DOI: 10.36347/sjmcr.2020.v08i01.008

Pages: 25-30

Introduction: The reconstruction of defects in the foot and ankle is a real challenge for plastic surgeons. Material and methods: A retrospective study of a series made up of 18 patients who benefited, in the plastic surgery department of the Mohamed V Military Hospital in Rabat, from January 2015 to December 31, 2018, of a reconstruction of ankle skin substance loss and of the neck of the foot by a sural neurocutaneous flap with distal pedicle, using a fascio-fatty strip containing the pedicle more than 3cm. while specifying the inclusion and exclusion criteria. Results: We noticed, a male predominance. The average age is 41.6 years old. The coverage interested the internal malleolus in ten cases, the external malleolus in seven cases, and the instep for 3 patients. Ten out of eighteen patients benefited from an intervention in two surgical times, covering the skin defect by the flap with a large pedicle and skin graft of the donor area secondarily. Minimal and manageable complications were noticed. Discussion: Anatomical reminder and the details of our technique, it is a reliable means for covering defects in the instep and ankle, a comparison was made with other plastic surgery procedures. Advantages and disadvantages of our technique; all stressing the need to take a pedicle wide more than three centimeters. Conclusion: A technique of choice for covering losses of substance in the ankle and the instep. The aim of this study was to report our experience and to assess the reliability of this flap by taking a large pedicle.