Figure 1.

Left: Patient P (51/f) suffering a high-energy trauma resulting in a lower extremity Gustilo 3b injury. Middle: the patient received a myocutaneous latissimus dorsi free with an end-to-end anastomosis to the tibial artery and vein 10 days after trauma. Right: seven days after placement total free flap failure, resulting in complete removal and despite negative pressure wound therapy eventually amputation.