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.
At Combined Military Hospital Rawalpindi we frequently use the reverse sural artery flap to cover defects around the ankle and proximal foot.
These plexus are supplied by the median superficial sural artery, which runs in conjunction with the medial sural cutaneous nerve, and a series of two arteries accompanying the lesser saphenous vein3-6.
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.