Figure 4.

A 53 year old female patient is shown with an unstable scar with chronic ulceration on the distal end of the right foot. After trauma the patient underwent skin graft which led to bone to skin coverage (A,B). Severe pain and recurrent ulcers were noted and thus warranted microsurgical reconstruction using an superficial circumflex iliac perforator (SCIP) flap. After removal of the scar tissues of the distal foot it was reconstructed with the 15 × 6 cm flap (C,D). At postoperative 12 months, the symptoms were alleviated without recurrence of ulcers (E,F)