title: The use of a reverse flow sural fasciocutaneous flap in a patient with multiple trauma: a case report.
abstract: Provision of soft-tissue coverage for defects in the distal leg and foot is a challenge, especially in patients with multiple injuries and major soft-tissue defects. Major flap reconstruction requires expertise and the results are variable, with high morbidity. We report a case in which a reverse flow sural fasciocutaneous flap was used for treatment of an open fracture-dislocation of the right ankle after repeated debridement in a 64-year-old man with a history of chronic smoking, diabetes mellitus, and hypertension.
authors.affiliation: Department of Orthopaedics and Traumatology, Queen Elizabeth Hospital, Hong Kong. ivan_ipkc@yahoo.com.hk
authors.forename: K C
authors.initials: KC
authors.lastname: Ip
authors.forename: K B
authors.initials: KB
authors.lastname: Lee
authors.forename: W Y
authors.initials: WY
authors.lastname: Shen
mesh_terms: D016512:Ankle Injuries / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005597:Fractures, Open / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation