Author/Authors :
Motamed, Sadrollah Plastic and Reconstractive surgery Center - 15 Khordad Hospital - Shahid Beheshti University, Tehran , Yavari, Masood Plastic and Reconstractive surgery Center - 15 Khordad Hospital - Shahid Beheshti University, Tehran , Hallaj Mofrad, Hamid Reza Plastic and Reconstractive surgery Center - 15 Khordad Hospital - Shahid Beheshti University, Tehran , Rafiee, Reza Plastic and Reconstractive surgery Center - 15 Khordad Hospital - Shahid Beheshti University, Tehran , Niazi Shahraki, Feaz Plastic and Reconstractive surgery Center - 15 Khordad Hospital - Shahid Beheshti University, Tehran
Abstract :
The distal third of the tibia, ankle and heel area is difficult to reconstruct. For small to medium
size defects, local flaps are often an easier alternative than free flap. In lower limb surgery, the sural flap is
based on this principle and this flap is becoming increasingly popular. The distally based superficial sural artery
flap, first described as a distally based neuro skin flap by masquelet et al., is a skin island flap supplied
by the vascular axis of the sural nerve. The main disadvantage of distally based sural artery flap is sacrifice of
the sural nerve because it is described the concept of neurocutaneus island flap. We describe one case of reverse
sural flap without sural nerve .The aim of this paper is to establish the reliability of this flap even without
sural nerve.
