title: [New cutaneous strategy in sural flap surgery and possibility to adapt this technique to other pedicled flaps].
abstract: BACKGROUND
  Therapeutic managements in losses of substance of the lower limb using sural flap give an important scar and, sometimes, an impossibility to close the flap donor site. That led us to think about an operative procedure that can reduce those scars without increasing the risk of necrosis of the cutaneous paddle.
  
  
  METHODS
  We present this operative procedure which underwent in the plastic and reconstructive surgery service in our hospital. Classical flap procedure with two cutaneous parts was used. The cutaneous laxity was evaluated so as to close with one cutaneous part; the other cutaneous part was taken and used like a skin graft after the suture of the calf and the formation of a bursa on the donor site. The leg was closed with only one cutaneous flap.
  
  
  RESULTS
  This technique is illustrated by a case report. Results at the 4th month are very interesting with an acceptable scar and a good result of the skin graft. However, with this technique, we don't decrease the venous risk of this flap. We used this technique for an antebrachial flap.
  
  
  CONCLUSIONS
  This technique is an easy and reliable technique based on cutaneous laxity and that decreases scarring of this very useful flap: the neurocutaneous sural flap. We can have a diminution of the number of surgery, a diminution of the scar and good aesthetics results.
authors.affiliation: Service de chirurgie plastique, réparatrice et esthétique, hôpital Saint-Roch, 5, rue Pierre-Devoluy, 06006 Nice, France. Electronic address: fernandez.jonathan11@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Fernandez
authors.affiliation: Service de chirurgie plastique, réparatrice et esthétique, hôpital Saint-Roch, 5, rue Pierre-Devoluy, 06006 Nice, France.
authors.forename: C
authors.initials: C
authors.lastname: Clérico
authors.affiliation: Service de chirurgie plastique, réparatrice et esthétique, hôpital Saint-Roch, 5, rue Pierre-Devoluy, 06006 Nice, France.
authors.forename: O
authors.initials: O
authors.lastname: Camuzard
authors.affiliation: Service de chirurgie plastique, réparatrice et esthétique, hôpital Saint-Roch, 5, rue Pierre-Devoluy, 06006 Nice, France.
authors.forename: B
authors.initials: B
authors.lastname: Chignon-Sicard
mesh_terms: D006801:Humans; D035002:Lower Extremity / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013497:Sural Nerve; D013524:Surgical Flaps / Q000294:innervation
keywords: Cutaneous laxity; Cutaneous strategy; Lambeau sural; Laxité cutanée; Neurocutaneous sural flap; Pedicled; Pédiculé; Rançon cicatricielle; Scar; Stratégie cutanée