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.
1. Riess J. Verletzung endurch Fahrrad speichen. Klin Med. 1948;3:797.
2. Ahmed M. Motorcycle spoke injury. British medical journal. 1978 Aug 5;2(6134):401.
3. Suri MP, Naik NR, Raibagkar SC, Mehta DR. Heel flap injuries in spoke wheel accidents. Injury. 2007 May 1;38(5):619-24.
4. Farooq HU, Ishtiaq R, Mehr S, Ayub S, Chaudhry UH, Ashraf A. Effectiveness of reverse sural artery flap in the management of wheel spoke injuries of the heel. Cureus. 2017 Jun;9(6).
5. Gupta HK, Shrestha R. Bicycle-spoke injuries of the foot and ankle: A prospective study. Journal of College of Medical Sciences-Nepal. 2013;9(4):36-9.
6. Korompilias A, Gkiatas I, Korompilia M, Kosmas D, Kostas-Agnantis I. Reverse sural artery flap: a reliable alternative for foot and ankle soft tissue reconstruction. European Journal of Orthopaedic Surgery & Traumatology. 2019 Feb 4;29(2):367-72.
7. Kim KJ, Ahn JT, Yoon KT, Lee JH. A comparison of fasciocutaneous and adipofascial methods in the reverse sural artery flap for treatment of diabetic infected lateral malleolar bursitis.Journal of Orthopaedic Surgery. 2019 Feb 18;27(1):2309499019828546. Saaiq M, Zimri FU. Reverse Flow Superficial Sural Artery Fasciocutaneous Flap: A Comparison of Outcome between Interpolated Flap Design versus Islanded Flap Design. World Journal of Plastic Surgery. 2019 Sep;8(3):316.
9. Crowe CS, Cho DY, Kneib CJ, Morrison SD, Friedrich JB, Keys KA. Strategies for reconstruction of the plantar surface of the foot: A systematic review of the literature.
Plastic and reconstructive surgery. 2019 Apr 1;143(4):1223-44.
10. Sankhala SS, Gupta SP. Spoke-wheel injuries. The Indian Journal of Pediatrics. 1987 Mar 1 ;54(2):251-6.
11. Segers MJ, Wink D, Clevers GJ. Bicyclespoke injuries: a prospective study. Injury. 1997 May 1;28(4):267-9. 80
All published material becomes the sole property of the Pakistan Journal of Plastic Surgery, copyrighted by the Pakistan Association of Plastic Surgeons (PAPS). By submitting an article or brief communication, all authors agree to these conditions.
During the submission process, all authors have required to complete a copyright transfer agreement, “Author Consent form” By completing the copyright transfer agreement, you are transferring copyright of figures, tables, videos, and the content of the manuscript to the Pakistan Association of Plastic Surgeons (PAPS).
If you do not wish to or cannot transfer copyright of some or all of your content, please contact the editorial office at pjpspakistan@gmail.com