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Amputation is frequently required to treat wet gangrene secondary to peripheral vascular disease. Although different types of amputations have been reported, limited digital and ray amputation are the commonest amputations performed. The level of amputation will be determined by the distribution of lower limb disease but for every patient a balance between limb and functional preservation at lower levels versus better wound healing at higher levels should be sought. In this article we describe the novel osteo-myocutaneous flap, which we have used in our patient. We believe that this flap results in improved wound healing and although it results in loss of two digits, it does not impair function.

Osteo-myocutanoeus flap: a novel flap for single toe amputation