The distally based sural neurofasciocutaneous
flap is based on the vascular contribution furnished by
the arterial network that accompanies the sural nerve and
on its neurocutaneous perforating branches. This flap
provides a solution that can be effectively used for various
reconstructions in the distal third of the lower
extremity, thus offering a valid alternative to solutions
involving microsurgical repair. The main advantages of
this flap are the need for a single operation, limited
donor area morbidity, and the structural characteristics
of the soft tissue of the flap, which makes it ideal for
covering defects in this region. The authors present their
clinical experience using this technique.
