Figure 3.

A 56‐year old male diabetic is shown with chronic osteomyelitis of his right foot (A). The pulses were weak on the dorsalis pedis artery and angioplasty was carried out opening the narrow femoral artery segment improving the flow to the leg (B). After wide debridement of the bone and soft tissue, recipient vessels were dissected and showed adequate pulse and flow (C). An anterolateral thigh (ALT) perforator flap was elevated and then the pedicle was anastomosed to the dorsalis artery (end to side) and vein (end to end) (D,E). The follow up at 2 years shows good contour and the patient with good gait (F‐H)