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Related Experiment Video

Updated: Mar 17, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Reverse Sural Artery Pedicle Flap.

Christopher G Finkemeier¹, Rafael Neiman

¹Acute Care Orthopedic Service, Sutter Roseville Medical Center, Roseville, CA.

Journal of Orthopaedic Trauma

|July 22, 2016

Summary

The reverse sural artery (RSA) flap offers a straightforward method for covering lower leg and foot wounds. Orthopaedic trauma surgeons can master this technique, which doesn't require microsurgery, for effective soft tissue reconstruction.

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Area of Science:

Plastic Surgery
Orthopaedic Surgery
Reconstructive Surgery

Background:

Soft tissue defects in the lower extremity, particularly over the calcaneal tuberosity, present a reconstructive challenge.
The reverse sural artery (RSA) flap is a fasciocutaneous flap utilized for coverage of lower leg and foot wounds.

Observation:

This video case presentation demonstrates the technical aspects of performing an RSA flap for a patient with full-thickness soft tissue loss over the posterior calcaneal tuberosity.
The procedure was performed at a Community Level 2 Trauma Center.

Findings:

Successful soft tissue coverage of the exposed calcaneal tuberosity was achieved using the RSA flap.
The RSA flap is a relatively simple procedure that does not require microsurgical skills and can be performed efficiently.

Implications:

The RSA flap is a viable option for orthopaedic trauma surgeons with minimal specialized training, enhancing reconstructive capabilities for lower extremity defects.
Potential morbidities include partial flap necrosis, requiring diligent wound care, and donor site morbidity (lateral foot numbness, split-thickness skin graft harvest).