TY - JOUR
T1 - Successful Use of Delayed Reverse Sural Artery Flap in Single Vessel Legs with Severe Atherosclerotic Disease and Venous Insufficiency
AU - Kareh, Aurora M.
AU - Felder, John M.
N1 - Publisher Copyright:
© 2023 the Author(s). Published by Wolters Kluwer Health, Inc.
PY - 2023/1/6
Y1 - 2023/1/6
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85146070896&partnerID=8YFLogxK
U2 - 10.1097/GOX.0000000000004740
DO - 10.1097/GOX.0000000000004740
M3 - Article
C2 - 36699230
AN - SCOPUS:85146070896
SN - 2169-7574
VL - 11
SP - E4740
JO - Plastic and Reconstructive Surgery - Global Open
JF - Plastic and Reconstructive Surgery - Global Open
IS - 1
ER -