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Original Articles - A Modified Technique for Harvesting the Reverse Sural Artery Flap From the Upper Part of the Leg: Inclusion of a Gastrocnemius Muscle "Cuff" Around the Sural Pedicle With Invited Discussion by Geoffrey G. Hallock, MD - Nine patients underwent successful reconstruction of foot defects using distally based sural artery flaps that incorporated a midline cuff of gastrocnemius muscle around the sural pedicle. In contrast, five of six similar flaps raised without the muscle cuff demonstrated significant vascular compromise./
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