Delineation the anatomy of posterior tibial artery perforator flaps using human cadavers with a modified technique

Yu, Dazhi; Hou, Qiang; Liu, Antang; Tang, Hongqu; Fang, Guang-rong; Zhai, Xiaodong; Jiang, Hua; Cao, Xia

doi:10.1007/s00276-016-1671-4

Cited by 6 publications

(7 citation statements)

References 14 publications

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“…However, no practical significance could be made of the 1 mm difference in thickness, while a 5 cm longer pedicle length could lead to a practical change in application. The number of perforators in the FPRF group was 2.5±1, which is consistent with other reports ( 10 , 22 , 23 ). The perforators of the radial artery were both numerous and thin, as shown in Figure 1 , and thus, were neither counted nor measured.…”

Section: Discussionsupporting

confidence: 92%

Comparison between free posterior tibial flap and free radial forearm flap for head and neck reconstruction: an anatomical study and a retrospective comparative cohort study

Fang¹,

Huang²,

Zhang³

et al. 2022

Ann Transl Med

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Background: Both free posterior tibial flap (FPTF) and free radial forearm flap (FRFF) are commonly used for head and neck defects. They have many similarities in embryology, histology, and anatomy, but their advantages and disadvantages in head and neck repair have not been fully recognized. This study aimed to compare the cadaveric anatomy and clinical application of FPTF and FRFF for the reconstruction of head and neck defects after tumor resection.Methods: Anatomical dissection was performed on 10 fresh adult cadavers. The general characteristics of both flaps and the sites of recipients and donors were collected. A total of 31 and 25 patients underwent FPTF and FRFF construction, respectively. The patient medical records were assessed to obtain the clinical characteristics. Characteristics of the flap such as size, pedicle length, and clinical process data were collected and compared. The appearance, sensory disturbance, and effect on quality of life and daily activity were evaluated.Results: The posterior tibial artery was present and observed in all patients. The posterior vascular pedicle was longer than the radial artery. There was no difference between the diameters of arteries of FPTF and FRFF; however, the diameters of their veins differed. In terms of flap characteristics, FPTF was significantly larger and had a longer vascular pedicle than FRFF (40.68±11.07 vs. 53.77±29.02 cm 2 , P=0.03; 8.48±1.66 vs.

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Section: Discussionsupporting

confidence: 92%

Comparison between free posterior tibial flap and free radial forearm flap for head and neck reconstruction: an anatomical study and a retrospective comparative cohort study

Fang¹,

Huang²,

Zhang³

et al. 2022

Ann Transl Med

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“…Las ventajas del CPATP radican también en la estética, debido a la textura de la piel, el grosor y su color homogéneo al del sitio receptor, así se evitan interfases. 2,4,11,18 Se destaca su utilidad como colgajo de rescate ante un colgajo sural fallido, así como también cuando no es posible el uso de un colgajo sural a flujo invertido por compromiso del pedículo que lo alimenta, ya que puede estar comprometido en caso de un trauma del miembro inferior o ante abordajes previos sobre dicha zona.…”

Section: Resultsunclassified

Colgajo de perforante de la arteria tibial posterior. Serie de casos. [Posterior tibial artery perforator flap. Case series]

Cicco

Zamboni

Barla

et al. 2019

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: Los defectos de cobertura en la pierna son un problema difícil de solucionar debido a las características propias de la región anatómica. Por ello, se han desarrollado distintas estrategias de reconstrucción, y los colgajos de perforante fasciocutáneos son los que se utilizan con más frecuencia.Objetivos: Presentar la alternativa terapéutica, describir la técnica quirúrgica, los resultados y las complicaciones del colgajo de perforante de la arteria tibial posterior para el tratamiento de defectos de cobertura en la pierna.Materiales y Métodos: Se realizó una revisión retrospectiva de los pacientes tratados con colgajo fasciocutáneo en la pierna y operados en nuestro Centro. Se analizaron variables demográficas preoperatorias. Se describen la técnica quirúrgica y las indicaciones en cada paciente. Se analizaron variables posoperatorias, como las complicaciones y la supervivencia del colgajo.Resultados: Se incluyeron 12 hombres tratados con colgajo de perforante de la arteria tibial posterior.El promedio de edad en el momento de la cirugía fue de 52 años (rango 29-77). El seguimiento máximo fue de 55 meses y el mínimo, de 5 meses (promedio 18). Hubo dos colgajos con sufrimiento transitorio, una falla parcial y una falla total.Conclusiones:El colgajo de perforante de la arteria tibial posterior ha de ser considerado una opción válida en el tratamiento de heridas de pequeño y mediano tamaño de la pierna. Provee de tejido similar en grosor, textura y color en el sitio receptor con buenos resultados clínicos y estéticos. ABSTRACTIntroduction: Coverage defects in the leg are a challenge due to the particulars of the anatomy in said area, different reconstruction strategies have been developed, being the fasciocutaneous perforator flaps the most frequently used. The aim of this paperis to discuss the therapeutic alternative and to describe the surgical technique, the results and the complications of the posterior tibial artery perforator flap (PTAPF) to treat coverage defects.Materials and Methods: We performed a retrospective review of patients treated with a fasciocutaneous flap. We analyzed preoperative demographic variables. The surgical technique and the indications in each patient are described. Finally, the postoperative variables, such as complications and flap survival, were analyzed.Results: Twelve patients (all male) treated with PTAPF were included. The average age at the time of surgery was 52 years (range: 29-77 years). The maximum follow-up was 55 months, with a minimum of 5 months (average: 18 months). There were two flaps with transient congestion that reverted spontaneously: one partial failure and one total failure.Conclusions: PTAPF should be considered a viable option for the treatment of small- and medium-sized leg wounds, since they provide similar tissue thickness, texture and color on the recipient site, achieving good clinical and cosmetic results.

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“…The surgical time is short as it does not require microvascular anastomosis. The PTAPF advantages include the aesthetics, as the skin texture, its thickness and its pigmentation are homogeneous to the recipient site, so avoiding the interfaces [9,10,13,18].…”

Section: Discussionmentioning

confidence: 99%

Posterior Tibial Artery Perforator Flap Series of Cases

Carabelli

Cicco

Barla

et al. 2019

International Journal of Orthoplastic Surgery

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Coverage defects in the leg, are a difficult problem to confront due to the characteristics of the anatomical region. For this reason, different reconstruction strategies have been developed, being the fasciocutaneous perforator flaps the most frequently used. The aim of this manuscript is to present the therapeutic alternative, to describe the surgical technique, the results and the complications of the posterior tibial artery perforator flap (CPATP) for the treatment of coverage defects. We performed a retrospective review of patients treated with a fasciocutaneous flap at the level of the leg operated at our center. We analyzed preoperative demographic variables. The surgical technique and the indications in each patient are described. Finally, the postoperative variables such as complications and the survival of the flap were analyzed. Twelve patients treated with CPATP were included. All male. The average age at the time of surgery was 52 years (range 29-77 years). The maximum follow-up of 55 months, with a minimum of 5 months (average 18 months). There were two flaps with suffering that reverted spontaneously, a partial failure and a total failure. The posterior tibial artery perforator flap should be considered a valid option in the treatment of wounds of small and medium size of the leg. They provide similar tissue in thickness, texture and color in the recipient site with good clinical and aesthetic results.

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Delineation the anatomy of posterior tibial artery perforator flaps using human cadavers with a modified technique

Abstract: We developed an effective modified technique for delineating the vascular territory on perforator flaps of different thicknesses. Our results provide significant guidance for clinical surgeons by providing them with more detailed anatomical knowledge of perforator flaps.

Cited by 6 publications

References 14 publications

Comparison between free posterior tibial flap and free radial forearm flap for head and neck reconstruction: an anatomical study and a retrospective comparative cohort study

Comparison between free posterior tibial flap and free radial forearm flap for head and neck reconstruction: an anatomical study and a retrospective comparative cohort study

Colgajo de perforante de la arteria tibial posterior. Serie de casos. [Posterior tibial artery perforator flap. Case series]

Posterior Tibial Artery Perforator Flap Series of Cases

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