Salvage of a below knee amputation stump with a free sensate total sole flap preserving continuity of the posterior tibial nerve

We illustrate the use of a free sole flap with intact posterior tibial nerve in the coverage of a belowknee amputation 6 months after an explosive injury to a 12-year-old child. We discuss the indications for lower leg amputation in children, modalities of reconstruction of the amputation stump and possible reason for the observed change of colour of the flap persisting for 14 days.