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Use of Distally Based Superficial Sural Island Artery Flaps in Acute Open Fractures of the Lower Leg

Singh, Shivram FRCS; Naasan, Anas FRCS, FRCS(Plast)

Original Articles

The reverse sural artery flap is a fasciocutaneous flap based on the median superficial sural artery and its communication with the perforating branch of the peroneal artery situated in the region of the lateral malleolar gutter. Reverse flow is established after elevation of the flap and with division of the sural artery and the nerve proximally. The authors present resurfacing of acute open fractures of the lower third of the leg in 7 patients immediately after the acute phase of injury. Reconstruction was carried out within an average of 3 days after injury. All 7 patients sustained low-velocity injuries. Although 2 patients had partial necrosis of the distal tip of the flap, all patients had excellent recovery with minimal donor site morbidity.

From the Department of Plastic & Reconstructive Surgery, Ninewells Hospital & Medical School, Dundee, Scotland.

Received Apr 10, 2000, and

in revised form Apr 19, 2001.

Accepted for publication Apr 19, 2001.

Address correspondence and reprint requests to Mr Naasan, Department of Plastic & Reconstructive Surgery, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK.

© 2001 Lippincott Williams & Wilkins, Inc.