What is reverse sural flap?
The reverse sural artery flap is utilized to reconstruct defects in the distal third of the lower leg, ankle, and heel. This flap is based on perforators of the peroneal artery system. The flap consists of superficial and deep fascia, the sural nerve, lesser saphenous vein, and superficial sural artery.
What is a myocutaneous flap?
Myocutaneous flaps are compound flaps with a solitary vascular supply incorporating skin, subcutaneous tissue, fascia, and the underlying muscle.
What is a karydakis flap?
The Karydakis flap procedure is a safe treatment alternative for the surgical treatment of sacrococcygeal pilonidal sinus disease owing to the associated low complication rate, short hospital length of stay, rapid healing, and a high patient satisfaction rate.
Where is the dorsal pedal artery?
It is located on the dorsum of the foot, just deep to the inferior extensor retinaculum and lies between the extensor hallucis longus tendon and the medial tendon of the extensor digitorum longus muscle. It is a major artery that supplies the forefoot.
What is jogger’s foot?
Jogger’s foot is another term for medial plantar neuropraxia, an injury in which the medial plantar nerve that gives sensation to the bottom of the foot becomes compressed due to repetitive injury to the area. As its name suggests, jogger’s foot usually affects joggers, as well as long distance and marathon runners.
What is an island flap?
Island flaps An island flap is incised on all borders so that there are no cutaneous attachments between the skin of the flap and the adjacent skin of the donor site. This creates an island of skin, which constitutes the flap.
What is a reverse sural artery island flap?
Since then, many studies have been performed on its anatomical and clinical aspects, which was commonly referred to as “reverse sural artery island flap” and it has become a routine acceptable technique which is used for lower-limb reconstructions.
Why is the sural flap not harvested from the proximal third?
In the standard conventional technique, the flap is usually not harvested from the proximal third of the leg, due to deep course of sural nerve. The proximal extension of the distally based neurofasciocutaneous sural flap has been considered to be random type of flap that provides a long length.
What is Al-Qattan technique for reverse sural artery flap removal?
Al-Qattan MM. 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. 2001;47:269–274; discussion 274–278.
What is the anatomy of the sural fasciocutaneous flap?
An extended, reverse, sural fasciocutaneous flap relies on the sural nerve vascular axis, which consists of the median superficial sural artery, along with lesser saphenous vein.