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REVERSE SURAL ISLAND FLAP IN COVERAGE OF DEFECTS LOWER THIRD OF LEG: A SERIES OF NINE CASES
Abstract
The distally based sural island flap was first described by Masquelet, et al, in 1992. It is a skin
island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate
that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine
patients with nine distally based sural island flaps. All the flaps survived, most of the flaps had
venous congestion. The largest flap was 10 x 8 cm and Doppler was used in only one flap. This
technique is easy and quick to execute without sacrificing major arteries.
island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate
that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine
patients with nine distally based sural island flaps. All the flaps survived, most of the flaps had
venous congestion. The largest flap was 10 x 8 cm and Doppler was used in only one flap. This
technique is easy and quick to execute without sacrificing major arteries.
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