When less is more: revascularization and sural artery fasciocutaneous flaps in ischemic limb salvage.
Nine patients underwent ischemic limb salvage via a combination of revascularization and wound reconstruction with a reverse sural artery fasciocutaneous flap. All flaps healed primarily. There were no untoward donor-site complications. At 6 months postoperative, limb preservation and function were maintained in this cohort. Revascularization and reverse sural artery flap reconstruction of limb-threatening ischemic wounds is a safe and reliable approach to limb salvage. Factors important in decision-making include the wound dimensions and the presence of peroneal blood flow. Serious consideration of this reconstructive plan should be given, when appropriate, over revascularization and microsurgical transplantation.
Isenberg
J Scott
JS
Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA.
D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007511:Ischemia; D023821:Limb Salvage / Q000379:methods*; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply*