Increasing the success of reverse sural flap from proximal part of posterior calf for traumatic foot and ankle reconstruction: patient selection and surgical refinement.

摘要: In this report, we present our experience on the use of reverse sural flap for traumatic foot and ankle reconstruction. The patient selection surgical refinement are discussed. From 2007 to 2010, 11 consecutive patients underwent modified at Chang Gung Memorial Hospital. defects were located (three cases), (two heel (six cases). Particular attention was paid precise refinements. Patient based lower limb vascular status by palpable distal pedal pulses brachial index ranging from 0.9 1.2. Surgical techniques refined as precisely locating perforators peroneal artery, placing skin paddle in upper third leg a region coverage, designing 7-cm-wide adipofascial pedicle with 2 cm it, preserving mesentery structure nerve concomitant artery or without including gastrocnemius muscles cuff, no tunneling when inset supercharging lesser saphenous vein whenever needed. All flaps survived completely. Only one required immediate anastomosis local around defect order relieve venous congestion during operation. Patients felt diminished but adequate recovery sense touch temperature flap. Following refinements, seemed be reliable effective reconstruction soft tissue foot.