Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease
Open Access
- 1 May 2013
- journal article
- Published by Georg Thieme Verlag KG in Archives of Plastic Surgery
- Vol. 40 (03), 220-225
- https://doi.org/10.5999/aps.2013.40.3.220
Abstract
Background A recent advancement in microsurgery, the free flap is widely used in the reconstruction of the lower leg and foot. The simple and effective methods of local flaps, including transposition and advancement flaps, have been considered for patients with chronic debilitation who are unable to endure long surgical procedures or general anesthesia. However, the location and size of the wound may restrict the clinical application of a local flap. Under these circumstances, a sural flap can be an excellent alternative, rendering satisfying clinical outcomes in chronically debilitated patients. Methods Between 2008 and 2012, 39 patients underwent soft tissue defect treatment by sural artery flap as a final method. All of the patients had at least one chronic disease or more (diabetes, hypertension, vascular disease, etc.). Also, all of the patients had a history of chronic lower extremity ulceration, which revealed no response to several months of conservative treatment. Results The results of the 39 cases had a success rate of 100% with 39 complete recoveries. Nine cases suffered complications: partial necrosis (n=4), wound dehiscence without necrosis (n=3), hematoma (n=1), and infection (n=1). Conclusions The sural artery flap is not only useful for the lower leg but also for the heel, and other various parts. Furthermore, it is a relatively simple surgical technique for reconstructing the defect area for patients with various chronic conditions with a high surgical risk or contraindications to surgery.Keywords
This publication has 16 references indexed in Scilit:
- Versatility of the sural fasciocutaneous flap in coverage defects of the lower limbInjury, 2007
- Intermittent Short Saphenous Vein PhlebotomyAnnals of Plastic Surgery, 2007
- The distally based sural fasciomusculocutaneous flap for foot reconstructionJournal of Plastic, Reconstructive & Aesthetic Surgery, 2006
- Supercharged reverse-flow sural flap: A new modification increasing the reliability of the flapMicrosurgery, 2005
- A Realistic Complication Analysis of 70 Sural Artery Flaps in a Multimorbid Patient GroupPlastic and Reconstructive Surgery, 2003
- The vascular territories (angiosomes) of the body: experimental study and clinical applicationsBritish Journal of Plastic Surgery, 1987
- The Role of Free-Tissue Transfers in Lower-Extremity ReconstructionPlastic and Reconstructive Surgery, 1985
- Distally Based Fasciocutaneous Flap from the Sural RegionScandinavian Journal of Plastic and Reconstructive Surgery, 1983
- The fasciocutaneous flap: its use in soft tissue defects of the lower legBritish Journal of Plastic Surgery, 1981
- COMPARISON OF FREE FLAPS WITH PEDICLED FLAPS FOR COVERAGE OF DEFECTS OF THE LEG OR FOOTPlastic and Reconstructive Surgery, 1977