Admitted with the complaints of pain in left foot since 2-3 months. On examintaion there was blackening of 2nd toe and dorsum of the foot. On CT Angiography, infrapopliteal disease was found. We did angioplasty of anterior and posterior tibial arteries and peroneal artery. Blood flow increased in the foot. Left foot debridement was done. VAC (vaccum assisted closure device) pump was applied.