Reverse Fasciosubcutaneous Flap Versus Distally Pedicled Sural Island Flap: Two Elective Methods for Distal-Third Leg Reconstruction

Bocchi, A.; Merelli, Stefano; Morellini, Andrea; Baldassarre, Stefano; Caleffi, Edoardo; Papadia, Franco

doi:10.1097/00000637-200045030-00011

Cited by 43 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Jeng and Wei, considering the previously reported high failure rate in performing this flap because of variable vascular anatomy, advised the use of preoperative Doppler examination to identify perforators and their distance from the lateral malleolus in each clinical case [8]. Bocchi et al [9] stated that the constant use of a Doppler probe during the preliminary evaluation provides more safety to the surgical procedure and increases the success rate of the sural artery flap. We routinely use preoperative Doppler study to rule out significant arterial disease and also to mark perforators which help in flap design.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

Thammannagowda

Ashish

Mudukappa

et al. 2014

ISRN Plastic Surgery

View full text Add to dashboard Cite

Posttraumatic wounds and soft tissue defects in the distal third of the leg and ankle remain a challenge. Defects at this site will often require flap cover. Free flap is ideal for these defects and gives good results but with its own limitations. The reverse sural artery flap (RSAF) and distal peroneus brevis flap (DPBF) have gained popularity for lower third leg defects among surgeons. We did a retrospective study on 64 patients admitted between 2011 and 2013 with posttraumatic moderate size defects of lower onethird leg who underwent RSAFs and DPBFs. These patients were followed up in the immediate and late postoperative period for complications and outcome assessment. The average surface area covered by DPBF was 27 cm 2 and by RSAF was 38 cm 2 . Both flaps gave a good functional outcome. DPBF has better aesthetic appearance at donor site and recipient site, with the advantages of ease of surgery, speedy recovery, less hospital stay, and no donor site morbidity; DPBFs appear to be a preferred choice for moderate size lower third leg defects. RSAFs should be chosen over DPBFs for defects in medial malleolus and larger size defects.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

Thammannagowda

Ashish

Mudukappa

et al. 2014

ISRN Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Most authors contend that the pivot point must be a minimum of approximately 5 cm proximal to the lateral malleolus, 24,25,68 but some authors claim a minimal distance as large as 10 to 11 cm to achieve consistent flap survival. 26 However, a recent report has shown that, in young healthy patients, the presence of the posterior lateral malleolar artery and the lateral calcaneal artery allows the pivot point to be as close as 1.5 cm from the lateral malleolus. 22 Doppler ultrasonography may be used to identify perforating vessels to aid in the planning of a pivot point.…”

Section: Surgical Techniquementioning

confidence: 98%

The Distally Based Sural Flap

Follmar

Baccarani

Baumeister

et al. 2007

Plastic and Reconstructive Surgery

146

130

View full text Add to dashboard Cite

Over the past decade, the distally based sural flap has become increasingly used in reconstruction of the foot and lower leg. The rise in popularity of this flap has been paralleled by an increase in the number of cases, innovations, and technical refinements reported in the medical literature. This review summarizes the 79 publications in the English language literature on the subject of the distally based sural flap. The anatomical studies are summarized in a unified description of the relevant flap anatomy. The flap's indications and composition and a variety of modifications are described. Technical aspects are discussed and clinical insight to minimize complications is provided. In conclusion, the distally based sural flap offers an alternative to free tissue transfer for reconstruction of the lower extremity.

show abstract

“…6 A closer analysis of the literature reveals that the majority of these articles reported the use of the flap in posttraumatic defects in younger patient populations of moderate sample size. 7,8 In our series, we operated this flap in different types of patients, including young, old, posttraumatic, multimorbid, and diabetic patients regarding the age and the etiologic points of view, respectively. In these patients, the sural flap is frequently considered the final option before shifting to other more complex procedures, such as microvascular free flaps, with the added advantages of not sacrificing a major artery.…”

Section: Discussionmentioning

confidence: 99%

Increasing the Success Rate of the Reversed-Flow Fasciocutaneous Island Sural Flap

El-Shazly

Yassin

2006

Annals of Plastic Surgery

View full text Add to dashboard Cite

The reversed-flow fasciocutaneous island sural flap is presenting one of the best reconstructive options in the distal third of the leg, around the ankle and the heel up to the metatarsals. Although the surgical maneuver of this flap and many of its modifications have been well described in previous publications, the flap is unfortunately full of reported complications. In this work, we are presenting a 26-patient series of reversed-flow fasciocutaneous island flap cases in different age, sex, and etiologic groups. All flaps had survived, with a complication rate of 3.8% (1 case) in the form of partial necrosis. In this series, we standardized a modified technique in which we tried to include many ideas and tricks, in addition to some of the reported useful ones to have a higher success rate. We have summarized these points in 10 golden rules, making this flap safer and more versatile.

show abstract

Reverse Fasciosubcutaneous Flap Versus Distally Pedicled Sural Island Flap: Two Elective Methods for Distal-Third Leg Reconstruction

Cited by 43 publications

References 0 publications

Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

The Distally Based Sural Flap

Increasing the Success Rate of the Reversed-Flow Fasciocutaneous Island Sural Flap

Contact Info

Product

Resources

About