Modified Sural Flap vs Free Anterolateral Thigh Flap for Soft Tissue Reconstruction Around the Ankle: A Randomized Controlled Trial

The modified sural flap demonstrated superior efficiency with shorter operative times and higher patient satisfaction, whereas the free ALT flap provided better short-term sensory outcomes because of nerve micro-anastomosis capability. Both techniques achieved equivalent sensation recovery at 18 months, suggesting the modified sural flap may be preferable for most small to medium-sized defects foot and ankle defects.

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Publication Details

Journal
Foot & Ankle International
Published
2025-11-05
DOI
https://doi.org/10.1177/10711007251374651
Primary Topic
Reconstructive Surgery and Microvascular Techniques
Type
article
Field-Weighted Citation Impact
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article

Modified Sural Flap vs Free Anterolateral Thigh Flap for Soft Tissue Reconstruction Around the Ankle: A Randomized Controlled Trial

Ahmad Addosooki, Wael Salama, Hassan Hamdy Noaman, Yasser Osman Soroor et al.
Foot & Ankle International
Reconstructive Surgery and Microvascular Techniques
article

Modified Sural Flap vs Free Anterolateral Thigh Flap for Soft Tissue Reconstruction Around the Ankle: A Randomized Controlled Trial

Ahmad Addosooki, Wael Salama, Hassan Hamdy Noaman, Yasser Osman Soroor, Mohamed A Mohamed, Ahmed Gaber Mahmoud
article en

Abstract

The modified sural flap demonstrated superior efficiency with shorter operative times and higher patient satisfaction, whereas the free ALT flap provided better short-term sensory outcomes because of nerve micro-anastomosis capability. Both techniques achieved equivalent sensation recovery at 18 months, suggesting the modified sural flap may be preferable for most small to medium-sized defects foot and ankle defects.

Foot & Ankle InternationalVol. 46(12)
Sohag University (EG)
Openalex Percentile: Top 49%
Reconstructive Surgery and Microvascular Techniques
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