Reverse sural flap of the fasciosubcutaneous pedicle: a case report

ABSTRACT

Introduction:

Loss of substance in the lower third of the leg usually requires complex surgical procedures for tissue reconstruction. Among the existing options for tissue reconstruction, reverse sural flap of the fasciosubcutaneous pedicle or reverse adipofascial flap, described in the literature as a viable option, has been little studied compared with other techniques. The objectives of this study were to present the results of surgical treatment of a complex injury due to Achilles tendon rupture using the reverse sural flap of the fasciosubcutaneous pedicle concomitantly with total skin grafting and to discuss the advantages of the procedure as well as other surgical alternatives.

Case report:

A.D., a 28-year-old male patient, presented with a complex injury in the lower third of the leg because of a poor outcome of surgical repair of Achilles tendon rupture that had occurred during an automobile accident more than 30 days previously. The patient underwent injury reconstruction with the reverse sural flap of the fasciosubcutaneous pedicle. The postoperative result was favorable, without complications.

Conclusion:

The surgical technique described here is satisfactory for treating lesions in the lower third of the leg due to Achilles tendon rupture.

Keywords:
Surgical flaps; Leg trauma; Reconstructive surgical procedures; Operative surgical procedures; Ankle trauma.