Anatomical study of the cutaneous perforator arteries and vascularisation of the biceps femoris muscle

Salvador-Sanz, J.F.; Torres, Ashley Novo; Calpena, F. Terol; Sanz-Giménez-Rico, Juan R.; Lopez, S. Carnero; Barraquer, Elena

doi:10.1016/j.bjps.2005.05.015

Cited by 6 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Salvador-Sanz et al selected only perforators from the biceps femoris muscle with a diameter greater than 0.5 mm. 10 The majority of musculocutaneous perforators was found to pierce the adductor magnus muscles followed, in decreasing numbers, by the gracilis muscle and the biceps femoris muscle. These findings are in accordance with preliminary studies which were focused on subunits of the PTR.…”

Section: Discussionmentioning

confidence: 98%

“…Very few other studies define this criterion. Salvador‐Sanz et al selected only perforators from the biceps femoris muscle with a diameter greater than 0.5 mm …”

Section: Discussionmentioning

confidence: 99%

“…Most literature focuses on predetermined subunits of the PTR. [8][9][10][11][12][13] Our objective was to localize and classify the complete cutaneous vascularization of the PTR as a whole unit.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are in accordance with preliminary studies which were focused on subunits of the PTR. [8][9][10][11][12][13][23][24][25][26] Recently the PTR has become a donor site for autologous breast reconstructions. Allen et al, 27 described successful breast reconstructions using profunda artery perforator flaps in patients in whom an abdominal flap was not possible because of earlier abdominal surgery and/or inadequate abdominal tissue.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Posterior thigh perforator flaps: An anatomical study to localize and classify posterior thigh perforators

et al. 2013

View full text Add to dashboard Cite

In the last decade perforator flaps have been used increasingly for different indications. Many regions may serve as donor site. In this respect the posterior thigh region (PTR) has been neglected as a potential donor site for many years. The purpose of this study was to provide complete mapping of perforators supplying the posterior thigh region. Twelve fresh cadaver thighs were prepared injecting diluted acrylic paint into the iliac artery. Thereafter the posterior thighs were dissected from medial to lateral, distinguishing the perforators at the level of the superficial fascia. The perforators were localized and origin, source, length and diameter of the perforators were documented. Analysis occurred using ANOVA and the two proportion Z test. The distribution of musculocutaneous and septocutaneous perforators was respectively 69.1% and 30.9% (P = 0.002). The PTR was divided in thirds. Most perforators (53.2%) were found in de middle third of the PTR. The deep femoral artery (DFA) was the main origin of perforators (61.7%), followed by the superficial femoral artery (SFA) (27.7%) and the popliteal artery (PA) (10.6%). The DFA perforators were the longest with a mean length of 13.7 ± 4,69 cm, the SFA perforators were 9.79 ± 3.76 cm and the PA perforators were 8.6 ± 3.37 cm. The PTR offers a sufficient number of suitable perforators to serve as an adequate donorsite for pedicled and free flaps.

show abstract

Section: Discussionmentioning

confidence: 98%

“…Very few other studies define this criterion. Salvador‐Sanz et al selected only perforators from the biceps femoris muscle with a diameter greater than 0.5 mm …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Posterior thigh perforator flaps: An anatomical study to localize and classify posterior thigh perforators

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The fourth perforator is described as the least constant in its cutaneous supply and is considered the terminal branch of the profunda femoris artery. [5][6][7] Much like the other three perforators, it can course as a septocutaneous perforator through the lateral intermuscular septum or as a musculocutaneous perforator.…”

Section: Anatomymentioning

confidence: 99%

The Profunda Femoris Artery “Fourth Perforator” Island Flap: A New Perforator Flap in Lower-Limb Reconstruction

Rozen¹,

Donahoe²,

Wilson³

2011

J reconstr Microsurg

View full text Add to dashboard Cite

Although the lateral thigh flap has been well described as a fasciocutaneous flap based on one or more of the four perforators of the profunda femoris artery, the role for these individual perforators as perforator flaps has not been described. These profunda femoris artery perforators offer a particularly useful option in lower-limb reconstruction. In fact, a perforator flap based on the profunda femoris artery fourth perforator (PFA-P4) has not been described to our knowledge. We describe the utility of the PFA-P4 flap, offering modes of preoperative imaging and a role for its use in lower-limb reconstruction. Computed tomographic angiography (CTA) was able to identify the location and course of a PFA-P4, and Doppler ultrasound confirmed the CTA findings. A FA-P4 flap was designed and harvested, with direct closure of the donor site achieved. There were no operative complications. Perforator flaps based on the perforating branches of the profunda femoris artery have not been widely described, largely due to individual variability in perforator anatomy. With the advent of CTA for perforator mapping, the "freestyle" nature of such flaps is eliminated, and perforator flaps such as the PFA-P4 flap can be planned and harvested safely and confidently.

show abstract

Long-Term Outcomes of Digital Nerve Repair Accompanied by Digital Artery Injury in Flexor Zone 2

Yıldıran

Sütçü

Akdağ

et al. 2019

Surg J

View full text Add to dashboard Cite

Objectives Better healing results of any tissue or area is closely linked with a well-blood supply in reconstructive surgery. Peripheric nerve healing is closely related to blood supply as well. We aimed to assess whether there was any difference between digital nerve healing with and without extrinsic blood supply. Methods We assessed 48 patients with unilateral digital nerve injury at zone 2. Twenty-four of them had unrepairable arterial injury and other 24 had no arterial injury. The 24 patients in the “unrepaired artery group” (UA) and 24 patients in the “intact artery group” (IA) were compared. Results Mean follow-up time was 17.7 months. The mean two-point discrimination (2PD) was 5.29 mm in IA group and 5.37 mm in UA group. One neuroma in IA group and two neuromas in UA group were determined. We found no statistically significant difference between these groups in terms of neuroma, 2PD, and cold intolerance. The results of British Medical Research Council sensory recovery clinical scale were comparable for these two groups. Conclusion Digital nerve healing is related to numerous factors. We hypothesized that blood flow may be one of these factors; however, at this zone digital artery repair is not the foremost determinant for digital nerve healing. Further researches should be done for upper injury levels. Despite this result, we argue not to leave the digital artery without repairment and we propose to repair both artery and nerve to achieve the normal anatomical integrity and to warrant finger blood flow in possible future injuries.

show abstract

Anatomical study of the cutaneous perforator arteries and vascularisation of the biceps femoris muscle

Cited by 6 publications

References 22 publications

Posterior thigh perforator flaps: An anatomical study to localize and classify posterior thigh perforators

Posterior thigh perforator flaps: An anatomical study to localize and classify posterior thigh perforators

The Profunda Femoris Artery “Fourth Perforator” Island Flap: A New Perforator Flap in Lower-Limb Reconstruction

Long-Term Outcomes of Digital Nerve Repair Accompanied by Digital Artery Injury in Flexor Zone 2

Contact Info

Product

Resources

About