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REVERSE SURAL FLAP FOR LOWER LIMB RECONSTRUCTION.

Gustavo Moreira Clivatti1, Bruno Baptista DO Nascimento1, Renan Diego Américo Ribeiro1

  • 1Universidade de São Paulo, Faculdade de Medicina, São Paulo, SP, Brazil.

Acta Ortopedica Brasileira
|September 12, 2022
PubMed
Summary
This summary is machine-generated.

The reverse-flow fasciocutaneous sural flap is a reliable option for reconstructing lower extremity wounds. This study shows its effectiveness in ankle, foot, and calcaneus reconstruction with a low complication rate.

Keywords:
Leg InjuriesLower ExtremityPlastic SurgerySurgical FlapsWounds and Injuries

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Area of Science:

  • Plastic Surgery
  • Orthopedic Surgery
  • Wound Reconstruction

Background:

  • Reconstructing distal lower extremity wounds is challenging due to limited local tissue availability.
  • Fasciocutaneous and muscular flaps, like the reverse-flow fasciocutaneous sural flap, are viable coverage options.

Purpose of the Study:

  • To evaluate the 18-month experience of the Complex Wounds Group at the University of São Paulo Medical School in reconstructing ankle, calcaneus, and foot injuries using the reverse-flow sural flap.

Main Methods:

  • An observational, retrospective, and descriptive study was conducted.
  • Data was collected from medical records of patients treated between November 2018 and June 2020.

Main Results:

  • Nine reverse-flow fasciocutaneous sural flaps were performed on male patients with a mean age of 38.
  • The most common injuries were acute wounds from traffic collisions, electrical trauma, and chronic post-traumatic injuries affecting the ankle, foot, and calcaneus.
  • Four patients experienced complications: three with partial necrosis and one with distal epitheliosis. No total necrosis occurred. Average hospital stay was 30.1 days.

Conclusions:

  • The reverse-flow fasciocutaneous sural flap is a viable, reproducible, and reliable technique for distal lower limb reconstruction.
  • This flap offers a promising solution for complex lower extremity wounds, demonstrating a favorable safety profile.