Fig. 4. Forefoot salvage using a free flap. (A) An infected diabetic foot complicated by nerotizing fasciitis. (B) Serial surgical debridement and antibiotics administration stabilized the foot but left a large deep defect on the weight-bearing forefoot area. (C) Instead of amputating the entire first ray, the forefoot was recon-structed with a thoracodorsal artery perforator free flap, enabling normal ambulation.
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