Abstract:Objective To evaluate the application of expanded reverse sural neurocutaneous flap in the reconstruction of foot and ankle soft-tissue defects,and to discuss the survival factors and operation methods.Methed Fifteen cases of foot and ankle soft-tissue defects were treated with expanded reverse sural neurocutaneous flap.The flap area ranged from 20 cm×15 cm to 26 cm×20 cm.Results All soft-tissue defects were successfully covered with flaps.The distal marginal necrosis occurred in 1 flap,but was healed by changing dressing.After 3 to 24 months of follow-up,flaps survived well.Conclusion Expanded reverse sural neurocutaneous flap is reliable in the reconstruction of foot and ankle soft-tissue defects.