title: Experience with reverse sural flap to cover defects of the lower leg and foot.
abstract: BACKGROUND
  Coverage of traumatic soft-tissue defects in the lower limb is a common procedure.
  
  
  OBJECTIVE
  The purpose of this prospective case series study was explore the capacity of the perforator-based sural flap in reconstruction surgery of patients with high velocity gunshot wounds in the distal third of the leg and heel pad of the foot.
  
  
  METHODS
  A prospective case series study was undertaken to assess the sural fasciocutaneous flap carried out in our hospital, from 2010 to 2011. This case series study comprised eight patients, seven men and one woman with an average age of 35 years (19-55) and with a mean follow-up duration of 13 months (6-24 months). All patients had a history of a gunshot wound in distal part of the leg and heel pad of the foot with large soft-tissue defects; treatment was done using the reverse sural flap.
  
  
  RESULTS
  We performed reverse sural flaps in eight gunshot patients, to cover the defects of the lower leg and foot. Surgical site infection observed in one patient (12.5%) was treated successfully with antibiotic therapy. The reverse sural flap provided a satisfactory coverage for gunshot defects in all the patients.
  
  
  CONCLUSIONS
  Reverse sural flap is a useful and versatile reconstructive method in patients with gunshot wounds of the lower leg and foot.
authors.affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Ebrahimi
authors.affiliation: Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran, IR Iran.
authors.forename: Nasrin
authors.initials: N
authors.lastname: Nejadsarvari
authors.affiliation: Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Shams Koushki
keywords: Gunshot; Lower Extremity; Sural Nerve; Surgical Flaps; Wounds
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