The use of the reverse sural neurovenocutaneous flap in distal tibia, ankle and heel reconstruction

摘要: The distal third of the tibia, ankle and heel area is difficult to reconstruct. Microsurgery an option but time complexity this type procedure a disadvantage. For small medium size defects, local flaps are often easier alternative. Recent detailed anatomic studies have demonstrated existence perineural vascular plexus. In lower limb surgery, sural flap based on principle becoming increasingly popular. Many articles been written with some contrasting opinions regarding anatomy, flap, location skin paddle, mode transfer overall survival. aim publication present single surgeon’s experience in 17 consecutive cases using reverse for reconstruction. defect, dimensions, results complications presented. Some conclusions drawn recommendations made maximum efficacy when especially used older patients.