Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group.

Publication ,  Journal Article
Baumeister, SP; Spierer, R; Erdmann, D; Sweis, R; Levin, LS; Germann, GK
Published in: Plast Reconstr Surg
July 2003

The popularity of the sural artery flap has increased markedly throughout the years, and favorable results are reported almost uniformly. Previous publications have mainly presented results of small groups and of predominantly younger patients with posttraumatic defects, or they have reported technical modifications of the sural artery flap. The authors have increasingly used the reversed sural artery flap in a high-risk, critically multimorbid, and older patient population, and in contrast to the results of other authors, a considerable necrosis rate of 36 percent was seen. For the first time, a detailed, critical, retrospective complication analysis of 70 sural artery flaps is presented. The results reveal the following risk factors, which can potentially impair successful defect coverage and thus contribute to flap complications: concomitant diseases, particularly diabetes mellitus; peripheral arterial disease or venous insufficiency, which increase the risk of flap necrosis five-fold to six-fold; and patient age of over 40 years, because of an increased rate of comorbidity, underlying osteomyelitis, and the use of a tight subcutaneous tunnel. However, age alone did not seem to represent a risk factor by itself. Given the results of the analysis, the operative procedure was altered, as follows. In cases in which a lesser saphenous vein cannot be found, a delay procedure is recommended, or the flap is not utilized. In addition, an external fixation device seems to facilitate postoperative care markedly without adding specific complications; it is recommended in most patients. This analysis emphasizes specific risk factors that result in higher complication rates of the sural artery flap, and it leads to more realistic and appropriate expectations for this flap.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

July 2003

Volume

112

Issue

1

Start / End Page

129 / 140

Location

United States

Related Subject Headings

  • Venous Insufficiency
  • Vascular Diseases
  • Surgical Flaps
  • Surgery
  • Salvage Therapy
  • Risk Factors
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Peripheral Vascular Diseases
  • Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Baumeister, S. P., Spierer, R., Erdmann, D., Sweis, R., Levin, L. S., & Germann, G. K. (2003). A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group. Plast Reconstr Surg, 112(1), 129–140. https://doi.org/10.1097/01.PRS.0000066167.68966.66
Baumeister, Steffen P., Roberto Spierer, Detlev Erdmann, Ranja Sweis, L Scott Levin, and Guenter K. Germann. “A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group.Plast Reconstr Surg 112, no. 1 (July 2003): 129–40. https://doi.org/10.1097/01.PRS.0000066167.68966.66.
Baumeister SP, Spierer R, Erdmann D, Sweis R, Levin LS, Germann GK. A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group. Plast Reconstr Surg. 2003 Jul;112(1):129–40.
Baumeister, Steffen P., et al. “A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group.Plast Reconstr Surg, vol. 112, no. 1, July 2003, pp. 129–40. Pubmed, doi:10.1097/01.PRS.0000066167.68966.66.
Baumeister SP, Spierer R, Erdmann D, Sweis R, Levin LS, Germann GK. A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group. Plast Reconstr Surg. 2003 Jul;112(1):129–140.

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

July 2003

Volume

112

Issue

1

Start / End Page

129 / 140

Location

United States

Related Subject Headings

  • Venous Insufficiency
  • Vascular Diseases
  • Surgical Flaps
  • Surgery
  • Salvage Therapy
  • Risk Factors
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Peripheral Vascular Diseases
  • Neoplasms