Cutaneous Angiosome Territory of the Medial Femoral Condyle Osteocutaneous Flap

Descending genicular artery free flaps: Multi-purpose tissue transfers in limb reconstruction

“…2 In 50% of one cadaveric study, the SA does not originate from the DGA and it arises directly from the superficial femoral artery, 5 which may impede composite flap elevation. 14,17 For the cutaneous portion, most series use only the SAP and may not recognize the option of using the other skin perforators of the DGA. The uniqueness of our series is in the use of the DGAP and DGAP-vm in 15 of 16 cutaneous and osteocutaneous flaps.…”

“…The uniqueness of our series is in the use of the DGAP and DGAP-vm in 15 of 16 cutaneous and osteocutaneous flaps. Only three series 2,16,17 similarly reported the use of the distal cutaneous branches of DGA (DGAP) in composite flaps. For the direct cutaneous perforator (DGAP), arising from the distal third of DGA, easy and simple dissection was performed anterior to the adductor magnus tendon.…”

“…It should be noted, however, that the DGAP offers a skin flap above the medial knee, while the SAP typically supplies a larger skin area below the knee. 17 The DGAP-vm can also be used as another skin perforator, as intramuscular dissection of a perforator flap has been well established. In our experience, the DGAP-vm dissection is not difficult and can be carried out along a short distance of the vastus medialis muscle fibers ( Figure 1A).…”

Combination of microvascular medial femoral condyle and iliac crest flap for hemi-midface reconstruction

“…Here two possibilities for the blood supply exist. 8,9 Conventionally the saphenous artery and concomitant veins, also arising from the common pedicle of the descending genicular artery and vein, are used to supply the skin fat part of the flap. If not more than 70 cm 2 of skin is needed, a perforator-based skin island can be used instead of the saphenous artery flap.…”

Retalho ósseo vascularizado do côndilo femoral medial: estudo anatômico

“…Martin et al 24 e, mais recentemente, Huang et al 28 , Iorio et al 29 e Zheng et al 18 , a partir de 2011, chamam atenção para a presença de artéria perfurante para a pele (Figura 8), oriunda do ramo osteoarticular da artéria genicular descendente, cuja existência não fora relatada previamente nas descrições clássicas 6,7,11,21 , que citam somente o ramo safeno como possível pedículo de retalho cutâneo. Esta artéria perfurante não guarda relação com o RS e, para os autores citados, é a opção mais conveniente para elevação …”