en تخصصي Special مقالات اصيل Original Article <span style="font-size:12pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Background</span></b><span new="" roman="" style="font-family:" times="">: A reverse sural flap is an available surgical technique because it provides robust axial blood circulation to flaps with a substantially larger surface area. We aimed to assess Ilizarov frames outcome after reverse sural flaps among patients with traumatic injuries to the distal portion of the leg. </span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span calibri="" style="font-family:"><span style="font-family:"Times New Roman",serif" lang="EN-GB"></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="tab-stops:11.0pt 36.0pt"><span style="text-autospace:none"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods: </span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">Patients with traumatic distal injury of leg in Shoha-e Tajrish Hospital in 2022-2021 were recruited and treated with reverse sural flaps. Interventional group was followed by Ilizarov frames application (group A). For the second group, just conventional dressings and proper positioning were done after surgery (group B).&nbsp; Between the two groups, the duration of surgery, the degree of flap swelling, the time from surgery to discharge and flap failure, surgical site infection, deep vein thrombosis (DVT), and other complications were compared using SPSS 25 software. </span></span><b><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="tab-stops:11.0pt 36.0pt"><span style="text-autospace:none"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results<span style="color:black">: </span></span></b><span new="" roman="" style="font-family:" times="">Of 26 recruited patients, twenty consented to participate in this study. The average time from initial injury to reconstruction surgery, the mean duration of surgery, the mean time from surgery to discharge<b> </b></span><span new="" roman="" style="font-family:" times="">and </span><span new="" roman="" style="font-family:" times="">the degree of swelling of the flap was compared between these two groups. The results showed better outcome in Ilizarov group, but the flap swelling grade was the only statistically significant factor between groups (<i>P</i> value= 0.03).</span><b><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="tab-stops:11.0pt 36.0pt"><span style="text-autospace:none"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusions:&nbsp; </span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">The use of &quot;offloading Ilizarov frames&quot; to protect reverse sural flaps resulted in a considerable reduction in the flap swelling. It is a safe, quick, easy, and effective technique. </span></span></span></span></span></span></span><br> &nbsp; Ilizarov technique, Surgical flaps, Free Tissue Flaps, Lower Extremity 38 46 http://wjps.ir/browse.php?a_code=A-10-801-2&slc_lang=en&sid=1 Meisam Jafari Kafiabadi 100319475328460013462 100319475328460013462 No Department of Orthopedics Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Farsad Biglari 100319475328460013463 100319475328460013463 No Department of Orthopedics Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mehrdad Sadighi 100319475328460013464 100319475328460013464 No Department of Orthopedics Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Amir Sabaghzadeh 100319475328460013465 100319475328460013465 Yes Department of Orthopedics Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Adel Ebrahimpour 100319475328460013466 100319475328460013466 No Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran