title: Sural flap delay procedure: a preliminary report.
abstract: Over the last decade, the sural flap has been popularized as a suitable alternative to free-tissue transfer for soft-tissue coverage of the lower extremity. However, flap failure rates may be increased especially if patients have certain risk factors, such as age over 40 years, peripheral artery disease, venous insufficiency, diabetes mellitus, and others. This article describes a sural flap delay procedure to avoid flap necrosis in this potentially "high-risk" patient population.
authors.affiliation: Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA. Detlev.Erdmann@duke.edu
authors.forename: Detlev
authors.initials: D
authors.lastname: Erdmann
authors.forename: Neil
authors.initials: N
authors.lastname: Gottlieb
authors.forename: J Stewart
authors.initials: JS
authors.lastname: Humphrey
authors.forename: Trung C
authors.initials: TC
authors.lastname: Le
authors.forename: William
authors.initials: W
authors.lastname: Bruno
authors.forename: L Scott
authors.initials: LS
authors.lastname: Levin
mesh_terms: D000368:Aged; D006085:Graft Survival; D006365:Heel / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors