title: Reverse Sural Artery Pedicle Flap.
abstract: OBJECTIVE
  To demonstrate the technical aspects of a reverse sural artery (RSA) flap.
  
  
  METHODS
  Video case presentation.
  
  
  METHODS
  Community Level 2 Trauma Center.
  
  
  METHODS
  Single patient with a full thickness soft tissue loss over the posterior calcaneal tuberosity requiring soft tissue coverage.
  
  
  METHODS
  Video demonstration of the stepwise planning and technical aspects of performing an RSA flap.
  
  
  RESULTS
  Successful soft tissue coverage of an exposed calcaneal tuberosity using an RSA flap.
  
  
  CONCLUSIONS
  The RSA flap is a relatively simple fasciocutaneous flap that can be used to cover wounds of the lower leg and foot. Orthopaedic trauma surgeons can easily perform this procedure after a short time reviewing the neurovascular anatomy of the lower leg and understanding some of the important technical aspects of the procedure. This flap does not require microsurgical skills and can be done fairly quickly. The flaps usually have some partial necrosis that may require debridement, dressing changes, and surgeon patience. The main morbidity of the operation is lateral foot numbness and the need to harvest a split thickness skin graft.
authors.affiliation: Acute Care Orthopedic Service, Sutter Roseville Medical Center, Roseville, CA.
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Finkemeier
authors.forename: Rafael
authors.initials: R
authors.lastname: Neiman
mesh_terms: D000328:Adult; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D008297:Male; D012867:Skin / Q000293:injuries*; D013524:Surgical Flaps / Q000098:blood supply* / Q000601:surgery*; D016896:Treatment Outcome; D058106:Wound Closure Techniques