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Table 1.

Statistical description of case series (N = 24 procedures in 24 patients).

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Figure 1.

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

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Figure 2.

The ALT flap (20×16 cm) was designed according to a template made from the area of the defect.

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Figure 3.

Intraoperative view after elevation of the ALT septocutaneous perforator flap.

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Figure 4.

Appearance 15 days after operation with complete flap survival.

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Figure 5.

Appearance 14 months after debulking procedure.

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Figure 6.

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

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Figure 7.

Intraoperative view after elevation of the thinned ALT musculocutaneous perforator flap.

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Figure 8.

Early postoperative view of the flap.

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Figure 9.

Preoperative view of extensive soft tissue defect of the degloved foot.

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Figure 10.

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

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Figure 11.

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

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Figure 12.

Appearance 12 days after operation with complete flap survival.

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Figure 13.

Three month follow-up with healed tissue envelope.

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Figure 14.

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

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Figure 15.

Design of the ALT flap (24×16 cm).

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Figure 16.

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

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Figure 17.

Two month follow-up with healed tissue envelope.

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