Medial sural artery perforator flap in reconstruction of soft tissue defect in upper and lower extremities: a clinical study

ABSTRACT Background: The quality of soft tissue reconstruction in upper and lower extremities caused by trauma, infection, burns, and tumor resection affects the patient function and esthetic outcome. Many flaps have been described in the literature to reconstruct such defects. Medial sural artery perforator flap is one of the options for reconstruction of upper and lower extremities. Patients and methods: Starting from July 2019 through August 2020, 20 pedicled and free MSAP flaps were used for reconstruction of upper and lower limbs soft tissue defects. Results: total flap loss occurred in two cases, partial flap loss occurred in two cases and the flap was abandoned in two cases. Otherwise, all flaps survived well. Conclusion: MSAP flap is an excellent option in the reconstruction of soft tissue defects in upper and lower extremities.