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We report a case of alcohol\u2010induced Charcot (AIC) foot with soft tissue defect including the weight\u2010bearing zone of the heel and osteomyelitis, which was successfully reconstructed with free tensor fascia lata true\u2010perforator flap (TFLtp). A 56\u2010year\u2010old male suffered from AIC foot with an 18\u2009\u00d7\u20096\u00a0cm defect. Based on the preoperative ultrasound, we identified the overlying upper thigh area offering one of the thickest dermis. A TFLtp flap was raised sparing the TFL muscle based on one perforator without including the main trunk of the transverse\/ascending branch of the lateral femoral circumflex vessel. The TFLtp flap was transferred to the heel and anastomosed to the posterior tibial artery in an end\u2010to\u2010side fashion. The patient complained no postoperative discomfort of the donor site and was able to walk on his foot after 5\u2009weeks. This case report highlights that the TFLtp flap may offer thick dermis, faster surgery due to perforator level dissection and a concealed donor site.<\/jats:p>","DOI":"10.1002\/micr.30724","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T12:42:56Z","timestamp":1613824976000},"page":"473-479","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Free tensor fascia lata true\u2010perforator flap transfer for reconstruction of the calcaneal soft tissue defect complicated with osteomyelitis in a patient with <scp>alcohol\u2010induced<\/scp> Charcot foot: A case report and literature review"],"prefix":"10.1002","volume":"41","author":[{"given":"Kanako","family":"Tsuihiji","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery National Center for Global Health and Medicine  Tokyo 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