Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reverse-flow island sural flap.

Marcelo Figueiredo Almeida1, Paulo Roberto da Costa, Ricardo Yukio Okawa

  • 1Division of Plastic Surgery, Hospitals Ortopédico Galba Veloso, Prontocor and Mater Dei, Belo Horizonte, Minais Gerais, Brazil. marcefig@terra.com.br

Plastic and Reconstructive Surgery
|January 31, 2002
PubMed
Summary

The reverse flow island sural flap offers a versatile option for lower limb reconstruction. This technique effectively reconstructs defects in the distal leg, ankle, and heel with good outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Immunohistochemical characterization of nerve endings in the vaginal fornix and cervix of small ruminants.

Reproductive biology·2026
Same author

Evaluation of the Vertical Movement of Ribeiro's Dermolipoglandular Mammary Flap One Year After Mammaplasties in Post-Bariatric Patients.

Aesthetic surgery journal·2019
Same author

Effects of sildenafil on the viability of random skin flaps.

Acta cirurgica brasileira·2011
Same author

Subdural hematoma after inadvertent dura mater puncture. Case report.

Revista brasileira de anestesiologia·2009
Same author

Soft-tissue sarcoma arising from a tissue necrosis caused by an intramuscular injection of diclofenac.

Plastic and reconstructive surgery·2003
Same author

Successful primary microsurgical replantation of an avulsed penis.

Plastic and reconstructive surgery·2002

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Vascular Surgery

Background:

  • Reconstruction of distal leg, ankle, and heel defects often requires versatile flap options.
  • The reverse flow island sural flap is an alternative to existing methods for moderate to large tissue losses.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the reverse flow island sural flap for lower limb reconstruction.

Main Methods:

  • The study involved 71 patients undergoing reconstruction using the reverse flow island sural flap.
  • The flap is based on the superficial sural artery, utilizing perforators from the peroneal artery system.
  • The pedicle includes fascias, sural nerve, short saphenous vein, and superficial sural artery.

Main Results:

Related Experiment Videos

  • Fifteen flaps (21.1%) experienced partial necrosis, without compromising the final result.
  • Three flaps (4.2%) resulted in total loss.
  • The flap demonstrated mobility and versatility in treating specific lower limb areas.

Conclusions:

  • The reverse flow island sural flap is a viable and versatile option for reconstructing defects in the distal third of the leg, ankle, and heel.
  • This technique avoids sacrificing major arteries or creating functional deficits.
  • It is suitable for patients with comorbidities like diabetes mellitus and vascular insufficiency.