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.
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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 47:269–278
Bertelli JA, Khoury Z (1992) Neurocutaneous island flaps in the hand: anatomical basis and preliminary results. Br J Plast Surg 45:586
Dolph JL (1998) The superficial sural artery flap in distal lower third extremity reconstruction. Ann Plast Surg 40:520–522
Greant P (1997) The distally based superficial sural flap for reconstruction of the lower leg and foot. Br J Plast Surg 50:295–296
Hasegawa M, et al (1994) The distally based superficial artery flap. Plast Reconstr Surg 93:1012–1020
Huisinga RL, et al (1998) The distally based sural artery flap. Ann Plast Surg 41:58–65
Hyakusoku H, et al (1994) Heel coverage with a T-shaped distally based sural island fasciocutaneous flap. Plast Reconstr Surg 93:872–876
Jeng SF, et al (1997) Distally based sural island flap for foot and ankle reconstruction. Plast Reconstr Surg 99:744–750
Jeng SF, et al (1999) Salvage of the distal foot using the distally based sural island flap. Ann Plast Surg 43:499–505
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 89:1115–1121
Nakajima H, et al (1999) Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications. Plast Reconstr Surg 103:104–120
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]
Rajacic N, et al (1996) The distally based superficial sural flap for reconstruction of the lower leg and foot. Br J Plast Surg 49:383–389
Yilmaz M, et al (1998) The distally based superficial sural artery island flap: clinical experiences and modifications. Plast Reconstr Surg 102:2358–2367
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An invited commentary to this paper is available at: http://dx.doi.org./10.1007/s00238-003-0505-x
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Parodi, P.C., DeBiasio, F., Vaienti, L. et al. Distally based sural neuro-fasciocutaneous island flap to cover tissue loss in the distal third of the leg. Eur J Plast Surg 26, 175–178 (2003). https://doi.org/10.1007/s00238-003-0504-y
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DOI: https://doi.org/10.1007/s00238-003-0504-y