Comparison of single-stage reverse sural artery flap versus two-staged interpolated flap in distal lower limb injuries

<p><strong>Background and Objective</strong>: Plastic surgeons face challenging conditions when dealing with soft tissue injuries or defects involving the lower part of leg proximal foot. The objective current study is to compare single-staged reverse sural artery flaps two-staged interpolated in distal limb injuries.</p>
 <p><strong>Methods</strong>: It was a prospective carried out at Department Surgery, Allama Iqbal Memorial Teaching Hospital, Sialkot, Pakistan, over 5 years from 2015 2020. Sixty-eight (n = 68) patients soft-tissue were enrolled randomly allotted two-stage flap design (group A) single-stage B). measured outcomes included frequency flap-tip necrosis, epidermolysis, partial total loss, additional procedures needed for managing these complications.</p>
 <p><strong>Results</strong>: Out all patients, 72% male gender 28% females mean age 38.38 ± 10.76 years. In group A, there 6% cases where tip necrosis only impediment as compared 17% B. epidermolysis seen 12% 35% B whereas A required secondary (47%). Paired t-test used calculate statistical significance outcome between two groups (p-value 0.0491).</p>
 <p><strong>Conclusion</strong>: procedure results fewer complications procedure. However, shorter hospital stay satisfying who did not report any this procedure.</p>