Fig. 1.

A 21-year-old male presented to the emergency department following a motorcycle collision with bilateral lower extremity injuries. a Left-sided pulse-less (Grade IIIC) “mangled” knee/lower extremity injuries and a right-sided bicondylar closed tibial plateau fracture with compartment syndrome (top image). b Left-sided completion of the above knee amputation retaining as much viable soft tissue as possible (middle image). c Application of negative-pressure wound therapy dressing to left-sided amputation site, as well as external fixation of right bicondylar tibial plateau fracture and leg fasciotomies for compartment syndrome (bottom image)