Lateral Femoral Condyle Flap: An Alternative Source of Vascularized Bone From the Distal Femur

Wong, Victor W.; Bürger, Heinz; Iorio, Matthew L.; Higgins, James P.

doi:10.1016/j.jhsa.2015.06.106

Cited by 36 publications

(38 citation statements)

References 16 publications

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“…With our anatomical study, we could show that the superior lateral genicular artery was present 36 However, this anatomical study did not describe the branching vessels to the iliotibial band. In addition, the average pedicle length in our study was 38 mm, confirming that the lateral femoral condyle can easily be used for microsurgical and reconstructive purposes when no long pedicles are needed (Table 1).…”

Section: Discussionmentioning

confidence: 74%

Anatomy of the Vascularized Lateral Femoral Condyle Flap

Parvizi

Vasilyeva

Wurzer

et al. 2016

Plastic &Amp; Reconstructive Surgery

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Section: Discussionmentioning

confidence: 74%

Anatomy of the Vascularized Lateral Femoral Condyle Flap

Parvizi

Vasilyeva

Wurzer

et al. 2016

Plastic &Amp; Reconstructive Surgery

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“…The SLGA originates from the popliteal artery at an average distance of 2.8–7.0 cm proximal to the knee joint line (Walton & Bunkis, ; Hayashi & Maruyama, ; Wong et al. ; Morsy et al. ) or 4 cm proximal to the lateral condyle, usually a few millimeters below the origin of the SMGA (Hayashi & Maruyama, ; Kirschner et al.…”

Section: Discussionmentioning

confidence: 99%

“…These branches of the articular network of the knee are already widely used for reconstructive procedures: (i) as cutaneous flaps with the SLGA as source vessel (Laitung, 1989;Hayashi & Maruyama, 1990a;Spokevicius & Jankauskas, 1995;Taniguchi et al 2009); (ii) as pure corticoperiosteal flaps (Hertel & Masquelet, 1989) or with additional skin flaps. In these procedures, the source vessel is either the DGA (Guan et al 1985;Martin et al 1991;Sakai et al 1991;Kobayashi et al 1994;Doi et al 2000;Muramatsu et al 2003;Fuchs et al 2005;Bakri et al 2008;Cavadas & Landin, 2008;Gaggl et al 2008;Jones et al 2008Jones et al , 2010Kalicke et al 2008;Doi & Hattori, 2009;Dubois et al 2010;Pelzer et al 2010;Kakar et al 2011;Rahmanian-Schwarz et al 2011;Iorio et al 2012;Higgins & Burger, 2014;Kazmers et al 2017;Tremp et al 2017) or the SLGA (Higgins & Burger, 2014;Wong et al 2015;Morsy et al 2018).…”

Section: Introductionmentioning

confidence: 99%

“…A similar challenge arises when looking at information of the SLGA. Information on the morphology of the artery may be frequently found (Walton & Bunkis, 1984;Hayashi & Maruyama, 1990b;Kirschner et al 1998;Wong et al 2015;Morsy et al 2018). Also the supplied profound structures and the location of the respective skin areas were described (Laitung, 1989;Hayashi & Maruyama, 1990b;Zhang, 1990;Pan et al 2004;Fathi et al 2008;Pan & Taylor, 2009;Nguyen et al 2011;Boonrod et al 2016;Parvizi et al 2016;Morsy et al 2018), but data on the respective size of the perforator angiosomes are hitherto lacking.…”

Section: Introductionmentioning

confidence: 99%

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Vascular coverage of the anterior knee region – an anatomical study

2019

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Descriptions of vessel angiosomes or perforasomes throughout the human body are quite frequent, and led to the development of flaps nowadays commonly used to surgically cover skin and soft tissue defects. In these procedures, the surgeon requires a profound anatomical knowledge of the respective blood vessels and the extent of the perfused area to define the size of the graft. In the region of the knee joint, descriptions of flaps based on the superior lateral genicular artery and descending genicular artery are quite frequent. In contrast, information regarding other popliteal branches is scarce or non‐existent. The aim of this study was to provide a concise and complete overview on the extent and variability of the perforator angiosomes of the femoral and popliteal arteries in the anterior knee region. Twenty lower extremities were dissected, the respective perforators identified and perfused with dye. All resulting angiosomes were marked and documented. A total of 84 angiosomes were identified in all specimens, with an average of 4.2 (3–6) angiosomes per specimen. The average size of the angiosomes was 97.04 ± 72.30 cm 2 (8.61–360.41 cm 2 ), their source vessels had an average diameter of 1.42 ± 0.54 mm (0.60–3.25 mm). The complex and highly variable distribution of perforator angiosomes of the anterior knee region and especially of its less frequently investigated distal part was demonstrated. Based on these results, the planning of existing perforator flaps in this region and the development of flaps including the inferior medial or inferior lateral genicular arteries may be facilitated.

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“…The SLGA is the main branch of the vascular system of the lateral femoral condyle. Wong, Buerger, Iorio, and Higgins () investigated for the first time the vascular anatomy of the SLGA, focusing on the branches for the lateral condyle. Parvizi et al () described a branch for the ILTB originating from the superficial patellar branch of the SLGA and presented the first case of reconstruction of Achilles tendon with a vascularized ILTB flap.…”

Section: Discussionmentioning

confidence: 99%

The fasciocutaneous iliotibial band perforator flap in soft tissue and tendon reconstruction of the foot: A case report

et al. 2019

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In cases of large defects of the limbs, post‐traumatic deformity and disability can have devastating effects on patients' quality of life. The purpose of this report is to describe the technique for raising a fasciocutaneous iliotibial perforator flap and present its application in the reconstruction of a complex soft tissue defect of the foot. The patient was a 13‐year‐old male who had suffered a crush injury to the foot in a motor vehicle accident 5 years earlier. Due to retraction of the skin, together with the extensor tendons of the digits, the patient could not flex the digits II, III, IV, and V. To reconstruct the defect, the authors harvested a fasciocutaneous flap based on a perforator branch of the superior lateral genicular artery and accompanying veins. The immediate postoperative course was uneventful, with progressive and complete recovery of power and range of motion in the foot and knee within 6 weeks. Despite the tendency to form hypertrophic scars again, the functionality of the operated foot was excellent 29 months after the reconstruction. According to the American Orthopedic Foot and Ankle Society scale, the patient scored 100 points on the midfoot section and 93 points on the section forefoot rays two to five. The iliotibial perforator flap could be a new tool for a state‐of‐the‐art functional reconstruction of soft tissues defects of the limbs and head and neck.

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Lateral Femoral Condyle Flap: An Alternative Source of Vascularized Bone From the Distal Femur

Cited by 36 publications

References 16 publications

Anatomy of the Vascularized Lateral Femoral Condyle Flap

Anatomy of the Vascularized Lateral Femoral Condyle Flap

Vascular coverage of the anterior knee region – an anatomical study

The fasciocutaneous iliotibial band perforator flap in soft tissue and tendon reconstruction of the foot: A case report

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