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.