INTRODUCTION: Coverage of soft-tissue defects in the lower limb is a common procedure due to the increased incidence of complex and high velocity traumatic injuries of lower limb. Donski and Fogdestam described a fasciocutaneous flap divided from the sural region. This was a basis for the reverse sural artery flaps (RSA). Many case series and case reports have been published about the procedure but practically doing it is not common procedure for orthopaedecians.This study was done to assess the outcome and complications faced by orthopedicians while doing reverse sural artery fasciocutaneous flaps without the help of expert hands.