Skin vascularisation field by the ascending branch of the peroneal artery ramus perforans

Gacević, Milomir; Milisavljevic, Мilan; Novakovic, Marijan; Vojvodić, Danilo; Milosavljević, Ivica; Jović, Mihajlo D.; Đorđević, Biljana; Borovic, Zarko; Ostojic, N.; Lalkovic, Mikica; Milićević, Saša

doi:10.2298/vsp1107575g

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Lower leg reconstruction often requires the use of local perforator flaps, based on either the tibialis posterior artery [15][16][17][18] or the peroneal artery [8,[19][20][21][22][23][24]. Propeller and advancement flaps for reconstruction of the lower extremity are the most widely used local flaps in the leg, and often constitute the final reconstructive option before a distant free flap is required [2,25].…”

Section: Discussionmentioning

confidence: 99%

The suprafascial course of lower leg perforators: An anatomical study

Vaienti

Cottone²,

Francesco

et al. 2020

Arch Plast Surg

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Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective in vivo anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design. Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported. Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them. Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.

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Section: Discussionmentioning

confidence: 99%

The suprafascial course of lower leg perforators: An anatomical study

Vaienti

Cottone²,

Francesco

et al. 2020

Arch Plast Surg

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“…Venous congestion is considered to be an accompanying postoperative phenomenon by many authors [18][19][20] . On one side, they bypass the adjacent valves of the large superficial veins, and on the other side, they anastamose with the perforator concomitant veins through which the definite drainage is carried out.…”

Section: Discussionmentioning

confidence: 99%

Clinical aspects of reconstruction of the lower third of the leg with fasciocutaneous flap based on peroneal artery perforators

Terzić

Djordjevic

2014

VOJNOSANIT PREGL

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Clinical application of a. suralis superficialis mediani-based reverse flap is justified by a high percentage (95.50%) of preserved lobes. Functional recovery of Achilles tendon injuries treated with the fasciocutaneous flap appeared to be effective. The results obtained during the clinical investigation can be very helpful in using this flap more optimally and more often in a wide range of different reconstructive surgical procedures in the field of plastic surgery.

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Skin vascularisation field by the ascending branch of the peroneal artery ramus perforans

Abstract: Our results support the use of fasciocutaneous distal flap, vascularized by the ascending branch of the PARP for reconstruction of soft tissue defects in the distal third of the lower limb, malleolar regions and dorsum.

Cited by 2 publications

References 18 publications

The suprafascial course of lower leg perforators: An anatomical study

The suprafascial course of lower leg perforators: An anatomical study

Clinical aspects of reconstruction of the lower third of the leg with fasciocutaneous flap based on peroneal artery perforators

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