diabetic foot hind foot ulcer

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                                                   post operative patient walking
ulcer with VAC dressing

Gracillis flap insetted




flap from dorsal to hind foot


skin graftted wound



before skin graftted

fully healed foot

healed foot

dorm healed

healed foot lateral view six months old



41 year male diabetic with hind foot ulcer for six months . He under went debridement and VAC therapy which removed and underwent flap cover. Microvascular gracilis muscle flap was done , flap artery connected to ant tibial artery. Post op was uneventful , distal part of flap was lost . After ten day he under went skin grafting . Patient had total graft take , pressure garments and silicone gel sheet was advised. He went back to his work.


Dr Adhishwar Sharma
MB,BS , MS (Gen Surg)PGIMER Chd
Mch Plastic and Reconstructive surgery
Fellowship in microvascular and hand surgery
8860650846, adhishwar7@gmail.com
brahmanandclinic.com








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