Distally based perforator sural flaps for foot and ankle reconstruction

Figure 1 Two rows of perforators are distributed in the posterior lower leg sural region, originating from the peroneal artery (1, 2, and 3) in the posterolateral aspect and the posterior tibial artery (4, 5, and 6) in the posteromedial aspect, respectively. Note the lateral peroneal artery perforators are developed more robust than that of the medial posterior tibial artery.