Arafa, A., Youssef, G. (2018). Proximally Based Sural Artery Flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 177-181. doi: 10.21608/ejprs.2018.215086
Abdel Latif Arafa; Gamal Youssef. "Proximally Based Sural Artery Flap". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 177-181. doi: 10.21608/ejprs.2018.215086
Arafa, A., Youssef, G. (2018). 'Proximally Based Sural Artery Flap', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 177-181. doi: 10.21608/ejprs.2018.215086
Arafa, A., Youssef, G. Proximally Based Sural Artery Flap. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 177-181. doi: 10.21608/ejprs.2018.215086
1The Department of Plastic and Reconstructive Surgery, Shebin El-Kom Teaching Hospital
2The Department of Plastic and Reconstructive Surgery Sohag University
Abstract
Background: There have been few reports regarding the proximally based sural artery flap, which is useful for reconstruction of soft tissue defects around the knee and on the proximal third and middle third of the leg especially in the medial aspect of these sites. Introduction: The proximally based sural fasciocutaneous flap is an ideal alternative for reconstruction of soft tissue defects around the knee and on the proximal half of the leg. Its advantages include a thin sensate flap, good aesthetic outcomes, and reduced donor site morbidity. However, there have been limited reports regarding its clinical application. Objectives: The aim of this article is to review the use of proximally based sural flap for reconstruction of the knee region and our experience in its application in traumatic cases and in contracture release. Methods: A total number of fifteen cases of proximally based sural artery flap were done in Shebin El-Kom Teaching Hospital and Sohag University Hospital from March 2013 to March 2016 with age ranges from ten to forty years with mean age was 26.9 years. Nine cases were postburn contracture and six cases was traumatic skin loss. Follow-up was done for at least 6 months. Results: All flaps were survived with good functional results and acceptable cosmetic appearance. Donor site is covered by split thickness skin graft. Conclusion: This proximally based sural fasciocutaneous flap was reliable and efficient to reconstruct soft-tissue defects around the knee and on the proximal part of the leg with more versatility than other flaps used. The coverage for soft-tissue defects was accepted. This flap is relatively easy to learn and is an ideal reconstructive choice especially in the medial side of the knee and popliteal fossa defects.
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