Figure 5.

Infrapatellar exposure of a poorly placed plate in a 60-year-old man. A: Due to the questionable viability of the lateral gastrocnemius head, the medial head was dissected (arrow); B: The flap was medially rotated and covered the defect. The muscle was resurfaced with a split-thickness skin graft (arrow); C: Two months later, the plate was exposed in a more proximal position; D: Defect following thorough debridement; E: A free Anterolateral thigh flap based on a single perforator was raised; F: The free flap was anastomosed on end-to-end fashion to the anterior tibial vessels, and a satisfactory healing was achieved.