Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency

Aurora M. Kareh, John M. Felder

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Summary: Distal lower extremity wounds are a challenging problem for reconstructive surgeons and can lead to major lower extremity amputations in patients with comorbid conditions. The reverse sural artery flap (RSAF) is a local flap supplied by perforators of the peroneal artery that can cover defects of the distal lower extremity, ankle, and foot. There has been concern over performing the RSAF in patients with venous insufficiency, peripheral artery disease, and diabetes, and in older patients due to the increased risk of flap necrosis. In patients who are not microsurgical candidates, the RSAF may be the final option for reconstruction before undergoing major lower extremity amputation. We describe our experience with two patients with significant comorbidities and single vessel runoff from the peroneal artery due to atherosclerotic disease who successfully underwent RSAF reconstruction for distal lower extremity wounds.

Original languageEnglish
Pages (from-to)E4740
JournalPlastic and Reconstructive Surgery - Global Open
Volume11
Issue number1
DOIs
StatePublished - Jan 6 2023

Fingerprint

Dive into the research topics of 'Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency'. Together they form a unique fingerprint.

Cite this