AI Article Synopsis
- - The study aims to introduce the reverse sural island fasciocutaneous flap as a practical option for covering soft tissue injuries in the lower third of the leg, targeting non-plastic surgeons.
- - A review of existing literature and a series of patient cases from 2008-2011 provided insights into the efficacy and technique of the flap, evaluating outcomes in nine patients aged 12-70 years.
- - Results showed successful healing with minimal complications, suggesting that this flap could serve as a reliable alternative to more complex procedures like free muscle transfer for this type of coverage.
Article Abstract
Objective: To establish the sural island fasciocutaneous flap as an initial consideration for distal third lower-extremity soft tissue coverage and to provide non-plastic surgeons with a procedure they can perform on their own.
Method: Literature on reverse sural island fasciocutaneous flaps was reviewed and summarised. We then assessed our care series of sural island flaps from 2008-2011 and looked to provide our operative technique and patient outcomes.
Results: Nine patients, aged 12-70 years old, with greater than 1 year follow-up, were reviewed. Five patients had diabetes, peripheral vascular disease, or smoked tobacco. All patients healed their soft tissue coverage with minimal complication and were able to accommodate normal footwear.
Conclusion: Reverse sural island flaps are resilient flaps that should be considered as an alternative to free muscle transfer, for distal third lower extremity coverage.
Declaration Of Interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.
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| http://dx.doi.org/10.12968/jowc.2012.21.10.469 | DOI Listing |
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