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CC BY-NC 4.0 · Arch Plast Surg 2013; 40(03): 220-225
DOI: 10.5999/aps.2013.40.3.220
Original Article

Versatility of the Distally-Based Sural Artery Fasciocutaneous Flap on the Lower Leg and Foot in Patients with Chronic Disease

Jin-Su Park
Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine, Jeonju, Korea
,
Si-Gyun Roh
Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine, Jeonju, Korea
,
Nae-Ho Lee
Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine, Jeonju, Korea
,
Kyoung-Moo Yang
Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine, Jeonju, Korea
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Background A recent advancement in microsurgery, the free flap is widely used in the reconstruction of the lower leg and foot. The simple and effective methods of local flaps, including transposition and advancement flaps, have been considered for patients with chronic debilitation who are unable to endure long surgical procedures or general anesthesia. However, the location and size of the wound may restrict the clinical application of a local flap. Under these circumstances, a sural flap can be an excellent alternative, rendering satisfying clinical outcomes in chronically debilitated patients.

Methods Between 2008 and 2012, 39 patients underwent soft tissue defect treatment by sural artery flap as a final method. All of the patients had at least one chronic disease or more (diabetes, hypertension, vascular disease, etc.). Also, all of the patients had a history of chronic lower extremity ulceration, which revealed no response to several months of conservative treatment.

Results The results of the 39 cases had a success rate of 100% with 39 complete recoveries. Nine cases suffered complications: partial necrosis (n=4), wound dehiscence without necrosis (n=3), hematoma (n=1), and infection (n=1).

Conclusions The sural artery flap is not only useful for the lower leg but also for the heel, and other various parts. Furthermore, it is a relatively simple surgical technique for reconstructing the defect area for patients with various chronic conditions with a high surgical risk or contraindications to surgery.

Keywords

Sural - Soft tissue injuries - Surgical flap

This article was presented at the 69th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 9-11, 2012 in Seoul, Korea.




Publication History

Received: 20 February 2013

Accepted: 21 March 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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