When Less Is More: Revascularization and Sural Artery Fasciocutaneous Flaps in Ischemic Limb Salvage

ABSTRACT

Nine patients underwent ischemic limb salvage via a combination of revascularization and wound reconstruction with a reverse sural artery fasciocutaneous flap. All flaps healed primarily. There were no untoward donor-site complications. At 6 months postoperative, limb preservation and function were maintained in this cohort. Revascularization and reverse sural artery flap reconstruction of limb-threatening ischemic wounds is a safe and reliable approach to limb salvage. Factors important in decision-making include the wound dimensions and the presence of peroneal blood flow. Serious consideration of this reconstructive plan should be given, when appropriate, over revascularization and microsurgical transplantation.

KEYWORDS

Ischemic limb salvage - reverse sural artery fasciocutaneous flap - revascularization

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