Distally Based Sural artery Flap without Sural Nerve
Abstract
The distal third of the tibia, ankle and heel area is difficult to reconstruct. For small to medium size defects, local flaps are often an easier alternative than free flap. In lower limb surgery, the sural flap is based on this principle and this flap is becoming increasingly popular. The distally based superficial sural artery flap, first described as a distally based neuro skin flap by masquelet et al., is a skin island flap supplied by the vascular axis of the sural nerve. The main disadvantage of distally based sural artery flap is sacrifice of the sural nerve because it is described the concept of neurocutaneus island flap. We describe one case of reverse sural flap without sural nerve .The aim of this paper is to establish the reliability of this flap even without sural nerve.
Mozafari N, Moosavizadeh SM, Rasti M. The distally based neurocutaneous sural flap, A Good choice for reconstruction of soft tissue defects of lower leg, foot and ankle due to fourth degree burn injury. BURNS 2008;34(3):406-11.
Pirwani MA, Samo S, Soomro YH. Distally based sural artery flap : a workhorse to cover the soft tissue defects of lower 1/3 tibia and foot. Pak J Med Sci 2007;23(1):103-7.
Masquelet AC, Romana MC, Wolf G. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast Reconstr Surg 1992;89(6):1115-21.
Jeng SF, Wei FC. Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 1997;99(3):744-50.
Chen SL, Chen TM, Chou TD, Chen SG, Wang HJ. The distally based lesser saphenous venofasciocutaneous flap for ankle and heel reconstruction. Plast Reconstr Surg 2002;110(7):1664-72.
Nakajima H, Imanishi N, Fukuzumi S, Minabe T, Fukui Y, Miyasaka T, et al. Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications. Plast Reconstr Surg 1999;103(1):104-20.
Masquelet AC, Romana MC, Wolf G. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast Reconstr Surg 1992;89(6):1115-21.
Hasegawa M, Torii S, Katoh H, Esaki S. The distally based superficial sural artery flap. Plast Reconstr Surg 1994;93(5):1012-20.
Jeng SF, Hsieh CH, Kuo YR, Lin TS, Wei FC. Distally based sural island flap. Plast Reconstr Surg 2003;111(2):840-1.
Hasegawa M, Torii S, Katoh H, Esaki S. The distally based superficial sural artery flap. Plast Reconstr Surg 1994;93(5):1012-20.
Files | ||
Issue | Vol 48, No 2 (2010) | |
Section | Original Article(s) | |
Keywords | ||
Sural nerve gurgical flaps |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |