{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:15:36Z","timestamp":1761059736218},"reference-count":15,"publisher":"Mark Allen Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2012,10]]},"abstract":"Objective:<\/jats:title> To establish the sural island fasciocutaneous flap as an initial consideration for distal third lower-extremity soft tissue coverage and to provide non-plastic surgeons with a procedure they can perform on their own. <\/jats:p><\/jats:sec>Method:<\/jats:title> Literature on reverse sural island fasciocutaneous flaps was reviewed and summarised. We then assessed our case series of sural island flaps from 2008\u20132011 and looked to provide our operative technique and patient outcomes. <\/jats:p><\/jats:sec>Results:<\/jats:title> Nine patients, aged 12\u201370 years old, with greater than 1 year follow-up, were reviewed. Five patients had diabetes, peripheral vascular disease, or smoked tobacco. All patients healed their soft tissue coverage with minimal complication and were able to accommodate normal footwear. <\/jats:p><\/jats:sec>Conclusion:<\/jats:title> Reverse sural island flaps are resilient flaps that should be considered as an alternative to free muscle transfer, for distal third lower extremity coverage. <\/jats:p><\/jats:sec>Declaration of interest:<\/jats:title> There were no external sources of funding for this study. The authors have no conflicts of interest to declare. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2012.21.10.469","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T13:00:21Z","timestamp":1400850021000},"page":"469-475","source":"Crossref","is-referenced-by-count":5,"title":["Case series of sural island flaps used for soft-tissue defects of the distal-third lower extremity"],"prefix":"10.12968","volume":"21","author":[{"given":"R.J.","family":"Steffner","sequence":"first","affiliation":[{"name":"University of california, Davis Medical center, Sacramento, california, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Spiguel","sequence":"additional","affiliation":[{"name":"University of chicago Medical center, chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ranieri","sequence":"additional","affiliation":[{"name":"University of Florida, Shands, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Suk","sequence":"additional","affiliation":[{"name":"Geisinger Health System, Danville, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.J.","family":"Yoo","sequence":"additional","affiliation":[{"name":"University of california, Davis Medical center, Sacramento, california, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_14","volume-title":"early microsurgical reconstruction of complex trauma of the extremities. Plast reconstr Surg. 1986","author":"Godina M."},{"key":"p_15","doi-asserted-by":"crossref","unstructured":"Henley, M.b., chapman, J.r., Agel, J. et al.treatment of type II, IIIA, and IIIb open fractures of the tibial shaft: a prospective comparison of undreamed interlocking intramedullary nails and half-pin external fixators. J orthop trauma. 1998; 12: 1, 1-7. 3 crowley, D.J., Kanakaris, n.K., Giannoudis, P.v. Debridement and wound closure of open fractures: the impact of the time factor on infection rates. Injury. 2007; 38: 8, 879-889.","DOI":"10.1097\/00005131-199801000-00001"},{"key":"p_16","volume-title":"Pelissier, P. et al. Soft-tissue reconstruction of the distal lower leg and foot: are free flaps the only choice? review of 215 cases. J Plast reconstr Aesthet Surg","author":"Pinsolle","year":"2006"},{"key":"p_18","doi-asserted-by":"crossref","unstructured":"reconstruction of distal third and ankle traumatic open tibial fractures. Plast reconstr Surg. 2006; 117: 7, 2468-2475.","DOI":"10.1097\/01.prs.0000224304.56885.c2"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20398"},{"key":"p_20","volume-title":"Principles of definitive soft tissue coverage with flaps. J orthop trauma. 2008"},{"key":"p_21","volume-title":"M.c., Wolf, G. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast reconstr Surg. 1992","author":"Masquelet A.c."},{"key":"p_22","volume-title":"turner, n.S. et al. enhanced survival using the distally based sural artery interpolation flap.Ann Plast Surg. 2005","author":"Maffi"},{"key":"p_23","volume-title":"P.r., okawa, r.Y. reverse-flow island sural flap. Plast reconstr Surg. 2002","author":"Almeida M.F."},{"key":"p_24","volume-title":"Distally based sural island flap for foot and ankle reconstruction. 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J Plast reconstr Aesthet Surg. 2006"},{"key":"p_31","unstructured":"orthopaedic trauma.thieme, 2007."}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2012.21.10.469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T14:12:57Z","timestamp":1653315177000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2012.21.10.469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.12968\/jowc.2012.21.10.469"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2012.21.10.469","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}