Fig. 15.

Figs. 15-A and 15-B A patient who was managed with an ALT flap for right lower-extremity reconstruction. Fig. 15-A The defect of the posterior aspect of the right leg with exposed bone following serial irrigation and debridement. Fig. 15-B Microvascular transfer of an ALT flap for soft-tissue coverage. Inset and closure is again performed using single-layer monofilament suture. A Penrose drain is also routinely left in place to allow for egress of serous fluid and prevention of a seroma.