Free Medial Thigh Perforator-Based Flaps: New Definition of the Pedicle Vessels and Versatile Application

Free anteromedial thigh flap: Clinical application and review of literature

“…Koshima et al used the flap intraorally for reconstruction after tumor ablation. 14,15,19 Additionally, they combined 2 the AMT flap with a vascularized iliac bone graft in a few selected cases. Ao et al reported its use for reconstruction in the lower extremity.…”

“…Later, in 1996, Koshima et al redefined the vascular anatomy to the AMT flap. 19 They demonstrated that the principal perforators are large cutaneous arteries that are given off a muscular branch supplying the sartorius and gracilis muscle. This muscular branch arises directly from the femoral artery.…”

Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin

“…In the present study, both the CB and PB which were defined to appear in the apex of the femoral triangle and originating from the femoral artery were shown in all of the cases. They were emerged posterior to the sartorius muscle as previously presented [4,11]. Also, the CB of the femoral artery was measured as 0.5-1.2 mm in diameter and its origin was measured up to 1.5 mm [4].…”

“…The larger perforators were placed between 21 cm and 30 cm above the plane of the *Piercing point is the point where the CB of the pedicle pierces the fascia lata; PB -perforating branch of the medial thigh fasciocutaneous flap; CB -cutaneous branch of the medial thigh fasciocutaneous flap; IL -inguinal ligament; ASIS -anterior superior iliac spine; IEL -inter-epicondylar line; PT -pubic tubercle knee joint and then they were passing around the medial border of the sartorius muscle [4]. Koshima et al [11] also defined that the medial thigh flaps were based on the perforators originating from the femoral artery. In the present study, both the CB and PB which were defined to appear in the apex of the femoral triangle and originating from the femoral artery were shown in all of the cases.…”

Use of Perforator-Based Fasciocutaneous Flaps for Pressure Sore Reconstruction: Single-Perforator-Based Versus Multiple-Perforator-Based Flaps

“…Perforator flaps include pedicle perforator flaps, perforator-based flaps, perforator-plus flaps, and even free perforator flaps, which are used according to the type of reconstruction required [1][2][3][4][5][6][7]. Among these flaps, the pedicle perforator flaps and perforator-based flaps are important reconstructive options for general plastic surgeons.…”