Boyd amputation with calcaneotibial fusion. A, Full-thickness flaps with longer plantar extension in midtarsal amputation. These flaps extend distal to the metatarsophalangeal joints so that wound can be closed without skin tension. B, Midtarsal joint disarticulation, talectomy, and partial fibulectomy. C, Talus has been excised. Calcaneus and tibial platform prepared for arthrodesis. D, Single-layer closure with 2-0 monofilament nonabsorbable suture (over a drain). SEE TECHNIQUE 15.11.