One Stage versus Two Stages Distally Based Reverse Sural Flap for Leg and Foot Reconstruction: A Meta-Analysis Study

Abstract

Article informationBackground: The coverage of the distal third of the leg and foot was still a challenge for reconstructive surgery due to its limited distensibility and mobility, low blood supply, and lack of muscle tissue interposition between noble structures and the integument. These features make randomized grafts and flaps unsuitable for wounds in this region. Aim of the work:To assess the potentiality of [two stages] versus [one stage] distally based reverse sural flap for distal third of leg and foot reconstruction. Patients and Methods:This meta-analysis included the recent updates as we retrieved 77 references to studies. After examination of the titles and abstracts of these references, we eliminated all of those which did not match our inclusion criteria and those which were clearly ineligible from the review. We obtained full text copies of the remaining seven potentially eligible trials for further evaluation.Results: Seven studies assessing rate of Partial necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of complete flap necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of secondary procedures among two groups showing that there were insignificant differences. three studies assessing rate of hospital-stay\days among two groups showing significant longer stay among single staged group. Conclusion:The distally based reverse sural flap is a versatile flap for the reconstruction of soft tissue defects of the lower leg and heel.