Typical Case 1: Male, 43 years of age, pain, bleed and deformity in bilateral legs for 12 hours because of accident injury. (A, B) Crush injury of subcircular soft tissue in the right lower leg and ankle, and bruise and spasmodism in the posterior and anterior tibial vascular (A – medial view; B – anterolateral view). (C, D) Necrosis and defect of soft tissue in the right lower leg and ankle, reveal of deep tissue 7 days late (C – medial view; D – lateral view). (E, F) Debridement and VSD treatment on subcircular soft tissue in the right lower leg and ankle (E – medial view; F – lateral view). (G, H) Designed (G) and incised (H) thoraco-umbilical flap from thorax and abdomen.