{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:54Z","timestamp":1783509294685,"version":"3.55.0"},"reference-count":31,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Necrotizing fasciitis of the foot is a relatively rare diagnosis and has traditionally been treated with distal amputation. A 30-year-old diabetic man with Charcot-Marie-Tooth muscular atrophy developed necrotizing fasciitis of the dorsal foot and underwent surgical debridement resulting in a significant wound with exposed tendons. Serial debridements were performed, eventually followed by a staged free flap reconstruction using an anterolateral thigh fasciocutaneous flap. After allowing time for flap healing, subsequent staged equinovarus reconstruction was also performed successfully. There were no flap or postoperative complications, and the patient is progressing as expected. Flap refinement procedures have been used to enhance cosmetic and functional outcomes. This report not only showcases the success of a procedure high on the reconstructive ladder in a patient at high risk for complications but also highlights an approach in which functional recovery is also optimized successfully in a planned staged multidisciplinary manner.<\/jats:p>","DOI":"10.7547\/20-281","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T16:34:57Z","timestamp":1704818097000},"source":"Crossref","is-referenced-by-count":2,"title":["Necrotizing Fasciitis in Charcot-Marie-Tooth Treated with Debridement, Free Flap, and Extra-Articular Reconstruction"],"prefix":"10.3390","volume":"113","author":[{"given":"Joshua","family":"Yoon","sequence":"first","affiliation":[{"name":"Division of Plastic Reconstructive and Maxillofacial Surgery, R. Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD."},{"name":"Department of Surgery, The George Washington University, Washington, DC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selim","family":"Gebran","sequence":"additional","affiliation":[{"name":"Division of Plastic Reconstructive and Maxillofacial Surgery, R. Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Nam","sequence":"additional","affiliation":[{"name":"Division of Plastic Reconstructive and Maxillofacial Surgery, R. Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Brandao","sequence":"additional","affiliation":[{"name":"The Center for Advanced Orthopaedics, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Wynes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"N Engl J Med","first-page":"2253","article-title":"Necrotizing soft-tissue infections","volume":"377","author":"Stevens DL","year":"2017","unstructured":"Stevens DL, Bryant AE: Necrotizing soft-tissue infections. N Engl J Med 377: 2253, 2017."},{"key":"B2","series-title":"Ann R Coll Surg Engl","first-page":"46","article-title":"Necrotising soft tissue infection in a UK metropolitan population","volume":"97","author":"Glass GE","year":"2015","unstructured":"Glass GE, Sheil F, Ruston JC, et al: Necrotising soft tissue infection in a UK metropolitan population. Ann R Coll Surg Engl 97: 46, 2015."},{"key":"B3","series-title":"Langenbecks Arch Surg","first-page":"153","article-title":"Necrotizing fasciitis: is the bacterial spectrum changing?","volume":"398","author":"Tsitsilonis S","year":"2013","unstructured":"Tsitsilonis S, Druschel C, Wichlas F, et al: Necrotizing fasciitis: is the bacterial spectrum changing? Langenbecks Arch Surg 398: 153, 2013."},{"key":"B4","series-title":"N Engl J Med","first-page":"1445","article-title":"Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles","volume":"352","author":"Miller LG","year":"2005","unstructured":"Miller LG, Perdreau-Remington F, Rieg G, et al: Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 352: 1445, 2005."},{"key":"B5","series-title":"ANZ J Surg","first-page":"365","article-title":"Early diagnosis and treatment of necrotizing fasciitis can improve survival: an observational intensive care unit cohort study","volume":"83","author":"Bucca K","year":"2013","unstructured":"Bucca K, Spencer R, Orford N, et al: Early diagnosis and treatment of necrotizing fasciitis can improve survival: an observational intensive care unit cohort study. 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