Abstract

EXTENDED REVERSE SURAL FLAP FOR LOWER LIMB COVERAGE

Author(s): Biswajit Mishra1

BACKGROUND
The reverse sural artery flap has been a workhorse for the reconstruction of distal third of leg, ankle, sole and foot. Major limitation of reverse sural flap has been venous congestion particularly when harvested from proximal third of the leg.
Objective- To evaluate the efficacy, safety of the extended reverse sural flap from proximal third of the leg.
MATERIALS AND METHODS
A prospective study was conducted at the department of plastic surgery on twenty patients who needed soft tissue reconstruction in the distal third of the leg, ankle, heel, forefoot and midfoot due to various cause. In all cases flap was extended proximally to the upper third of the calf and neurovenoadipo fascial pedicled sural fasciocutaneous flap was harvested.
RESULTS
There were only two cases of marginal necrosis. None of the patients had complete necrosis. Two patients developed hypertrophy of the flap margin.
CONCLUSION
Distally based neuroveno adipofascial pedicled sural fasciocutaneous flap can be safely extended to proximal third of the leg and is a reliable option for reconstruction of the defects in the foot, ankle and sole.