فلاپ سورال با پايه انتهايي جهت پوشش ضايعات نسج نرم اطراف پاشنه و انتهاي ساق

Distally-Based Sural Flap for Coverage of Soft Tissue Defects of Heel and Distal Leg

Background: Coverage of soft tissue defects around heel and distal tibia is difficult. Several different types of flaps have been designed and used for this purpose. A distally-based sural fascio-cutaneous island flap is one of such remedies for this difficult problem. We are reporting our experience with the use of this coverage technique which has a reliable vascular supply. Materials and Methods: The use of sural flap for heel or distal leg coverage in 7 cases of soft tissue defects from traumatic degloving injuries, burn and malignancy are reported. Survival of the flap grafts, and patients satisfaction in terms of sensation and function are reported with a 6-24 months follow-up. Results: Flap survival was observed in 6 cases with satisfactory outcomes. The one case of failure was seen in the oldest member of the group with previous history of surgery in that vicinity and vascular calcification. Conclusion: Distally-based sural fascio-cutaneous island flap is another armamentarium for successful coverage of difficult heel and distal leg defects which does not require microsurgical techniques.