Anterograde–retrograde method for harvest of distally based sural fasciocutaneous flap: Report of results from 154 patients

Dong, Zhonggen; Wei, Jianwei; Ni, Jiangdong; Luo, Zhuojing; Li, Zheng; He, Anbang

doi:10.1002/micr.22049

Cited by 26 publications

(33 citation statements)

References 31 publications

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“…Free tissue transfer can be an excellent option if local tissue transfer with a pedicled or propeller flap is unsuitable. Since its introduction by Yoshimura et al, the peroneal flap has gained considerable popularity in reconstructive surgery for most tissue defects . It is useful as a pedicle flap and as a free flap, because the procedure for elevating it is very simple.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the limited mobility and availability of the overlying skin, even a small defect in the distal leg and foot region may require microsurgical reconstruction. There are many possible reconstructive options for this region, although all methods have specific limitations . With their considerable superiority over traditional conventional flaps in terms of decreased donor site morbidity, perforator flaps have become increasingly popular in reconstructive surgery in the last few decades.…”

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confidence: 99%

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Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap

Özkan

Cinpolat

et al. 2014

Microsurgery

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Soft tissue defects of the distal lower extremities are challenging. The purpose of this paper is to present our experiences with the free peroneal artery perforator flap for the reconstruction of soft tissue defects of the distal lower extremity. Nine free peroneal artery perforator flaps were used to reconstruct soft tissue defects of the lower extremities between April 2006 and October 2011. All flaps were used for distal leg and foot reconstruction. Peroneal artery perforator flaps ranged in size from 2 cm × 4 cm to 6 cm × 12 cm. The length of the vascular pedicle ranged from 2 to 6 cm. Recipient vessels were: medial plantar vessels in seven cases, the dorsalis pedis vessel in one, metatarsal vessel in one. All flaps survived completely, a success rate of 100%. Advantages of this flap are that there is no need to sacrifice any main artery in the lower leg, and minimal morbidity at the donor site. This free perforator flap may be useful for patients with small to medium soft tissue defects of the distal lower extremities and feet.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap

Özkan

Cinpolat

et al. 2014

Microsurgery

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“…In addition, it should be aesthetically acceptable and suitably thin to allow functional recovery of the lower limb. Regional flaps, such as the sural flap, have also been used frequently for lower extremity reconstruction . These flaps typically do not require microsurgical techniques or equipment .…”

Section: Discussionmentioning

confidence: 99%

Lower extremity soft tissue defect reconstruction with the serratus anterior flap

et al. 2013

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Reconstruction of limb-threatening lower extremity defects presents unique challenges. The selected method must provide adequate coverage of exposed bone, joints, and tendons while maximizing function of the limb. The traditional workhorse flaps, the free latissimus dorsi and rectus abdominis flaps, have been associated with donor site morbidity and bulkiness that can impair rehabilitation. We report a case series (n = 18) in which the free serratus anterior muscle flap and split thickness skin graft (STSG) was used for lower limb soft tissue coverage. Injuries were due to diabetes (9/18), trauma (7/18), and chronic venous stasis (2/18). A 94% flap survival rate was observed and all but one patient was ambulatory. No donor site morbidity was reported. Our series demonstrates that serratus anterior is an advantageous, reliable free flap with minimal donor site morbidity.

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“…Reverse fasciocutaneous sural flap has the advantages of easy and quick harvesting without sacrificing major arteries and can be completed in one‐stage operation. However, the failure and complication rates were reported to be in the range of 5–59% . After reviewing the literatures, two major problems were considered to influence the outcome of the reverse sural fasciocutaneous flap: patient selection and surgical technique.…”

mentioning

confidence: 99%

“…Surgical modifications to increase the success rate have been described . Most articles confirmed that the flap was relatively reliable when the skin island was designed over the lower two‐third of posterior calf .…”

mentioning

confidence: 99%

Increasing the success of reverse sural flap from proximal part of posterior calf for traumatic foot and ankle reconstruction: Patient selection and surgical refinement

et al. 2013

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In this report, we present our experience on the use of the reverse sural flap for traumatic foot and ankle reconstruction. The patient selection and surgical refinement are discussed. From 2007 to 2010, 11 consecutive patients underwent modified reverse sural flap at the Chang Gung Memorial Hospital. The defects were located at the ankle (three cases), foot (two cases), and heel (six cases). Particular attention was paid to precise patient selection and surgical refinements. Patient selection was based on the lower limb vascular status by palpable distal pedal pulses and ankle brachial index ranging from 0.9 to 1.2. Surgical techniques were refined as precisely locating the perforators of peroneal artery, placing the skin paddle in upper third of leg for a distal region coverage, designing a 7-cm-wide adipofascial pedicle with a 2 cm skin paddle on it, preserving the mesentery structure of sural nerve and concomitant artery with or without including gastrocnemius muscles cuff, no tunneling when inset this flap and supercharging with lesser saphenous vein whenever needed. All the flaps survived completely. Only one patient required immediate anastomosis of lesser saphenous vein to local vein around defect in order to relieve the venous congestion during operation. Patients felt diminished but adequate recovery of sense of touch and temperature at the flap. Following the precise patient selection and surgical refinements, the modified reverse sural flap seemed to be a reliable and effective local flap for reconstruction of the soft tissue defects on ankle and foot.

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Anterograde–retrograde method for harvest of distally based sural fasciocutaneous flap: Report of results from 154 patients

Cited by 26 publications

References 31 publications

Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap

Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap

Lower extremity soft tissue defect reconstruction with the serratus anterior flap

Increasing the success of reverse sural flap from proximal part of posterior calf for traumatic foot and ankle reconstruction: Patient selection and surgical refinement

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