The Distally Based Superficial Sural Flap: Our Experience in Reconstructing the Lower Leg and Foot

The Reverse Flow Sural Flap in the Treatment of the Soft Tissue Defects, Distally Part of the Leg - A Preliminary Report

“…The pedicle dissection in island flaps damages venous connections which predispose the venous congestion (14). We observed this condition in the second case which ended in a partly necrosis of the distal flap.…”

“…Venous congestion is characteristic for reverse-flow flaps (11, 13,14). The pedicle dissection in island flaps damages venous connections which predispose the venous congestion (14).…”

The Sural Artery Island Flap in Salvage of a Prosthetic Ankle Joint

“…The largest flaps that have been documented by various authors have however not exceeded 15 cm in length [4][5][6][7][8][9]. These flaps have been mainly used for soft tissue and skin defects around the ankle region caused by trauma, pressure sores, melanoma excisions and electrical burns.…”

Soft Tissue Reconstruction around the Ankle with Sural Artery Flap

“…These anastomoses have also be confirmed by the Torii et al, who also cites the collaterals for the posterior tibial artery, and come to the conclusion that reverse flow would occur in any arteryof the large size. 9 Several authors sustain that the principal anastomoses occurs at above to 5 cm from the lateral malleolus. 9,10,11 Marginal necrosis of a maximum of 2 mm of flap margin 05…”