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Experience with the distally based sural flap: a review of 25 cases.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hamdi, Mohamed Faouzi Kalti, Omar Khelifi, Anis
Description	Country affiliation: Tunisia Author Affiliation: Hamdi MF ( Department of Trauma and Orthopaedic Surgery, F. Bourguiba University Hospital, Monastir, Tunisia. hamdi.medfaouzi@yahoo.fr)
Abstract	The reconstruction of soft tissue defects in the distal areas of the lower extremity remains a challenge. The distally based sural neurocutaneous flap based on the sural nerve and the superficial sural artery has been used for skin defect reconstruction of the distal third of the leg, the hindfoot, ankle, and heel. We describe our experience and evaluate the reliability of this surgical technique. From 2004-2010, 25 patients with an average age of 32.5 (6 to 70) years were treated using the distally based sural flap for reconstruction of skin defects of the lower third of the leg, the heel, the ankle, and the hindfoot. The skin defect was secondary to trauma in 20 patients (80%) and compromised tendon or bone in all cases. One venous congestion and 2 partial flap necroses were observed. The mean follow-up was 25 (9 to 46) months. The plastic result was assessed as satisfactory in all patients. The donor site morbidity was minimal. The sural flap is a good way to reconstruct soft tissue defects of the lower extremity; this surgical technique provides an alternative to microsurgical reconstruction.
File Format	HTM / HTML
ISSN	10672516
Issue Number	5
Volume Number	51
e-ISSN	15422224
Journal	The Journal of Foot and Ankle Surgery
Language	English
Publisher	Elsevier
Publisher Date	2012-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Lower Extremity Surgery Soft Tissue Injuries Surgical Flaps Wounds And Injuries Adolescent Adult Aged Child Humans Injuries Middle Aged Retrospective Studies Blood Supply Innervation Young Adult Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Orthopedics and Sports Medicine Surgery

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