Fig. 1From: Distally based sural fasciomusculocutaneous flap for treatment of wounds of the distal third of the leg and ankle with exposed internal hardwareThe skin of the cutaneous island is incised to the depth of the muscular fascia, except at the edge above the pedicle where the incision must be extended in depth to the superficial subcutaneous layer. The muscular fascia is then anchored with absorbable stitches to the dermis. The muscular fascia is then raised toward the middle line from both sides. At 2 cm from the gastrocnemius groove, a full-thickness muscular incision is performed parallel to the gastrocnemius groove. The incision ends at the soleus fascia and conserves it. Finally, a cutaneous broken-line incision along the axis of the nerve is made. Cutaneous flaps are lifted, and the sural nerve lies in subcutaneous tissues that are exposedBack to article page