Reduction of Morbidity With a Reverse-Flow Sural Flap: A Two-Stage Technique

Reconstruction of Heel Soft Tissue Defects: An Algorithm Based on Our Experience

“…In situations where the medial plantar artery flap was not possible, we performed an extended RSA flap along with the exteriorization of the fasciocutaneous pedicle to reconstruct anterior heel defects. Although it is a two-stage procedure main advantage over a single-stage sural flap is it maintains the contour of the uninvolved posterior heel and avoids unnecessary scar over the Achilles tendon region which may sometimes become painful while walking and also cosmetically not appealing (Figure 3B) 14,21 . Defects at the posterior non-weight bearing part of the heel which can occur due to prolonged immobilization or traumatic avulsion injury of the heel, it does not require coverage with thick glabrous plantar skin.…”

Modificación de técnica de colgajo sural de flujo reverso: pedículo de amplitud total de la isla cutánea

“…Sin embargo, se presentó congestión venosa que evolucionó a necrosis parcial en un 27.3% de los casos. (16) En otro intento por mejorar el retorno venoso y asegurar la viabilidad del colgajo, Ince y col. realizaron un estudio del colgajo sural retardado en el que realizaban un primer tiempo quirúrgico para desbridamiento del área cruenta e incisión de la isla cutánea que volvían a suturar; luego, a los 15 días levantan el colgajo y lo llevan a la zona receptora. Además de esta estrategia para disminuir las complicaciones del colgajo, realizaron un pedículo más ancho (de 5 cm) y aun así presentaron necrosis parcial del 9%, (8) no así en nuestro estudio.…”

Repeated reverse sural fasciocutaneous flap is an effective surgical strategy for repairing long segmental soft tissue defects of the tibia

“…11 Therefore, cultivation of granulation tissue followed by application of split-thickness skin grafts is not recommended for large areas of tibial exposure. 12 Sural fasciocutaneous flaps include sural nerve flaps, 13,14 sural neurovascular flaps, 15 sural flaps, [16][17][18][19] and sural fasciocutaneous flaps. 1,20,21 These flaps can be used either in the forward or reverse direction; when used in reverse, they are termed RSFFs.…”