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Modified reverse sural artery flap

J C Lo1, H C Chen, H H Chen

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

Changgeng Yi Xue Za Zhi
|March 24, 1998
PubMed
Summary
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This study presents a modified reverse sural artery flap technique for reliable reconstruction of distal leg, ankle, and heel defects. The improved method ensures flap viability and patient satisfaction, overcoming previous unreliability issues.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • The reverse sural artery flap is a common technique for reconstructing defects in the distal leg, ankle, and heel.
  • However, its reliability is often compromised by venous congestion and arterial insufficiency when the pedicle is tunneled subcutaneously.

Observation:

  • This study modified the reverse sural artery flap procedure by designing a wider pedicle and avoiding subcutaneous tunneling.
  • The pedicle was divided in a second-stage operation.
  • Four patients underwent reconstruction using this modified technique for distal leg and heel defects.

Findings:

  • All four patients experienced successful wound healing without complications.
  • The modified technique ensured flap vascularity and viability.
  • Patient satisfaction was high following the procedure.

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Implications:

  • This technical modification enhances the reliability of the reverse sural artery flap for complex reconstructions.
  • It offers a viable alternative for surgeons dealing with challenging lower extremity defects.
  • The improved outcomes suggest broader applicability of this modified flap technique.