The treatment of calcaneal osteomyelitis in diabetic patients poses a great challenge to the treating physician and surgeon. The use of a distally based sural neurofasciocutaneous flap after an aggressive debridement of non-viable and poorly vascularized tissue and bone that is combined with a thorough antibiotic regimen provides a great technique for adequate soft tissue coverage of the heel. In this case report, the authors describe the aforementioned flap as a versatile alternative to the use of local or distant muscle flaps for diabetic patients with calcaneal osteomyelitis and concomitant large wounds.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284307 | PMC |
| http://dx.doi.org/10.3402/dfa.v1i0.5544 | DOI Listing |
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Reconstruction of lower limb defect with a variant sural neuro-fasciocutaneous flap: A case report.
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Department of Burn & Plastic Surgery, Yijishan Hospital of Wannan Medical College, 2 Zhe Shan West Road, Wuhu 241000, Anhui, People's Republic of China. Electronic address:
Introduction: The sural neuro-fasciocutaneous flap is widely used for reconstructing skin defects in the lower calf. Variations of the sural nerve in the calf are infrequent, which may require a variation in the traditional surgical procedure.
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Comparison of "complications" and functional outcome of anterolateral thigh flap and sural neurofasciocutaneus flap for foot and ankle reconstruction: A single center cohort study.
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November 2022
Department of Wound Healing, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou, China. Electronic address:
Background: Skin and soft-tissue defects around the foot and ankle remain a challenge for orthopedic and plastic surgeons. Anterolateral thigh (ALT) flap and sural neurofasciocutaneous (NFC) flap are both used to reconstruct lower-extremity soft-tissue defects. The purpose of this study was to compare outcomes of the two flaps and attempt to provide an optimal strategy.
View Article and Find Full Text PDFOutcome comparison of sural neurofasciocutaneous flap for reconstructing soft tissue defects in forefoot and around ankle.
Zhong Nan Da Xue Xue Bao Yi Xue Ban
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Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Objectives: To summarize our experience with the sural neurofasciocutaneous flap for reconstructing the soft tissue defects over the forefoot distal to the connecting line of midpoints in the metatarsal bones, and to compare the outcomes between the flap for resurfacing the defects distal and proximal to the connecting line.
Methods: The clinical data of 425 sural neurofasciocutaneous flaps for repairing the soft tissue defects in the middle and lower leg, ankle, and foot between Apr. 2002 and Apr.
Clinical application of retrograde sural neurofasciocutaneous flap repair combined with jingulian capsules to treat foot and ankle soft tissue defects.
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Objectives: To observe and analyse the efficacy of retrograde sural neurofasciocutaneous flap repair combined with Jingulian capsules to treat foot and ankle soft tissue defects.
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[The de-epidermized sural flap: An original technique to increase the reliability of the neurocutaneous sural flap].
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Service de chirurgie plastique et reconstructrice, centre de traitement des brûlés adultes et enfants, CHU de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
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