The elevated thinned ALT flap with three perforators surrounded by small cuffs of deep fascia.

<p>The elevated thinned ALT flap with three perforators surrounded by small cuffs of deep fascia.</p

Intraoperative view after elevation of the ALT musculocutaneous perforator flap with the deep fascia.

<p>Intraoperative view after elevation of the ALT musculocutaneous perforator flap with the deep fascia.</p

Early postoperative view of the flap.

<p>Early postoperative view of the flap.</p

Three month follow-up with healed tissue envelope.

<p>Three month follow-up with healed tissue envelope.</p

Appearance 15 days after operation with complete flap survival.

<p>Appearance 15 days after operation with complete flap survival.</p

The thinned ALT flap (25×16 cm) was designed according to a template made from the area of the defect.

<p>The thinned ALT flap (25×16 cm) was designed according to a template made from the area of the defect.</p

Preoperative view of extensive soft tissue defect over the hind foot and medial ankle.

<p>Preoperative view of extensive soft tissue defect over the hind foot and medial ankle.</p

Appearance 12 days after operation with complete flap survival.

<p>Appearance 12 days after operation with complete flap survival.</p

Preoperative view of extensive soft tissue defect of the dorsal foot with exposed tendon and bone.

<p>Preoperative view of extensive soft tissue defect of the dorsal foot with exposed tendon and bone.</p

Preoperative view of extensive soft tissue defect of the dorsum and weight-bearing sole of the foot with exposure of the transverse tarsal joint.

<p>Preoperative view of extensive soft tissue defect of the dorsum and weight-bearing sole of the foot with exposure of the transverse tarsal joint.</p