Distally-based superficial sural neurocutaneous flap for reconstruction of the ankle and foot in children

Vergara-Amador, Enrique

doi:10.1016/j.bjps.2008.02.004

Cited by 31 publications

(14 citation statements)

References 25 publications

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“…The flap has been referred to by various names since it was first described; these include the sural fasciocutaneous flap (3), sural artery neurocutaneous flap (4,5). Distally based superficial sural neurocutaneous flap (6) and the distally based sural fasciomusculocutaneous flap in which a rim of gastrocnemius muscle was incorporated (7).…”

Section: Discussionmentioning

confidence: 99%

The reverse sural artery flap for the reconstruction of distal third of the leg and foot

Olawoye

Ademola

Iyun

et al. 2012

International Wound Journal

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Soft tissue defects around the distal third of the leg and the foot present a major reconstructive challenge. There is limited expertise with free tissue transfers in many developing countries, necessitating consideration of other options for the closure of such defects. The versatility and reliability of sural artery flap have made it an emerging popular option for the reconstruction of such defects. Twenty patients comprising of 13 males and 7 females with soft tissue defects of the lower third of the leg and foot requiring soft tissue cover were treated between January 2006 and December 2010. The age range was 7-58 years with a mean age of 30 years. Nineteen (95%) of the defects were post-traumatic while one (5%) was post-infective. All the defects were covered with reversed sural artery flaps, which were raised on the posterior aspect of the junction of the upper and middle third of the leg. The smallest flap was 4 × 4 cm(2) while the largest measured 20 × 12 cm(2). The donor defect was closed directly in 7 (35%) patients, while split skin graft was applied in the remaining 13 (65%) patients. There was satisfactory flap healing in 17 patients (85%), while 3 patients (15%) had complete flap necrosis. Two of these patients had significant comorbidities of haemoglobinopathy and poorly controlled diabetes mellitus. Sural artery flap remains a viable option for the reconstruction of soft tissue defects of the distal third of the leg and foot. Caution should, however, be exercised in patients with some significant systemic diseases.

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Section: Discussionmentioning

confidence: 99%

The reverse sural artery flap for the reconstruction of distal third of the leg and foot

Olawoye

Ademola

Iyun

et al. 2012

International Wound Journal

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“…Since the anatomical study and clinical application of the distally based sural fasciocutaneous flap were described by Masquelet et al in 1992, 7 this flap has been widely used to reconstruct these defects, not only in adults 8-11 but also in pediatric population. [12][13][14][15] Despite this, the comparative study of this flap concerning flap-viability-related complications, reconstruction outcomes, and donor-site morbidities in children and adult patients in a considerable sample size has been lacking.Mehrotra first introduced the concept of perforator-plus flap. 16 Harvesting a distally based sural fasciocutaneous flap, we started from exploring the peroneal arterial perforators nearby the pivot point, 17 ensuring a sizable perforator at the base of the adipofascial pedicle, and thus turning the traditional distally based sural fasciocutaneous flap into the distally based perforator-plus sural fasciocutaneous flap.…”

mentioning

confidence: 97%

mentioning

confidence: 97%

“…14 In addition, in the patients with at least 12-month postoperative follow-up, we compared the reconstruction outcomes, donor-site morbidities, and transitory and permanent swelling of the affected lower limb (within or after 3 months of surgery). Partial necrosis was defined as necrosis with an edge length of 1.0 cm or more, and marginal necrosis was defined as necrosis with an edge length of less than 1.0 cm.…”

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confidence: 99%

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Distally Based Perforator-Plus Sural Fasciocutaneous Flap for Soft-Tissue Reconstruction of the Distal Lower Leg, Ankle, and Foot: Comparison between Pediatric and Adult Patients

Wei

Dong

et al. 2014

J reconstr Microsurg

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There are no large series comparing the distally based perforator-plus sural fasciocutaneous flap used in pediatric and adult populations. The flaps were divided into two groups: the children (patient's age<14 years) group (n=53) and the adults (patient's age ≥ 18 years) group (n=148). We compared flap-viability-related complications and their potential risk factors. In the patients with at least 12-month postoperative follow-up, the reconstruction outcomes, donor-site morbidities, and transitory and permanent swelling of the affected lower limb were compared. Partial necrosis, marginal necrosis, and overall complication rates were 13.2, 3.8, and 17.0% in the pediatric group, and 12.2, 1.4, and 13.6% in the adult group, respectively; the differences were not statistically significant (p>0.05). Incidences of hypertrophic scar and pruritus at the donor site were significantly higher, while incidence of transitory swelling of the affected lower limb was significantly lower in the pediatric group. This flap in children is similar to that in adults in the reliability.

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“…[8][9][10][11][12][13][14][15][16] Fasciocutaneous flaps have significantly helped to solve the problems involved with distal third of leg, ankle and hind foot. 17 Free flap is currently the treatment of choice for large soft tissue defects of distal extremity. But non-availability of microsurgical expertise and facility at peripheral centres, the cost and sometimes the patient related factors may preclude the option of free flap.…”

Section: Introductionmentioning

confidence: 99%

Factors Which Determine Success of Reverse Sural Artery Flap for Repair of Lower Limb Defects: A Retrospective Study in a Tertiary Care Centre in South India

Prabhu¹,

Anil²,

Niranjan³

et al. 2016

jemds

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Distally-based superficial sural neurocutaneous flap for reconstruction of the ankle and foot in children

Cited by 31 publications

References 25 publications

The reverse sural artery flap for the reconstruction of distal third of the leg and foot

The reverse sural artery flap for the reconstruction of distal third of the leg and foot

Distally Based Perforator-Plus Sural Fasciocutaneous Flap for Soft-Tissue Reconstruction of the Distal Lower Leg, Ankle, and Foot: Comparison between Pediatric and Adult Patients

Factors Which Determine Success of Reverse Sural Artery Flap for Repair of Lower Limb Defects: A Retrospective Study in a Tertiary Care Centre in South India

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