gms | German Medical Science

The reverse sural fasciocutaneous flap is a viable option for the soft tissue coverage of posttraumatic defect of distal third leg. The work is the review of 9 reverse sural fasciocutaneous flap and 1 reverse sural fasciocutaneous cross leg flap performed in different hospital of Kathmandu Nepal between 2008 and 2010. It consists of total 10 children aged between 5 years to 13 years. The etiologies of the defect were mostly road traffic accident and located on distal third leg, dorsum of the foot and Achilles tendon region. The flap was viable in all the 10 cases with negligible marginal necrosis in two cases and had uneventful postoperative course. Split thickness skin graft was well taken in donor site in all cases. The sural artery fasciocutaneous flap is a versatile and reliable procedure, easy and quick to elevate, due to the long pedicle distalization up to the dorsum of the mid foot can be achieved. Especially the sural cross leg flap which can cover any area of the contralateral leg or foot represents a very good alternative to microsurgical procedures where such facilities are not available and the surgeon is not well familiar with the procedure.