Reverse neurofasciocutaneous flaps for soft-tissue coverage of the lower leg.

The evolution of neurocutaneous flaps has created a new concept in reconstructive surgery. These flaps, based on the arterial network around the superficial sensory nerves, are gaining popularity in soft-tissue coverage. Various flaps can be planned based on the neurocutaneous perforators. These kinds of flaps are available for extremity reconstruction. In the lower leg, reverse neurocutaneous flaps have been used successfully. Although these flaps in the lower leg are called neurocutaneous, they have been elevated with the underlying fascia like fasciocutaneous flaps, and thus the authors call these flaps neurofasciocutaneous flaps. They have used 11 reverse neurofasciocutaneous flaps (6 saphenous and 5 sural) since 1995. All flaps survived completely, and stable coverage of soft-tissue defects of the lower leg was achieved in all patients.