ArticleJournal of orthopaedic surgery and research2025
The resilience of distally based sural fascio cutaneous flap in soft-tissue defects of lower limb and ankle: a prospective study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Reverse Sural Flap for Reconstruction of a Distal Leg Soft-Tissue Defect Following Dog Bite Injury: A Case Report.Cureus · 2026Article
- Reverse sural artery flap for lower extremity reconstruction: a multicenter retrospective analysis of success and failure patterns.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
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Abstract
backgroundManaging large soft-tissue defects in the distal lower extremities remains challenging for orthopedic surgeons, particularly in elderly patients with comorbidities. This study evaluates the clinical outcomes of the reverse sural flap (RSF) for reconstructing soft-tissue defects in the distal leg, heel, foot, and ankle.
methodsThis prospective study was performed on 52 cases aged from 18 to 60 years old, with either post-traumatic or post-surgical soft tissue defects situated between the distal third leg and the mid-metatarsals of the foot and underwent RSF surgery.
resultsThe mean hospital stay was 8.4 (± 3.24) days. All patients experienced the healing of their soft tissue coverage. During the follow-up, ten patients had complications: Ankle stiffness occurred in 2 (3.85%) patients, marginal necrosis in 2 (3.85%) patients, superficial infection occurred in 2 (3.85%) and delayed healing in 4 (7.69%) patients.
conclusionThe RSF is a reliable and practical option for reconstructing significant and distal soft tissue defects in the lower extremities, with acceptable complication rates and surgical durations. Complications were found in 10 cases in the form of ankle stiffness occurring in 2 (3.85%) patients; marginal necrosis occurred in 2 (3.85%), superficial infection occurred in 2 (3.85%) patients managed with dressing, debridement, delayed healing occurred in 4 (7.69%) patients and. The hospital stay's mean value (± SD) was 8.4 (± 3.24) days.
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