The medial sural artery perforator flap: A versatile donor site for hand reconstruction.
The medial sural artery perforators: Anatomic basis for a surgical plan.
Sural artery bypass in Buerger's disease: Report of a case.
These vessels typically are located in the posterior crural septum, starting at a point 5 cm above the tip of the lateral malleolus and extending proximally for a distance of approximately 13 cm above the lateral malleolus12-14.The reverse sural artery fasciocutaneous flap should be designed to incorporate at least one audible perforator in an effort to maximize local blood flow15.
These include delaying, exteriorizing the pedicle, keeping the pedicle wider, mobilization of peroneal perforators in the intermuscular septum, supercharging, cross leg sural artery flap, leaving a skin extension over the pedicle, and harvesting a midline cuff of the gastrocnemius muscle.
Data of all patients who underwent distally based sural artery flap from January 2009 to December 2011 was collected and analyzed for this study.
Although extensive anatomical studies have been carried out earlier, with respect to the safe extension of reverse sural artery flap and its exact dimension there is no definitive answer for the same till date.
A logistic regression analysis was conducted to predict the outcome in 40 patients who underwent reverse sural artery flap surgery using the surgical and baseline parameters as predictors.
However, this study is useful as a pointer for further studies to model the factors associated with good outcome of plastic surgery of reverse sural artery flaps.
The patient with multiple discharging sinuses from previous Tendo Achilles repair was replaced with a reversed sural artery
2) Sural artery fasciocutaneous flap (12): The inferiorly based fasciocutaneous flap with sural artery incorporation, which is perfused by peroneal perforators is an excellent modification and is more reliable.
RESULTS: Out of the 60 patients operated with reverse sural artery flap, 54 were male and 6 female patients with age group ranging from 3 to 70 years.