Dr. Aaqil Shah, Dr. Rida Shahid
Spoke wheel injury is frequently seen case and more than usual seen mismanaged. The general awareness regarding this injury and the depth of injury is lacking in most emergency care setup which leads to unnecessary delay and complication in management. We encounter spoke wheel injuries frequently and as faced by many plastic surgeons find its reconstruction difficult as no option is the best option. We recently did reconstruction of spoke wheel with reverse sural artery flap which is well known reasonably reliable option but with a variation; converting it to adipofascial variant we believe improves aesthetics, decrease its bulkiness and better patient satisfaction.