Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap
Summary:. 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 cov...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-07-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000235 |
| _version_ | 1797770601289482240 |
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| author | George A. Puneky, MD Kathryn A. Batchler, BS Sai S. Kollapaneni, BS James A. Blair, MD, FACS Jana M. Davis, MD |
| author_facet | George A. Puneky, MD Kathryn A. Batchler, BS Sai S. Kollapaneni, BS James A. Blair, MD, FACS Jana M. Davis, MD |
| author_sort | George A. Puneky, MD |
| collection | DOAJ |
| description | Summary:. 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. |
| first_indexed | 2024-03-12T21:24:33Z |
| format | Article |
| id | doaj.art-4e2f7d696b0942b086a2b12be04f234c |
| institution | Directory Open Access Journal |
| issn | 2574-2167 |
| language | English |
| last_indexed | 2024-03-12T21:24:33Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj.art-4e2f7d696b0942b086a2b12be04f234c2023-07-28T09:30:40ZengWolters KluwerOTA International2574-21672023-07-0164S10.1097/OI9.0000000000000235OI90000000000000235Simplified soft tissue coverage of the distal lower extremity: The reverse sural flapGeorge A. Puneky, MD0Kathryn A. Batchler, BS1Sai S. Kollapaneni, BS2James A. Blair, MD, FACS3Jana M. Davis, MD4a Department of Orthopedic Surgery, Medical College of Georgia, Augusta University, Augusta, GAb Medical Student, Medical College of Georgia at Augusta University, Augusta, GAb Medical Student, Medical College of Georgia at Augusta University, Augusta, GAa Department of Orthopedic Surgery, Medical College of Georgia, Augusta University, Augusta, GAa Department of Orthopedic Surgery, Medical College of Georgia, Augusta University, Augusta, GASummary:. 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.http://journals.lww.com/10.1097/OI9.0000000000000235 |
| spellingShingle | George A. Puneky, MD Kathryn A. Batchler, BS Sai S. Kollapaneni, BS James A. Blair, MD, FACS Jana M. Davis, MD Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap OTA International |
| title | Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap |
| title_full | Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap |
| title_fullStr | Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap |
| title_full_unstemmed | Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap |
| title_short | Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap |
| title_sort | simplified soft tissue coverage of the distal lower extremity the reverse sural flap |
| url | http://journals.lww.com/10.1097/OI9.0000000000000235 |
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