The Superficial Sura I Artery Flap in Distal Lower Third Extremity Reconstruction

Dolph, James L.

doi:10.1097/00000637-199805000-00014

Cited by 33 publications

(14 citation statements)

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“…After that, several authors have demonstrated that this type of flap is reliable and can be well used for the coverage of defects in foot and ankle. 5,10,18,19 Although in proximal region of the leg, the sural artery lies deeply between the muscle bellies of the gastrocnemius. 17 Most authors believe that the flap circulation mainly depends on the median sural artery and that this artery has direct cutaneous branches only in its superficial portion.…”

Section: Discussionmentioning

confidence: 99%

The Extended Distally Based Sural Neurocutaneous Flap for Foot and Ankle Reconstruction

Liu

Zou

et al. 2014

Annals of Plastic Surgery

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The distally based sural neurocutaneous flap has been used for coverage of defects in foot and ankle for years. Conventional flaps do not extend to the upper third of the leg, which limits its application. The current study presents results using extended distally based sural neurocutaneous flaps for reconstruction of extensive soft tissue defects of the foot and ankle in 21 patients. All injuries occurred from 2001 to 2011 as a result of a traumatic event. Follow-up of 21 patients ranged from 7 months to 5 years after surgery. All 21 flaps survived successfully. The largest flap used measured 26 × 15 cm. Complications included 1 distal marginal necrosis and 2 slight venous congestions. The extended distally based sural neurocutaneous flap is a good alternative for extensive soft tissue defects of foot and ankle. The operative techniques with several simple modifications in harvesting the flaps are easy to handle and will not prolong the operation time.

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Section: Discussionmentioning

confidence: 99%

The Extended Distally Based Sural Neurocutaneous Flap for Foot and Ankle Reconstruction

Liu

Zou

et al. 2014

Annals of Plastic Surgery

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“…Numerous studies have described the preparation of sural flaps [4][5][6][7][8][9][10]. The aim of this study was to provide several technical details, which may make the operation safer and prevent major and minor complications.…”

Section: Operative Techniquementioning

confidence: 99%

Distally-based superficial sural flap: Advantages of the adipofascial over the fasciocutaneous flap

Parodi

Biasio

Cordaro

et al. 2010

Journal of Plastic Surgery and Hand Surgery

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The distally-based superficial sural flap has proved to be an easy and reliable method of reconstruction in soft tissue cover of the distal third part of the leg. There are two ways to prepare this flap: as a fasciocutaneous flap, which includes the fascia with the subcutaneous tissue including the skin; or as an adipofascial flap, which is made up of both the fascia and the subcutaneous adipose tissue. In the latter case, the flap is covered with a partial thickness skin graft either immediately after or at a later stage. The aim of this study was to assess the advantages and disadvantages of the two flaps. The adipofascial flap seems to be better, as it is associated with less donor site morbidity, improved quality of reconstruction, and fewer complications.

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“…Therefore, in cases requiring flap harvest from the upper leg, the distal part of the standard fasciocutaneous flap will not contain the sural pedicle, and this random blood supply puts the flap at significant risk of partial necrosis. 3 The distal part of the modified fasciomusculocutaneous flap includes a midline cuff of the gastrocnemius muscle (containing the sural pedicle) and hence has an axial blood supply. 2 Experimentally, the reliability of the blood supply of the modified flap was shown by anatomic dissections.…”

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confidence: 99%

The Reverse Sural Artery Adipofasciomuscular Flap for the Reconstruction of a Heel Sinus With Underlying Calcaneal Osteomyelitis

Al-Qattan¹

2007

Annals of Plastic Surgery

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The Superficial Sura I Artery Flap in Distal Lower Third Extremity Reconstruction

Cited by 33 publications

References 0 publications

The Extended Distally Based Sural Neurocutaneous Flap for Foot and Ankle Reconstruction

The Extended Distally Based Sural Neurocutaneous Flap for Foot and Ankle Reconstruction

Distally-based superficial sural flap: Advantages of the adipofascial over the fasciocutaneous flap

The Reverse Sural Artery Adipofasciomuscular Flap for the Reconstruction of a Heel Sinus With Underlying Calcaneal Osteomyelitis

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