to do cross leg flap.
At division of flap skin grafting of raw area was done. Patient was send to orthopedic surgeon for fixation of fracture.
Dr Adhishwar Sharma
MBBS, MS General Surgery PGIMER Chd
Mch Plastic Surgery
8860650846,adhishwar7@gmail.com
Dr Adhishar had done fabulous job at minimum cost possible.He is a great human being and have superb command in his work.We lost hope due to critical situation,but doctor saab is Massiha for us.Highly recomended.
ReplyDelete