SUMMARY

A young boy got a run over injury in a road traffic accident, resulting into an open fracture of the tibia with loss of soft tissue extending up to the upper part of the thigh. After few days he developed an ischemic gangrene of right tibia that ended into above knee amputation. The skin of the thigh was excised at a much higher level. Thus a circumferential skin loss of about 15-16 cm length was created. This circumferential skin loss was treated with lengthening of the skin by this new technique “Altaf technique “.

Keywords: Circumferential skin loss, Altaf technique, amputation, stump, skin elongation, gangrene, SSG, open fractures