Reverse flow cross leg sural flap as a reconstructive option for traumatic defects in the lower leg circumventing free flaps

2021 ◽  
Author(s):  
Kushal Monga ◽  
Pradeep Gupta
Keyword(s):  
Reverse Flow ◽  
Free Flaps ◽  
Lower Leg ◽  
Sural Flap ◽  
Reconstructive Option ◽  
Flow Cross

REVERSE-FLOW ISLAND SURAL FLAP

2002 ◽  
Vol 110 (6) ◽  
pp. 1592-1593 ◽  
Author(s):  
Marcelo Figueiredo Almeida
Keyword(s):  
Reverse Flow ◽  
Sural Flap

scholarly journals Caso Clínico: Cirugía Reconstructiva de Tobillo

2018 ◽  
Vol 10 (2) ◽  
pp. 170-174
Author(s):  
Fulvio Enrique Zuñiga Cabrera ◽  
Jaime Santiago Clavijo Jaramillo ◽  
Adriana Abigail Guzmán Villa
Keyword(s):  
Diabetes Mellitus ◽  
Reverse Flow ◽  
Public Health Problem ◽  
Lower Limbs ◽  
World Health ◽  
Major Public Health Problem ◽  
Sural Flap ◽  
Advantages And Disadvantages ◽  
Left Ankle ◽  
Osteosynthesis Material

BACKGROUND: Diabetes mellitus is a major public health problem, according to the World Health Organization, 422 million adults worldwide in 2014. In 2012, it caused 1.5 million deaths worldwide. Diabetes is the leading cause of non-traumatic amputation in lower limbs and foot infections occur with high frequency in poorly controlled patients. This case shows the reconstruction of soft tissue defects in the lower third leg, heel, malleoli and foot through the description of the reverse sural flap. In this study the advantages and disadvantages of the use of this technique are discussed. CASE REPORT: A 56-year-old female patient with a poorly controlled history of Diabetes Mellitus type 2, who suffered a fracture of the left ankle treated with osteosynthesis, and who during the postoperative period attended emergency orthopedics and traumatology, due to severe pain in the left ankle, fever, dehiscence of surgical wound, accompanied by serous secretion. EVOLUTION: The patient, after several surgical cleanings and changes in closure therapy assisted by negative pressure, manages to control the infection, with persistence of the bone coverage defect and the osteosynthesis material. There were additional complications such as joint stiffness, muscle atrophy; it was decided to reconstruct the distal third of the foot using a reverse flow sural fasciocutaneous flap, which evolved satisfactorily, managing to cover the defect with biological tissue. CONCLUSIONS: The sural flap of reverse flow is a reproducible technique that allows to cover coverage defects in the distal third of the leg and ankle; shorten hospitalization times, especially when there is bone exposure or osteosynthesis material.

Time‐dependent changes in the circulation after the elevation of reverse flow sural flap

Microsurgery ◽  
2019 ◽  
Vol 40 (1) ◽  
pp. 87-88
Author(s):  
Naohiro Ishii ◽  
Tomoki Kiuchi ◽  
Takahiro Uno ◽  
Yuichiro Uoya ◽  
Kazuo Kishi
Keyword(s):  
Reverse Flow ◽  
Time Dependent ◽  
Sural Flap

REVERSE-FLOW ISLAND SURAL FLAP

2002 ◽  
Vol 110 (6) ◽  
pp. 1592 ◽  
Author(s):  
Umraz Khan
Keyword(s):  
Reverse Flow ◽  
Sural Flap

Distally‐based sural flap for reconstruction of the lower leg and foot

2004 ◽  
Vol 38 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hirotaka Suga ◽  
Yoshio Oshima ◽  
Kiyonori Harii ◽  
Hirotaka Asato ◽  
Akihiko Takushima
Keyword(s):  
Lower Leg ◽  
Sural Flap ◽  
Distally Based ◽  
Distally Based Sural Flap

A reverse flow cross finger pedicle skin flap from hemidorsum of finger

2010 ◽  
Vol 63 (4) ◽  
pp. 686-692 ◽  
Author(s):  
Satyanarayan Mishra ◽  
S. Manisundaram
Keyword(s):  
Reverse Flow ◽  
Skin Flap ◽  
Flow Cross

A novel Split-Thickness Skin Graft Donor Site

2009 ◽  
Vol 141 (3) ◽  
pp. 390-394 ◽  
Author(s):  
Tamer A. Ghanem ◽  
Mark K. Wax
Keyword(s):  
Skin Graft ◽  
Reverse Flow ◽  
Donor Site ◽  
Tertiary Care ◽  
Case Series ◽  
Free Flaps ◽  
Split Thickness Skin Graft ◽  
Skin Paddle ◽  
Forearm Flap ◽  
Thickness Skin

OBJECTIVE: To eliminate morbidity of the thigh split-thickness skin graft (STSG) donor site in forearm flaps, the feasibility of harvesting from an alternate site was assessed. STUDY DESIGN: Case series with planned data collection. SETTING: A tertiary care academic setting. SUBJECTS AND METHODS: Data were collected from patients undergoing forearm flap reconstruction over 13 months. The forearm flap harvesting procedure was modified to incorporate STSG harvest directly from the flap skin paddle. RESULTS: There were 66 patients in this cohort, with mean age of 62.6 years. There were 58 fasciocutaneous radial forearm free flaps (RFFFs), three osteocutaneous RFFF, three ulnar flaps, and two reverse-flow RFFFs. The majority of flaps were used for mucosal coverage (n = 54), but 12 flaps were used for external skin coverage. The mean forearm defect was 36.5 cm2 (12–77 cm2). Harvesting from the forearm skin paddle was successful in 64 patients (97%). Two patients required a thigh STSG; both patients were octogenarians with frail skin. CONCLUSION: A thigh STSG donor site, with its associated morbidities, can be eliminated in 97 percent of patients undergoing forearm flaps. Older patients with frail skin may require a thigh donor site.

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