Reverse Sural Flap for Post Traumatic Soft-Tissue Defects of Leg Ankle and Heel – Our Experience
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Abstract
Treatment and management of severe wound defects related to leg and ankle injury are sometimes very challenging. Microsurgical repair is one of the best options. However, it is a bit difficult and hectic to transfer free tissue from other body parts due to donor site morbidity, longer duration, bulky tissue, recipient vessel risks, sophisticated expertise, and high costs of the equipment and treatment. Meanwhile, the reverse Sural flap has been considered as the ultimate method of tissue restoration. This study was conducted in 36 patients who were admitted to our Centre in the Department of Plastic Surgery. The patients had multiple ankle and leg tissue defects. After the diagnosis, our plan involved surgical debridement, tendon repair if involved, and reverse sural flap rotation. Despite the difficulties in the working environment and advanced learning experience, our patients fully recovered within 3 weeks. Proving that reverse sural flap is one of the few available options in the protection of vital structures such as tendons, nerves, bones, in the distal areas of the leg, ankle, and foot especially when we lack a strong microsurgery team and equipment.
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