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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 4/2003

01-07-2003 | Original Paper

Distally based sural neuro-fasciocutaneous island flap to cover tissue loss in the distal third of the leg

Authors: P. C. Parodi, F. DeBiasio, L. Vaienti, F. DeLorenzi, C. Riberti

Published in: European Journal of Plastic Surgery | Issue 4/2003

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Abstract

The distally based sural neurofasciocutaneous flap is based on the vascular contribution furnished by the arterial network that accompanies the sural nerve and on its neurocutaneous perforating branches. This flap provides a solution that can be effectively used for various reconstructions in the distal third of the lower extremity, thus offering a valid alternative to solutions involving microsurgical repair. The main advantages of this flap are the need for a single operation, limited donor area morbidity, and the structural characteristics of the soft tissue of the flap, which makes it ideal for covering defects in this region. The authors present their clinical experience using this technique.
Literature
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Al Qattan MM (2001) A modified technique for harvesting the reverse sural artery flap from the upper part of the leg: inclusion of a gastrocnemius muscle "cuff" around the sural pedicle. Ann Plast Surg 47:269–278PubMed
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Bertelli JA, Khoury Z (1992) Neurocutaneous island flaps in the hand: anatomical basis and preliminary results. Br J Plast Surg 45:586PubMed
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Dolph JL (1998) The superficial sural artery flap in distal lower third extremity reconstruction. Ann Plast Surg 40:520–522PubMed
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Parodi PC, et al (2000) Adipofascial and neurocutaneous flaps for the coverage of soft tissue defects of the limbs: our personal experience. Hepatogastroenterology 47 [Suppl 122]
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Metadata
Title
Distally based sural neuro-fasciocutaneous island flap to cover tissue loss in the distal third of the leg
Authors
P. C. Parodi
F. DeBiasio
L. Vaienti
F. DeLorenzi
C. Riberti
Publication date
01-07-2003
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 4/2003
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-003-0504-y

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