Experience With Reverse Sural Flap to Cover Defects of the Lower Leg and Foot

Ali Ebrahimi,Nasrin Nejadsarvari,Ehsan Shams Koushki

doi:10.5812/traumamon.3276

Abstract

Experience With Reverse Sural Flap to Cover Defects of the Lower Leg and Foot

Highlights

IntroductionObjectives: The purpose of this prospective case series study was explore the capacity of the perforator-based sural flap in reconstruction surgery of patients with high velocity gunshot wounds in the distal third of the leg and heel pad of the foot
Coverage of traumatic soft-tissue defects in the lower limb is a common procedure
All patients had a history of a gunshot wound in distal part of the leg and heel pad of the foot with large soft-tissue defects; treatment was done using the reverse sural flap

Summary

Introduction

Objectives: The purpose of this prospective case series study was explore the capacity of the perforator-based sural flap in reconstruction surgery of patients with high velocity gunshot wounds in the distal third of the leg and heel pad of the foot. Patients and Methods: A prospective case series study was undertaken to assess the sural fasciocutaneous flap carried out in our hospital, from 2010 to 2011. All patients had a history of a gunshot wound in distal part of the leg and heel pad of the foot with large soft-tissue defects; treatment was done using the reverse sural flap. Conclusions: Reverse sural flap is a useful and versatile reconstructive method in patients with gunshot wounds of the lower leg and foot. Rience with treatment of patients who have undergone the RSA flap for coverage of lower leg and heel defects due to gunshot injuries. These perforating arteries are most likely to be located in a region four to seven centimeters proximal to the lateral malleolus the ideal pivot point for a pedicle flap1.(1) One of the longest perforators is usually located in the four to five centimeter region above the lateral malleolus which allows this location to be considered a good site for a pivot point [24].

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Conclusion