This young patient was brought in at the age of 18 years with foot deformity arising from a scar contracture across the top of his foot and toes. Scar was the result of an injury in his childhood which was left to heal by itself without any surgical intervention.
As he continued to grow, his foot deformity worsened as the growth of the bones was hampered by the skin scar. This caused clawing of his toes and altered his gait too. He then came to improve the foot appearance and function to be able to walk normally.
Surgery consisted of release of all scar tissue completely and resurfacing the defect with a flap. Flap was taken from the thigh and using microsurgery the flap was inset into the defect. His foot was maintained in the corrected position using rods, which were removed after 6 weeks.
He was allowed to start walking after about 8-10 days.
With time the flap settled quite beautifully flush with the rest of the normal skin.