ArticleOTA international : the open access journal of orthopaedic trauma2023
Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap.
Article in OTA international : the open access journal of orthopaedic trauma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- COMPARISON OF THE USE OF THE SURAL FLAP FOR THE MEDIAL, LATERAL, AND CENTRAL REGIONS OF THE ANKLE.Acta ortopedica brasileira · 2026Article
- Clinical outcomes of the reverse sural flap when performed by orthopaedic trauma surgeons.OTA international : the open access journal of orthopaedic trauma · 2025Article
- The resilience of distally based sural fascio cutaneous flap in soft-tissue defects of lower limb and ankle: a prospective study.Journal of orthopaedic surgery and research · 2025Article
- Exploring Reverse Sural Flap Necrosis in Lupus-like Syndrome: Challenges and Strategies in Lower Limb Reconstruction-A Case Presentation.Medicina (Kaunas, Lithuania) · 2024Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Soft tissue defects involving the distal lower extremity present challenging problems for orthopaedic surgeons to manage. Historically, wounds not amenable to primary closure have necessitated assistance from multidisciplinary teams using plastic surgeons to obtain adequate soft tissue coverage through rotational flap or free tissue transfer procedures. Techniques related to soft tissue rearrangement and local rotational flap coverage have advanced over the years with a growing knowledge of local anatomy and vasculature. The reverse sural flap may be performed to cover soft tissue defects within 10 cm of the foot or ankle region, negating the need for microvascular intervention. The simplistic nature of the reverse sural flap is appealing to orthopaedic surgeons as a means to provide timely patient care without additional support because it does not require microvasculature work or the need for intraoperative microscopes and has been popularized among orthopaedic trauma surgeons as a necessary tool to possess. Here, we discuss the reverse sural flap to include history, relevant anatomy, clinical indications, and a description of the technique for application.
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