Thirteen-Year Follow-Up Reverse Sural Artery Flap for Plantar Calcaneal Wound: A Case Report

Reconstruction of soft tissue defects in the lower leg and foot after traumatic injury is a challenging problem owing to lack of locally reliable flaps. The traditional options for wound coverage often do not provide feasible or adequate treatment for many of these wounds. The lack of skin laxity in...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2018-07, Vol.57 (4), p.833-837
Main Authors: Donegan, Ryan, Blume, Peter A.
Format: Article
Language:English
Subjects:
Calcaneus - injuries
closure
Degloving Injuries - surgery
expert opinion
Follow-Up Studies
Free Tissue Flaps - blood supply
heel
Humans
Leg Injuries - surgery
Male
Middle Aged
Reconstructive Surgical Procedures
reverse sural flap
skin flap
Time Factors
trauma
Treatment Outcome
Citations: Items that this one cites
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Summary:Reconstruction of soft tissue defects in the lower leg and foot after traumatic injury is a challenging problem owing to lack of locally reliable flaps. The traditional options for wound coverage often do not provide feasible or adequate treatment for many of these wounds. The lack of skin laxity in the lower leg and foot often make local flaps unavailable. Split-thickness skin grafts will not be robust enough. Free tissue flaps have a litany of potential complications and guaranteed comorbidities. The present case reinforces that appropriately selected patients with significant open bony and soft tissue trauma to the foot and ankle can be treated with a reverse sural artery fasciocutaneous flap. The reverse sural artery flap allows for full-thickness skin coverage with its own blood supply, maximizing the healing potential and should be considered a viable first option for soft tissue coverage.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2017.11.018