Distally based sural artery flap without sural nerve.
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.
Plastic and Reconstructive Surgery Center, 15 Khordad Hospital, Shahid Beheshti University, Tehran, Iran. S_motamed2006@yahoo.com
Sadrollah
S
Motamed
Masood
M
Yavari
Hamid Reza Hallaj
HR
Mofrad
Reza
R
Rafiee
Feaz Niazi
FN
Shahraki
D000063:Accidents, Traffic; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013497:Sural Nerve; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation