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Related Experiment Video

Updated: Jul 19, 2026

Modified Heterotopic Hindlimb Osteomyocutaneous Flap Model in the Rat for Translational Vascularized Composite Allotransplantation Research
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Reverse sural artery flap for distal lower extremity defects.

Oner Savk1, Ekin Savk

  • 1Department of Orthopedics and Traumatology, Adnan Menderes University, Faculty of Medicine, Aydin, Turkey. osavk@hotmail.com

The Journal of Dermatology
|October 17, 2006
PubMed
Summary

The reverse sural artery flap effectively reconstructs lower limb defects. Patient compliance and vascular assessment are crucial for successful outcomes, especially in diabetic patients with skin graft complications.

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Area of Science:

  • Plastic Surgery
  • Dermatological Surgery
  • Wound Healing

Background:

  • Lower limb defects from trauma or dermatological conditions pose challenges due to limited local tissue and skin laxity.
  • Reconstruction of heel defects is particularly difficult.
  • The reverse sural artery flap is explored as a reconstructive option.

Purpose of the Study:

  • To evaluate the efficacy and complications of the reverse sural artery flap in lower limb reconstruction.
  • To assess the flap's suitability for traumatic and diabetic-related soft tissue defects.

Main Methods:

  • Case series of seven patients undergoing reverse sural artery flap reconstruction.
  • Analysis of surgical complications, flap survival, and donor site healing.
  • Inclusion of patients with traumatic defects and diabetes.

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Main Results:

  • Four out of seven patients experienced uneventful healing with no complications.
  • Three diabetic patients encountered complications including graft rejection, infection, and superficial flap necrosis.
  • Flap necrosis in diabetic cases was partly attributed to noncompliance with postoperative care.

Conclusions:

  • The reverse sural artery flap is a viable option for lower limb defect reconstruction.
  • Preoperative assessment of vascular status and patient compliance is essential for optimal results.
  • Careful patient selection and management are key to minimizing complications, particularly in diabetic individuals.