External Fixation for Surgical Off-Loading of Diabetic Soft Tissue Reconstruction  Crystal L. Ramanujam, DPM, Zacharia Facaros, DPM, Thomas Zgonis, DPM  Clinics in Podiatric Medicine and Surgery  Volume 28, Issue 1, Pages 211-216 (January 2011) DOI: 10.1016/j.cpm.2010.10.004 Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 1 An intraoperative picture (A) showing the plantar wound defect after the initial surgical excision of the full-thickness ulceration. The patient subsequently underwent further reconstruction with a plantar partial ostectomy and local rotational flap closure (B, C). Please note that the defect was surgically revised in a triangular manner, which allowed the flap to rotate toward its base at the proximal lateral aspect of the foot (B). A modified circular external fixator was used for stabilization and surgical off-loading of the lower extremity (D, E). The final clinical picture at approximately 4 months’ follow-up (F). Clinics in Podiatric Medicine and Surgery 2011 28, 211-216DOI: (10.1016/j.cpm.2010.10.004) Copyright © 2011 Elsevier Inc. Terms and Conditions