Advertisement

European Journal of Plastic Surgery

, Volume 26, Issue 4, pp 175–178 | Cite as

Distally based sural neuro-fasciocutaneous island flap to cover tissue loss in the distal third of the leg

  • P. C. Parodi
  • F. DeBiasio
  • L. Vaienti
  • F. DeLorenzi
  • C. Riberti
Original Paper

Abstract

The distally based sural neurofasciocutaneous flap is based on the vascular contribution furnished by the arterial network that accompanies the sural nerve and on its neurocutaneous perforating branches. This flap provides a solution that can be effectively used for various reconstructions in the distal third of the lower extremity, thus offering a valid alternative to solutions involving microsurgical repair. The main advantages of this flap are the need for a single operation, limited donor area morbidity, and the structural characteristics of the soft tissue of the flap, which makes it ideal for covering defects in this region. The authors present their clinical experience using this technique.

Keywords

Sural flap Neuro-fasciocutaneous flap Foot reconstruction Distal leg reconstruction 

References

  1. 1.
    Al Qattan MM (2001) A modified technique for harvesting the reverse sural artery flap from the upper part of the leg: inclusion of a gastrocnemius muscle "cuff" around the sural pedicle. Ann Plast Surg 47:269–278PubMedGoogle Scholar
  2. 2.
    Bertelli JA, Khoury Z (1992) Neurocutaneous island flaps in the hand: anatomical basis and preliminary results. Br J Plast Surg 45:586PubMedGoogle Scholar
  3. 3.
    Dolph JL (1998) The superficial sural artery flap in distal lower third extremity reconstruction. Ann Plast Surg 40:520–522PubMedGoogle Scholar
  4. 4.
    Greant P (1997) The distally based superficial sural flap for reconstruction of the lower leg and foot. Br J Plast Surg 50:295–296Google Scholar
  5. 5.
    Hasegawa M, et al (1994) The distally based superficial artery flap. Plast Reconstr Surg 93:1012–1020PubMedGoogle Scholar
  6. 6.
    Huisinga RL, et al (1998) The distally based sural artery flap. Ann Plast Surg 41:58–65PubMedGoogle Scholar
  7. 7.
    Hyakusoku H, et al (1994) Heel coverage with a T-shaped distally based sural island fasciocutaneous flap. Plast Reconstr Surg 93:872–876PubMedGoogle Scholar
  8. 8.
    Jeng SF, et al (1997) Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 99:744–750PubMedGoogle Scholar
  9. 9.
    Jeng SF, et al (1999) Salvage of the distal foot using the distally based sural island flap. Ann Plast Surg 43:499–505Google Scholar
  10. 10.
    Masquelet AC, et al (1992) Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast Reconstr Surg 89:1115–1121PubMedGoogle Scholar
  11. 11.
    Nakajima H, et al (1999) Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications. Plast Reconstr Surg 103:104–120PubMedGoogle Scholar
  12. 12.
    Parodi PC, et al (2000) Adipofascial and neurocutaneous flaps for the coverage of soft tissue defects of the limbs: our personal experience. Hepatogastroenterology 47 [Suppl 122]Google Scholar
  13. 13.
    Rajacic N, et al (1996) The distally based superficial sural flap for reconstruction of the lower leg and foot. Br J Plast Surg 49:383–389PubMedGoogle Scholar
  14. 14.
    Yilmaz M, et al (1998) The distally based superficial sural artery island flap: clinical experiences and modifications. Plast Reconstr Surg 102:2358–2367PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • P. C. Parodi
    • 1
  • F. DeBiasio
    • 1
  • L. Vaienti
    • 2
  • F. DeLorenzi
    • 2
  • C. Riberti
    • 1
  1. 1.Clinica di Chirurgia Plastica Ricostruttiva,Ospedale Civile San MicheleUniversità degli Studi di UdineGemona del FriuliItaly
  2. 2.Cattedra di Chirurgia Plastica Ricostruttiva, Policlinico San DonatoUniversità degli Studi di MilanoMilanItaly

Personalised recommendations