The Use of a Reverse Flow Sural Fasciocutaneous Flap in a Patient with Multiple Trauma: A Case Report

Abstract

Provision of soft-tissue coverage for defects in the distal leg and foot is a challenge, especially in patients with multiple injuries and major soft-tissue defects. Major flap reconstruction requires expertise and the results are variable, with high morbidity. We report a case in which a reverse flow sural fasciocutaneous flap was used for treatment of an open fracture-dislocation of the right ankle after repeated debridement in a 64-year-old man with a history of chronic smoking, diabetes mellitus, and hypertension.

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

“…Hay que tener cuidado en el punto de rotación del colgajo que no se debe cerrar con excesiva tensión; de no ser posible, se colocará un injerto cutáneo para disminuir al máximo la presión sobre el pedículo. (14) Los pacientes fueron seguidos en consulta externa hasta completar la cicatrización de las heridas.…”

New way to reconstruct severe injuries to the lower extremity

“…Reconstruction of large, deep soft tissue defects connected to multiple bony fractures of the lower extremity is a serious challenge [1]. The use of free flaps requires microvascular expertise, lengthens the operating time, and increases the possibility of postoperative complications [2].…”

Soft Tissue Reconstruction around the Ankle with Sural Artery Flap

“…It may be performed as a single stage procedure with regional anaesthesia to enable early coverage of the defect. 4 The advantage of the reverse flow sural artery flap is constant vascular anatomy , a large arc of rotation , preservation of major nerves and arteries and relatively fast, easy and reliable procedure. 4 The major disadvantage of the flap is the sacrification of the sural nerve leading to anaesthesia of an area of the lateral foot.…”