Coverage of lower limb necrotizing fasciitis with an omental flap

Abstract

Necrotizing fasciitis is a severe bacterial infection characterized by rapid tissue destruction, necessitating prompt intervention and a multidisciplinary approach. Surgical debridement and antibiotic therapy are key components of management, while reconstruction surgery plays a vital role in restoring tissue integrity and function. The use of omental flaps has emerged as a promising technique for covering extensive soft-tissue defects, offering well-vascularized tissue with reduced technical challenges. Here, we describe a case of necrotizing fasciitis in a 60-year-old male, where an omental flap was employed for coverage following knee septic arthritis. Despite extensor apparatus destruction necessitating knee arthrodesis, successful reconstruction enabled the patient to regain mobility. This case illustrates the importance of early diagnosis, aggressive treatment, and meticulous surgical intervention in optimizing outcomes for necrotizing fasciitis patients. Collaboration among healthcare professionals is essential in navigating the complexities of this challenging condition.