The distally based adipofascial sural artery flap: faster, safer, and easier? A long-term comparison of the fasciocutaneous and adipofascial method in a multimorbid patient population.

Background: Complex wounds of the distal third of the leg are challenging to treat. Despite free tissue transfer, local pedicled flaps such as the distally pedicled sural artery flap remain a valuable option.

Methods: The authors conducted a retrospective comparison of the classical harvesting technique of the sural artery flap with a simplified method without a skin island.