How Far can a Sural flap Go?

Abstract

Sural flap has turned out to be probably the most useful flap of the lower leg. Obviating recourse to free flap. So far it has been used for defects of the lower third of the leg or proximal foot i.e. malleoli and heel. A series of three cases is described, where use of sural flap is made to cover defects of the distal foot. Furthermore two of the three flaps were based on perforations and anastomotic channels of the sural flap with posterior tibial than the peroneal vessels. All the three flaps survivied without any necrosis. This small series signifies the reliability of the sural flap and that it can be based on either sides of  tendo Achilles.