Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency
Summary:. Distal lower extremity wounds are a challenging problem for reconstructive surgeons and can lead to major lower extremity amputations in patients with comorbid conditions. The reverse sural artery flap (RSAF) is a local flap supplied by perforators of the peroneal artery that can cover def...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004740 |
| _version_ | 1797947139954835456 |
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| author | Aurora M. Kareh, MD John M. Felder, III, MD |
| author_facet | Aurora M. Kareh, MD John M. Felder, III, MD |
| author_sort | Aurora M. Kareh, MD |
| collection | DOAJ |
| description | Summary:. Distal lower extremity wounds are a challenging problem for reconstructive surgeons and can lead to major lower extremity amputations in patients with comorbid conditions. The reverse sural artery flap (RSAF) is a local flap supplied by perforators of the peroneal artery that can cover defects of the distal lower extremity, ankle, and foot. There has been concern over performing the RSAF in patients with venous insufficiency, peripheral artery disease, and diabetes, and in older patients due to the increased risk of flap necrosis. In patients who are not microsurgical candidates, the RSAF may be the final option for reconstruction before undergoing major lower extremity amputation. We describe our experience with two patients with significant comorbidities and single vessel runoff from the peroneal artery due to atherosclerotic disease who successfully underwent RSAF reconstruction for distal lower extremity wounds. |
| first_indexed | 2024-04-10T21:22:04Z |
| format | Article |
| id | doaj.art-b72a78959bc04525ba729bd52558139a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-10T21:22:04Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-b72a78959bc04525ba729bd52558139a2023-01-20T02:34:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-01-01111e474010.1097/GOX.0000000000004740202301000-00005Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous InsufficiencyAurora M. Kareh, MD0John M. Felder, III, MD1From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Saint Louis University School of Medicine, St. Louis, Mo.† Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, Mo.Summary:. Distal lower extremity wounds are a challenging problem for reconstructive surgeons and can lead to major lower extremity amputations in patients with comorbid conditions. The reverse sural artery flap (RSAF) is a local flap supplied by perforators of the peroneal artery that can cover defects of the distal lower extremity, ankle, and foot. There has been concern over performing the RSAF in patients with venous insufficiency, peripheral artery disease, and diabetes, and in older patients due to the increased risk of flap necrosis. In patients who are not microsurgical candidates, the RSAF may be the final option for reconstruction before undergoing major lower extremity amputation. We describe our experience with two patients with significant comorbidities and single vessel runoff from the peroneal artery due to atherosclerotic disease who successfully underwent RSAF reconstruction for distal lower extremity wounds.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004740 |
| spellingShingle | Aurora M. Kareh, MD John M. Felder, III, MD Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency Plastic and Reconstructive Surgery, Global Open |
| title | Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency |
| title_full | Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency |
| title_fullStr | Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency |
| title_full_unstemmed | Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency |
| title_short | Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency |
| title_sort | successful use of delayed reverse sural artery flap in single vessel legs with severe atherosclerotic disease and venous insufficiency |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004740 |
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