ArticlePlastic and reconstructive surgery. Global open2025
An Intraoperative Study of Flap Thickness Between Medial Sural Artery, Anterolateral Thigh, and Radial Forearm Flaps.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Medial Sural Artery Perforator Flap for Tongue and Oral Cavity Reconstruction With Native Tongue Tip Preservation: Report of Three Cases.Microsurgery · 2026Article
- Free cMSAP flap for the treatment of chronic osteomyelitis with complex soft tissue defects in foot and ankle.Frontiers in cellular and infection microbiology · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The medial sural artery perforator (MSAP) flap has gained popularity in recent times because of its various advantages over the anterolateral thigh (ALT) and radial artery forearm (RAF) flaps. However, there is a lack of literature comparing the thickness of these flaps between sonographic and intraoperative measurements. This study aimed to compare the thickness of these flaps and to identify the predictors of flap thickness that will help in reconstructive planning. Methods: A total of 120 patients underwent reconstructive flap surgery using the 3 flaps (ALT, MSAP, and RAF). The thickness of these flaps was measured by ultrasonography and intraoperative flap measurements. Forward stepwise regressions were conducted to determine the factors contributing to flap thickness. Results: The mean age of the patients was 38.4 ± 12.2 years, and the mean body mass index was 23.5 ± 3.3 kg/m Conclusions: The MSAP flap can be used as a replacement for the RAF or ALT flap in almost all areas if the flap dimensions and pedicle length are fulfilled. Sonographic measurements of flap thickness are a good predictive marker of intraoperative flap thickness.
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Registered trials
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