Reduction of Morbidity With a Reverse-Flow Sural Flap: A Two-Stage Technique

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorREZENDE, Marcelo Rosa de
dc.contributor.authorSAITO, Mateus
dc.contributor.authorPAULOS, Renata Gregorio
dc.contributor.authorRIBAK, Samuel
dc.contributor.authorHERRERA, Ana Katherina Abarca
dc.contributor.authorCHO, Alvaro Baik
dc.contributor.authorMATTAR JR., Rames
dc.date.accessioned2018-09-13T15:25:09Z
dc.date.available2018-09-13T15:25:09Z
dc.date.issued2018
dc.description.abstractThe reverse sural flap has often been used for cutaneous coverage of the distal region of the leg and ankle. When the flap is performed in 2 stages, the vascular pedicle is exteriorized and later resected. Our goal was to assess the reverse sural flap performed in 2 stages regarding its viability and low morbidity along the flap-donor area. Eleven patients with cutaneous coverage loss found in the area between the distal third of the leg and ankle underwent cutaneous coverage surgery with a reverse-flow sural flap with an exteriorized pedicle, without violation of the skin between the base of the flap pedicle to the margin of the wound. After a minimum period of 15 days with flap autonomy, the pedicle was resected. The flap dimensions, its viability before and after the pedicle ligature, and the distance from the intact skin between the flap base and the margin of the wound were evaluated. Any losses were measured as a percentage of the total flap size. The respective length and width of the flap were a mean average of 7.45 cm x 4.18 cm. All the flaps survived. Partial loss of the flap occurred in 3 patients, ranging from 20% to 30%. The mean average distance of the intact skin between the pedicle base and the margin of the wound was 5.59 (range 4 to 8) cm. Our results showed that the 2-stage reverse sural flap ensures good flap survival and low morbidity.
dc.description.indexMEDLINE
dc.identifier.citationJOURNAL OF FOOT & ANKLE SURGERY, v.57, n.4, p.821-825, 2018
dc.identifier.doi10.1053/j.jfas.2017.11.020
dc.identifier.eissn1542-2224
dc.identifier.issn1067-2516
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/28188
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INC
dc.relation.ispartofJournal of Foot & Ankle Surgery
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE INC
dc.subjectankle
dc.subjectcutaneous coverage
dc.subjectleg
dc.subjectsural flap
dc.subjectvascular pedicle
dc.subject.otherartery flap
dc.subject.otherisland flap
dc.subject.otherexteriorized pedicle
dc.subject.otherlower-leg
dc.subject.otherreconstruction
dc.subject.otherfoot
dc.subject.otherperforator
dc.subject.othercoverage
dc.subject.otherdefects
dc.subject.wosOrthopedics
dc.subject.wosSurgery
dc.titleReduction of Morbidity With a Reverse-Flow Sural Flap: A Two-Stage Technique
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalRIBAK, Samuel:Pontifical Catholic Univ Campinas, Dept Hand & Microsurg, Sao Paulo, Brazil
hcfmusp.citation.scopus10
hcfmusp.contributor.author-fmusphcMARCELO ROSA DE REZENDE
hcfmusp.contributor.author-fmusphcMATEUS SAITO
hcfmusp.contributor.author-fmusphcRENATA GREGORIO PAULOS
hcfmusp.contributor.author-fmusphcANA KATHERINA ABARCA HERRERA
hcfmusp.contributor.author-fmusphcALVARO BAIK CHO
hcfmusp.contributor.author-fmusphcRAMES MATTAR JUNIOR
hcfmusp.description.beginpage821
hcfmusp.description.endpage825
hcfmusp.description.issue4
hcfmusp.description.volume57
hcfmusp.origemWOS
hcfmusp.origem.pubmed29503140
hcfmusp.origem.scopus2-s2.0-85042560695
hcfmusp.origem.wosWOS:000437032500036
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
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hcfmusp.scopus.lastupdate2024-05-10
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