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ies in an often-overlooked aspect of value. LEVEL OF EVIDENCE Epidemiological, III.BACKGROUND Limb salvage techniques using free tissue transfer (FTT) in patients with chronic wounds due to long standing osteomyelitis, diabetes, and peripheral vascular disease(PVD) are technically challenging. The Longitudinal Slit Arteriotomy End to Side Anastomosis(LS-ETSA) is our preferred technique because it is the least invasive arteriotomy which is especially important for diseased recipient arteries. We reviewed our highly comorbid patients who u