Comparative Study of Reverse Flow Island Flaps in the Lower Extremities—Peroneal, Anterior Tibial, and Posterior Tibial Island Flaps in 25 Patients

Satoh, Kaneshige; Aoyama, R.; Onizuka, Takuya

doi:10.1097/00000637-199301000-00007

Cited by 19 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our data agree with those by Hwang et al 19 who concluded that most of the PTA perforators were located in the lower two thirds. Similarly, our findings are in accordance with those by Satoh et al, 21 who reported that most of PTA perforators were located in the middle third at an average of 12.5 cm from the medial malleolus, as well as with the results from Ozdemir et al, 11 who found that the perforating vessels located at the distal and over the distal zone are reliable in regard to their dimension.…”

Section: Discussionsupporting

confidence: 93%

Redefining Vascular Anatomy of Posterior Tibial Artery Perforators

Drimouras

Kostopoulos

Agiannidis

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 93%

Redefining Vascular Anatomy of Posterior Tibial Artery Perforators

Drimouras

Kostopoulos

Agiannidis

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…9,10 However, harvest of these flaps results in the sacrifice of a major artery. Therefore, other sources of vascular supply for the lower leg distally based fasciocutaneous flap were studied.…”

Section: Discussionmentioning

confidence: 99%

Modified distally based peroneal artery perforator flap for reconstruction of foot and ankle

Chang¹,

Zhang²,

Yu³

et al. 2004

Microsurgery

View full text Add to dashboard Cite

The distally based sural fasciocutaneous flap has been used widely for reconstruction of foot and ankle soft-tissue defects. Here we report on a series of cases of foot and ankle reconstruction with a modified distally based sural flap. The vascular pedicle of the flap includes an axial perforator branch of the peroneal artery and two concomitant veins. This modified distally based perforator flap, measuring around 17 x 6 cm to 30 x 10 cm in size, was transferred for coverage of foot and ankle soft-tissue defects in 7 cases. All flaps survived completely. Neither arterial ischemia nor venous congestion was noted. As compared to other distally based sural flaps with neuro-veno-adipo-fascial pedicles, this modified sural flap with a thin perforator pedicle is easily rotated. The flap can obtain abundant blood supply through both axial perforator and longitudinal chain-linked vascular plexuses, and does not have the venous reflow problem. In conclusion, the invention of this perforator fasciocutaneous flap provides a valuable tool for repair of foot and ankle soft-tissue defects.

show abstract

“…Venous drainage of the FHL is reliable, with problems due to venous congestion being rare. 13 We found that the optimal approach to the FHL was prone, with dissection through the posterior and lateral compartments of the leg. The lateral approach should be familiar to most microsurgeons, as it is commonly used when harvesting the free fibula flap.…”

Section: Discussionmentioning

confidence: 91%

The Proximally Based Peroneal Vascular Bundle

Sailon¹,

Reformat²,

Hecht³

et al. 2009

Annals of Plastic Surgery

View full text Add to dashboard Cite

Large, traumatic wounds around the proximal third of the lower extremity may have disrupted local vasculature, potentially obviating local pedicled options. However, free-tissue transfer to this area is technically challenging given the resulting paucity of recipient options and the depth of principal blood vessels. We present an anatomic and radiographic study of the proximally based peroneal vascular bundle as a recipient option in the proximal leg. Optimal approach was prone, through an incision over the fibula with dissection between lateral and posterior compartments. Magnetic resonance angiography demonstrated consistent vascular anatomy between patients. A proximally based peroneal vascular bundle protected by a cuff of flexor hallucis longus was used as a recipient vessel in free flap reconstruction of an open knee wound. The bundle itself does not require coverage by virtue of its own local muscle cuff. Caveats for its use include the need for adequate leg inflow and foot outflow.

show abstract

Comparative Study of Reverse Flow Island Flaps in the Lower Extremities—Peroneal, Anterior Tibial, and Posterior Tibial Island Flaps in 25 Patients

Cited by 19 publications

References 0 publications

Redefining Vascular Anatomy of Posterior Tibial Artery Perforators

Redefining Vascular Anatomy of Posterior Tibial Artery Perforators

Modified distally based peroneal artery perforator flap for reconstruction of foot and ankle

The Proximally Based Peroneal Vascular Bundle

Contact Info

Product

Resources

About