{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:23:04Z","timestamp":1783646584127,"version":"3.55.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J reconstr Microsurg"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>\n            Background\u2003The use of distally based neurocutaneous sural flaps (DBNCSF) is one of the most common methods of reconstructing the distal lower leg. However, they have developed a bad reputation because of their propensity for venous engorgement. Venous congestion that can lead to distal necrosis can be prevented by venous supercharging. Using a prospective comparative study, we thus explored the effect of venous supercharging on the reliability of these useful workhorse flaps.<\/jats:p><jats:p>\n            Methods\u2003We prospectively included 38 patients who received a conventional DBNCSF and 38 patients who received a supercharged version of this flap (sDBNCSF) between January 2012 and July 2016.<\/jats:p><jats:p>\n            Results\u2003No significant difference was identified between the groups in terms of age, sex, comorbidity, or defect origin. The main reconstruction etiology was traumatic (open fracture, scar disunion, and chronic osteitis). The flap size was noticeably larger in the sDBNCSF group, albeit without significance. The length-width ratio was significantly greater in the sDBNCSF group (6.08 vs. 5.53, p\u2009=\u20090.022). Venous congestion was significantly more common in the non-supercharged group (28.6 vs. 2.6%, p\u2009=\u20090.01), as was coverage failure (23.7 vs. 2.6%, p\u2009=\u20090.035).<\/jats:p><jats:p>\n            Conclusion\u2003There are significant benefits to using venous supercharging of DBNCSF, when technically feasible. In our experience, venous supercharging increases reliability, allows the raise of larger skin paddles with much narrower pedicles limiting the morbidity of the procedure, and improves the functional and esthetic results.<\/jats:p>","DOI":"10.1055\/s-0037-1598620","type":"journal-article","created":{"date-parts":[[2017,2,24]],"date-time":"2017-02-24T23:42:20Z","timestamp":1487979740000},"page":"343-351","source":"Crossref","is-referenced-by-count":27,"title":["Venous Supercharging Reduces Complications and Improves Outcomes of Distally Based Sural Flaps"],"prefix":"10.1055","volume":"33","author":[{"given":"Farid","family":"Bekara","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Burns, Lapeyronie University Hospital, Avenue du doyen Gaston Giraud, Montpellier, France"},{"name":"Department of Plastic and Craniofacial Pediatric Surgery, Lapeyronie University Hospital, Avenue du doyen Gaston Giraud, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bertheuil","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, South University Hospital, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Carloni","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Charles Nicolle Hospital, Rouen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy","family":"Dast","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Picardie, Amiens, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Sinna","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Picardie, Amiens, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Chaput","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, CHU Rangueil, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Herlin","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Burns, Lapeyronie University Hospital, Avenue du doyen Gaston Giraud, Montpellier, France"},{"name":"Department of Plastic and Craniofacial Pediatric Surgery, Lapeyronie University Hospital, Avenue du doyen Gaston Giraud, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,2,24]]},"container-title":["Journal of Reconstructive Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1598620.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T06:19:06Z","timestamp":1513664346000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1598620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,24]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2017,5,22]]},"published-print":{"date-parts":[[2017,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1598620","relation":{},"ISSN":["0743-684X","1098-8947"],"issn-type":[{"value":"0743-684X","type":"print"},{"value":"1098-8947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,24]]}}}