Dual sural flaps for bilateral foot degloving injuries: A case report

Bilateral degloving injuries of the feet are rare and challenging to reconstruct due to the extent of tissue loss and extensive exposed surface area. This case study describes the successful treatment of a 58-year-old male with bilateral foot degloving injuries using staged reconstruction with reverse sural artery flaps and split-thickness skin grafting. The surgical approach included vacuum-assisted closure therapy followed by large reverse sural artery flap harvests to restore plantar surfaces, complemented by split-thickness skin grafts for dorsal defects. Both flaps achieved full viability without complications, and the patient regained functional mobility after 12 months of rehabilitation. This report aimed to highlight the effectiveness of reverse sural artery flaps as a reliable alternative to free flaps in high-risk cases. It underscores the simplicity of this technique in achieving successful complex foot reconstruction while delivering favorable functional and esthetic outcomes.