Summary
A 14 year old male had gangrene of the leg following snake bite, leaving only 4 cms.
skin beyond the level of knee and a thin strip of skin reaching the lower part of
leg posteriorly, with an alive muscle deep to it.
A below knee amputation was achieved by utilizing the thin strip and the muscle to
go round the bone stump, supplemented with limited free skin graft. This avoided an
above knee amputation.