EXTREMITIES:  He has about 1+ pitting edema to both legs and they have been present since the surgery.  In the right leg, he has an about midway between the right knee and right ankle on the anterior pretibial area, he has a puncture wound that measures about may be centimeter around that appears to be relatively clean, and just below that about may be 3 cm below, he has a flap traumatic injury that measures about may be 4 cm to the point of the flap.  The wound is spread apart about may be a centimeter all along that area and it is relatively clean.  There was some bleeding when I removed the dressing and we were able to pretty much control that with pressure and some silver nitrate.  There were exposed subcutaneous tissues, but there was no exposed tendons that we could see, etc.  The flap appeared to be viable.