Microsurgical Anatomy of the Lateral Skin Flap of the Leg

Chen, Yao-Liang; Zheng, Bao-Guo; Zhu, Jun; Zheng, Bing-Xue; Gu, Yudong; Wu, Min-Ming; Li, Hongru

doi:10.1097/00000637-198510000-00007

Cited by 54 publications

(41 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Tang et al (2001) reported that the average diameter of the peroneal artery at its origin was 2.04 mm. Chen et al (1985) has found this value as 3.7 mm, they have not been described the diameter of the nutrient artery. In our study we found the diameter of the nutrient artery of the fibula at its entrance point to the bone as 1.2 mm (range, 0.9-1.5 mm).…”

Section: Discussionmentioning

confidence: 93%

Variations of the nutrient artery of the fibula

Kocabıyık¹,

Yalçın²,

Ozan³

2006

Clinical Anatomy

View full text Add to dashboard Cite

In this study the authors aimed to show variations of the nutrient artery of the fibula, which is important for more effective vascularized fibular grafts. Thirty intact legs were examined to determine the number, location, and diameter of the nutrient arteries in the shaft. In 27 of these specimens (90%) there was single nutrient artery; two legs (6.6%) had double nutrient artery. In one leg (3.3%) no nutrient artery was observed. The number of nutrient arteries found on each of the surfaces was summarized as follows. Most of the nutrient arteries pierced the fibula at its medial crest, while only one entered from the posterior surface. Most nutrient arteries were near the middle third of the fibula. The most frequent diameter of the nutrient artery was 0.9-1.5 mm. The authors think that their results about the variations of the nutrient artery supplying the fibula will contribute to the clinical and vascular anatomy knowledge.

show abstract

Section: Discussionmentioning

confidence: 93%

Variations of the nutrient artery of the fibula

Kocabıyık¹,

Yalçın²,

Ozan³

2006

Clinical Anatomy

View full text Add to dashboard Cite

show abstract

“…Chen et al found a range of 4–8 musculocutaneous perforators per leg . The largest musculocutaneous perforators were always located in the area 9–20 cm below the fibular head.…”

Section: Discussionmentioning

confidence: 99%

“…However, these studies lack comprehensive data on perforator characteristics (e.g., length, diameter, course, and vascular origin) or proper definition of the investigated region. Detailed anatomical data on cutaneous vascularization of the lateral lower leg as a well‐defined region are missing, in spite of their importance for reconstruction of complex defects of the distal leg . Thorough knowledge of the vascular anatomy of the lateral lower leg perforators provides valuable information for reliable planning and harvesting of perforator flaps.…”

mentioning

confidence: 99%

Lateral lower leg perforator flaps: An anatomical study to localize and classify lateral lower leg perforators

et al. 2014

View full text Add to dashboard Cite

Despite increasing use of lateral lower leg perforator flaps, comprehensive anatomical data are still lacking. The aim of this article was to comprehensively document the pattern of usable lateral lower leg perforators. Systematic mapping of 16 cadaver leg perforators in a well-defined area was performed to elucidate location, course, length, diameter, and origin. Overall, 197 perforators were found in 16 lateral lower legs. The mean number of perforators per leg with a diameter ≥ 0.3 mm was 13.4 ± 3.6. Most perforators were found in the distal third (39.0%), followed by the middle third (32.0%), and proximal third (29.0%). A musculocutaneous course was found in 26.9% of the perforators, whereas 73.1% revealed a septocutaneous course. Most septocutaneous perforators (50.0%) were found in the distal third and most musculocutaneous perforators (58.5%) in the proximal third (P < 0.001). The majority of perforators originated from the anterior tibial artery (53.0%), followed by the peroneal artery (41.6%), and the popliteal artery (5.1%). Popliteal artery perforators (1.64 mm) were significantly larger than anterior tibial artery (0.91 mm) and peroneal artery perforators (1.02 mm; P < 0.001). These results may facilitate tissue transfer around the lateral lower leg.

show abstract

“…However, incorporation of these muscles is not indicated if an osteocutaneous fibular graft is designed 20-30 cm distal from the fibular head. 44 …”

Section: Tips and Pearls Of Surgical Techniquementioning

confidence: 99%

Recent updates of surgical techniques and applications of free vascularized fibular graft in extremity and trunk reconstruction

Korompilias¹,

Paschos²,

Lykissas³

et al. 2011

Microsurgery

View full text Add to dashboard Cite

Successful free vascularized bone transfers have revolutionized the limb salvage and musculoskeletal reconstruction. The free vascularized fibula remains the mainstay in bone reconstruction combines the benefits of blood supply, biological potential, and callus formation with its unique biomechanical characteristics offering a supreme candidate for various dissolvable issues. Especially in conditions where there was lack of other applicable method and the free vascularized fibular graft was introduced as the only alternative. Extensive traumatic bone loss, tumor resection, femoral head osteonecrosis and congenital defects have been managed with exceptional results beyond expectations. The present manuscript updates several issues in application of free vascularized fibular graft in extremity and trunk reconstruction. It also highlights tips and pearls of surgical technique in some crucial steps of harvesting the vascularized fibular graft in order to offer a vascularized bone with safety and low donor site morbidity.

show abstract

Microsurgical Anatomy of the Lateral Skin Flap of the Leg

Cited by 54 publications

References 0 publications

Variations of the nutrient artery of the fibula

Variations of the nutrient artery of the fibula

Lateral lower leg perforator flaps: An anatomical study to localize and classify lateral lower leg perforators

Recent updates of surgical techniques and applications of free vascularized fibular graft in extremity and trunk reconstruction

Contact Info

Product

Resources

About