Modified reverse sural artery flap with improved venous outflow in lower-leg reconstruction.

摘要: Complex open wounds of the distal third leg, ankle, and heel remain a reconstructive challenge. In many cases, these are best addressed with free tissue transfer. The reverse sural artery flap (RSA) represents an alternative simpler method to cover defects. Modifications suggested minimize partial or total necrosis, which still remains issue.1-6 authors describe modification augment venous outflow congestion by means lesser-to-greater saphenous vein end-to-side anastomosis. Designing skin paddle racquet shape protects pedicle during dissection rotation, avoiding risk kinking impingement releasing tension on closure.