Reverse Sural Flap Venous Congestion Successfully Managed With Enoxaparin in a Male Patient With a Traumatic Foot Crush Injury: A Case Report

Cureus 2026 Open access

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Authors: Jonathan Velasco-Bustamante, Dagmar Velasco-Bustamante, Cecibel Bravo-Romero, Cesar Nacimba-Aman, Wilson Sebastian Peñafiel-Pallares
DOI: 10.7759/cureus.101926
Cited by: 0
References: 7

Abstract

The reverse sural flap is a commonly used surgical option for soft-tissue defects of the distal leg, ankle, and heel in hospitals where microsurgical capabilities are limited. However, one of its most frequent complications is venous congestion, which can lead to partial or total flap necrosis if not promptly addressed. We present the case of a patient with a traumatic crush injury of the right ankle, reconstructed with a reverse-flow sural flap that subsequently developed venous congestion in the immediate postoperative period (

Fields of Study & Subjects

Reconstructive Surgery and Microvascular Techniques Vascular Procedures and Complications Muscle and Compartmental Disorders

Publication details

Journal / source
Cureus
Volume
18
Issue
1
Pages
e101926–e101926
Publication date
20 January 2026
Language
EN