The distally based sural fasciomusculocutaneous flap for foot reconstruction

Shao Liang Chen, Tim Mo Chen, Hsian-Jenn Wang

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Finding appropriate soft-tissue to cover a wound located over the middle or distal portion of the foot can be challenging. A distally based sural fasciomusculocutaneous flap including the sural nerve and a midline cuff of the gastrocnemius muscle can be used for this purpose. This flap is designed on the proximal third of the posterior calf and is nourished in a retrograde manner by the lower peroneal septocutaneous perforators, through the vascular axis of the sural nerve to the musculocutaneous perforators of the gastrocnemius muscle. Between October of 2002 and January of 2004, this flap was applied in nine individuals, including four diabetic patients. The skin defects all resulted from trauma, osteomyelitis or chronic ulcer, and combined with bone or tendon exposure. One flap developed distal necrosis. The other flaps survived fully and provided good contour. In our series, diabetes mellitus seemed not to compromise the vascularity of the flap. The distally based sural fasciomusculocutaneous flap is very useful for lower limb reconstruction, particularly for the foot, because of its long vascular pedicle and the availability of the skin portion of the proximal calf based on direct branches between the musculocutatneous perforators and the neurovascular axis of the sural nerve. This is an important variant of the sural neurocutaneous flap and it appears to be a good alternative to free flaps for resurfacing the foot.

Original languageEnglish
Pages (from-to)846-855
Number of pages10
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume59
Issue number8
DOIs
Publication statusPublished - Aug 1 2006
Externally publishedYes

Fingerprint

Sural Nerve
Foot
Blood Vessels
Skeletal Muscle
Skin
Free Tissue Flaps
Wounds and Injuries
Osteomyelitis
Tendons
Ulcer
Lower Extremity
Diabetes Mellitus
Necrosis
Bone and Bones
sural

Keywords

  • Distally based sural fasciomusculocutaneous flap
  • Foot reconstruction

ASJC Scopus subject areas

  • Surgery

Cite this

The distally based sural fasciomusculocutaneous flap for foot reconstruction. / Chen, Shao Liang; Chen, Tim Mo; Wang, Hsian-Jenn.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 59, No. 8, 01.08.2006, p. 846-855.

Research output: Contribution to journalArticle

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