INTRODUCTION:
Healing of wound is a process which always keeps the patients and relatives worried. Given that the wound is in lowest part of the lower extremity, it gives the patient nightmare about the upcoming amputation. Because of precarious blood supply of the foot and relatively less subcutaneous tissue, covering of a humongous wound is almost impossible without flap coverage and skin grafting. Flap can be developed locally or from distant site, however in a patient with multiple comorbidities and fragile skin and soft tissue, its double edged sword to raise a flap for coving the wound of the foot. Moreover, there is a risk of donor site morbidities like paresthesia, seroma formation, wound dehiscence, contour disturbance and apprehension of the patient (1). All these factors are necessary to consider before choosing the procedure in in old and debilitated patients. Furthermore, doing flap in such an old does not necessarily succeed (2) and there is always a risk of amputation which in itself is traumatic mentally as well as physically to a patient. We are presenting a case of 82 years old female, who made a great escape from impending amputation.