• Jun Li, Yongqing Xu, and Xiaoshan Xu.
• Orthopaedic Department, Kunming Gerneral Hospital, Chengdu Military Command, Kunming, Yunnan, 650032, P. R. China.
• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 May 1; 18 (3): 189-91.

ObjectiveTo evaluate clinical significance of reversed sural neurovascular fascio-cutaneous flap for reconstruction of soft-tissue defects in ankle and foot.MethodsFrom July 1994 to December 2002, 52 cases of soft-tissue defects in the ankle and foot were reconstructed by use of reversed sural neurovascular fascio-cutaneous flap, including 47 cases of traumatic defects, 3 cases of chronic ulcer and 2 cases of tumors. The flap area ranged from 4 cm x 6 cm to 10 cm x 21 cm.ResultsThe flaps survived in 48 cases; the distal part necrosed and secondary free-skin graft were further conducted in 4 cases. All soft-tissue defects were repaired and their accompanied bone and tendon exposure healed. Forty-six cases were followed-up for 5 months to 48 months, the color and texture of the flaps were excellent and 2-point discrimination was 11-17 mm (14 mm on average). The functions of ankle joints were good.ConclusionThe reversed sural neurovascular fascio-cutaneous flap is convenient in design and dissection. Its use can retained and replace vascular anostomosed flaps to certain degrees.

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