|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 21-57. A serratus flap consisting of a single muscle segment and the underlying eighth rib has been harvested to provide a vascularized bone graft.
A 16-year-old girl caught her hand in a meat grinder while working after school. The ulnar half of the hand has been severely damaged with multiple metacarpal fractures. None of the fingers were replantable because of the multilevel nature of the injury.
FIG. 21-60. Dorsal view.
A patient had chronic osteomyelitis of the distal tibia following a motor vehicle accident.
FIG. 21-66. Tibial wound.
A diabetic patient had a chronic infected calcaneal wound that did not heal after multiple previous grafting procedures.
FIG. 21-71. Appearance of wound.
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