Reconstruction of injuries and defects in the distal third of the lower extremities represents a challenge for the plastic surgeon. The clinical case of a 46-year-old patient with a sequela of electrical burn in the distal third of the leg and the proximal third of the right foot is presented, who underwent skin coverage with a reverse flow sural flap. The treatment performed is described, as well as the surgical technique. We consider that the reverse flow sural flap is an optimal option when evaluating different forms of coverage in lesions of the distal third of the lower extremities, with positive long-term results.
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