The anatomy of the sural artery has been adequately described, but its appl
ications are constantly evolving. Based on pre-existing anatomical studies,
an axial bilobed flap based on the median and medial superficial sural art
eries was developed and used in one patient for the reconstruction of a con
tracture of the popliteal area. The main advantages of this flap are that t
he donor site is closed primarily, it provides an adequate amount of health
y and pliable skin with an excellent blood supply and no chance of contract
ion, and it is an easy technique.