ALT big toe

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20 year old boy was attacked by knife and dragged by motorcycle. He sustained chest injury and devolving injury of both first  metatarsal joints.
Left foot was skin grafted while right foot was covered with ALT flap.



skin grafted first MTP joint




ALT flap after two weeks

ALT microvascular flap done to cover exposed great toe MTP joint.


Dr Adhishwar Sharma
MBBS,MS General Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in hand and microvascular surgery
8860650846, adhishwar7@gmail.com







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