Foot and Ankle Reconstruction Using the Distally Based Sural Artery Flap Versus the Medial Plantar Flap: A Comparative Study

摘要: Soft tissue defects around the foot and ankle region often present an awkward problem for plastic surgeons. The medial plantar artery flap raised from non-weightbearing instep of offers a thick, sensorial, durable, glabrous skin. reversed sural reliable option coverage with advantages wide arc rotation, adequate dimensions, blood supply. study compared outcomes distally based in reconstruction. comparative cross-sectional included 30 adult patients soft ankle, who were divided into 2 equal groups. One group underwent reconstruction proximally island (MPAF). second (RSAF). operative time complications carefully recorded. surgical terms survival, durability coverage, functional outcome assessed all patients. No significant differences found between groups age, sex, etiology, or site defect. defect size was significantly smaller MPAF than RSAF (22 ± 2.7 cm2 versus 66.2 ± 7.7 cm2; p < .001). However, longer (100 ± 2.9 minutes 80.5 ± 3.1 minutes; survived cases group, but total necrosis occurred 1 patient group. mean follow-up period 13.2 months. Weightbearing earlier (5.8 ± 0.26 weeks 6.9 ± 0.19 weeks; p = .003). None developed recurrent ulceration. incidence (33.3% 80%) less (p = .01). Significantly greater improvement (p = .004). In conclusion, are flaps available better lower frequency postoperative complications. Thus, sensate is recommended moderate-size region.