Figure 2

(A) A 40-year-old man with a smoking history underwent a reverse sural flap for his left lower leg with osteomyelitis and soft-tissue defects. (B) Venous congestion was noted on postoperative day 1, then NPWT was discontinued. (C) Partial loss of the distal part of the flaps was subsequently treated with debridement and skin grafting. (D) After one year, the wound has completely healed.