Utilizing a crossover reverse sural artery flap for soft tissue reconstruction of the plantar forefoot after a severe degloving injury

Thomas Zgonis, Douglas T. Cromack, John J. Stapleton

Research output: Contribution to journalArticle

11 Scopus citations


Extensive soft tissue defects involving the weight-bearing areas of the plantar aspect of the foot often require coverage with flaps. The options often include free flaps, free muscle flaps with split-thickness skin grafting, or local flaps. When presented with high-energy-induced soft tissue injuries of the foot, choices become narrow, secondary to the associated zone of injury. Free flaps require a viable recipient vessel suitable for microvascular anastomosis. Split-thickness skin grafts applied to the plantar aspect of the foot are prone to persistent breakdown. Local flaps if available are useful for coverage of plantar soft tissue defects. However, when local flaps of the affected limb are compromised or extension is not sufficient for coverage, crossover leg and foot flaps become invaluable. The reported cases of crossover sural artery flaps are sparse. To the best of the authors' knowledge, the few reported cases of crossover leg and sural artery flaps were described to provide soft tissue coverage over the heel and leg. The authors report a case of a crossover reverse sural artery flap for soft tissue coverage to the plantar aspect of the forefoot after a high-energy-induced degloving injury.

Original languageEnglish (US)
Pages (from-to)114-119
Number of pages6
JournalInternational Journal of Lower Extremity Wounds
Issue number2
StatePublished - Jun 1 2007



  • Crossover flaps
  • Lower extremity trauma
  • Off-loading external fixation device
  • Soft tissue reconstruction

ASJC Scopus subject areas

  • Surgery

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