The blood supply to the skin of the leg: a post-mortem investigation

Haertsch, Peter

doi:10.1016/0007-1226(81)90061-8

Cited by 172 publications

(58 citation statements)

References 7 publications

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“…The disadvantages of this technique are deformation of the tendon and a longer incision. The frequent wound problems are not unexpected, because the commonly used longitudinal incision passes through poorly vascularized skin (Haertsch 1981).…”

Section: Discussionmentioning

confidence: 99%

Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Nyyssönen

Saarikoski

Kaukonen

et al. 2003

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 99%

Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Nyyssönen

Saarikoski

Kaukonen

et al. 2003

Acta Orthopaedica Scandinavica

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“…5,7 One of the reasons cited for the high rate of skin necrosis is the precarious blood supply to the skin around the distal attachment of the tendon. 12 To over come this issue Ma and Griffith in 1960 first came up with the percutaneous repair of the tendon. 15,16 Their technique being percutaneous avoided any vascular compromise to the skin and had significantly decreased wound complications.…”

Section: Discussionmentioning

confidence: 99%

“…We use a open technique in the proximal part of the repair while a percutaneous repair in the distal part, which is notorious for its poor blood supply and wound healing problems. 12 In this study, we have analyzed the results of this technique and compared it with world literature of both open and minimally invasive techniques.…”

mentioning

confidence: 99%

Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon

Sobti¹,

Mohrir²,

Agarwala³

2015

Journal of Foot and Ankle Surgery (Asia Pacific)

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Background:The most common complication of open repair of Achilles tendon is skin necrosis and wound problems, especially in the distal part, where the blood supply to the skin is precarious. Minimally invasive and percutaneous techniques have become popular as they overcome this problem but these techniques put the sural nerve at risk and have high incidence of rerupture. We have devised a semi-open technique, which incorporates the advantages of both techniques and at the same time avoids their complications. The aim of this study was to evaluate the outcome of this technique.

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“…According to the anatomy treatises (12)(13)(14)(15)(16)(17)(18)(19) and the studies of the authors (2,6,7,8,10,22,26,29), the arterial plexus formed by fasciocutaneous branches of the perforator arteries of the deep femoral artery and its anastomoses (uppermost to the gluteal inferior artery and lowermost to the popliteal artery) are responsible for the fasciocutaneous irrigation of all of the posterior region of the thigh. Thus, there could be a fasciocutaneous flap of the posterior region of the thigh supplied by a principal fasciocutaneous branch of any plexus forming artery.…”

Section: Discussionmentioning

confidence: 99%

“…After the conceptualization of the fasciocutaneous flaps by Pontén (1) in 1981, several authors started to study the fasciocutaneous irrigation of the different corporal segments (2)(3)(4)(5)(6)(7)(8).…”

mentioning

confidence: 99%

Applied anatomy of the fasciocutaneous branch of the third perforator artery of the deep femoral artery

Netto

Ferreira

Santos

2003

Canadian Journal of Plastic Surgery

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A study of the anatomy of the fasciocutaneous branch of the third perforator artery of the deep femoral artery was performed to help the elaboration of a fasciocutaneous flap for the reconstruction of skin and subcutaneous and deep fascia of the knee and popliteal region. Forty thighs in 27 fresh cadavers were dissected. In all of the thighs, the third perforator artery was found to arise from the deep femoral artery and reach the posterior aspect of the thigh after perforating the adductor magnus muscle. At that point it was also found that the third perforator artery gives off a branch that emerges through the intermuscular septum between the vast lateral muscle and the long head of the biceps femoral muscle, then crosses the posterior cutaneous nerve and moves directly on to perforate the deep fascia and then to bifurcate into two other branches: one ascending and one descending. The cutaneous area of the flap of the thigh's posterior region, nourished by the fasciocutaneous branch, was evaluated through the injection of dye. Dying of the upper medial, middle medial, lower medial and lower lateral areas of the flap was not successful in all of the dissected thighs. Nevertheless, the upper lateral and the middle lateral areas were dyed successfully in all 40 dissected thighs of the 27 cadavers. Key Words: Blood irrigation; Femoral artery; Surgical flaps; ThighAnatomie appliquée : Branche fascio-cutanée de la troisième artère perforante de l'artère fémorale profonde RÉSUMÉ : Nous avons étudié l'anatomie de la branche fascio-cutanée de la troisième artère perforante de l'artère fémorale profonde pour nous aider à façonner un lambeau fascio-cutané en vue de la reconstruction de la peau ainsi que du fascia profond et sous-cutané des régions du genou et du jarret. Nous avons procédé à la dissection de 40 cuisses prélevées sur 27 cadavres frais. Dans tous les cas, la troisième artère perforante naissait de l'artère fémorale profonde et atteignait la face postérieure de la cuisse après avoir traversé le grand muscle adducteur. À partir de là, la troisième artère perforante forme une branche qui trouve passage dans le septum intermusculaire entre le muscle vaste externe et la longue portion du muscle biceps crural, traverse le nerf cutané postérieur et se dirige directement vers le fascia profond, le perfore et se divise ensuite en deux autres branches : l'une ascendante, l'autre descendante. Nous avons ensuite étudié la région cutanée du lambeau de la région postérieure de la cuisse, nourrie par la branche fascio-cutanée en injectant un colorant. La coloration des régions médianes supérieure, moyenne et inférieure ainsi que de la région latérale inférieure du lambeau n'a pas été concluante dans tous les cas; par contre, celle des régions latérales supérieure et moyenne a réussi sur les 40 cuisses prélevées. T he popliteal region and the knee can be exposed to extensive lesions that require the use of flaps in their repair. The most frequent etiologies are trauma, although infections, tumour ablations and retraction s...

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The blood supply to the skin of the leg: a post-mortem investigation

Cited by 172 publications

References 7 publications

Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon

Applied anatomy of the fasciocutaneous branch of the third perforator artery of the deep femoral artery

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