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.