The Development of the Fasciocutaneous Flap and Its Clinical Applications

Haeseker, Barend; Zeeman, R. J.; Tolhurst, David E.

doi:10.1097/00006534-198305000-00001

Cited by 116 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

“…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 scars (the latter caused mainly by burns) may lead to large cutaneous losses in the region.The thigh's posterior region is well irrigated, which allows for the provision of musculocutaneous and fasciocutaneous flaps for the closing of wounds.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 (2-8).In the papers consulted, the authors described the third perforator artery as a branch of the deep femoral artery that arrives at the thigh's posterior region after crossing the adductor magnus muscle, proximal to its hiatus tendineus (2,(8)(9)(10). In that region it gives off a fasciocutaneous branch that emerges through the septum between the lateral vast muscle and the long head of the femoral biceps muscle.…”

mentioning

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%

“…In the papers consulted, the authors described the third perforator artery as a branch of the deep femoral artery that arrives at the thigh's posterior region after crossing the adductor magnus muscle, proximal to its hiatus tendineus (2,(8)(9)(10). In that region it gives off a fasciocutaneous branch that emerges through the septum between the lateral vast muscle and the long head of the femoral biceps muscle.…”

mentioning

confidence: 99%

See 3 more Smart Citations

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

Netto¹

2003

J Plast Surg

View full text Add to dashboard Cite

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...

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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

Netto¹

2003

J Plast Surg

View full text Add to dashboard Cite

show abstract

“…Fasciocutaneous flaps on the other hand are thin, reliable, one-stage procedure, and are easily harvested without any subsequent functional impairment since the underlying muscles are left intact (Tolhurst et al, 1983) [6]. The main advantages of the thoracodorsal artery perforator flap are that it contains no muscle, allowing more reconstructive precision, and morbidity is minimised by preserving the function of the latissimus dorsi muscle with a hidden donor site scar.…”

Section: Case Reportmentioning

confidence: 99%

Islanded Parascapular Flap: An Above Elbow Stump Cover

Jain¹

2015

Anaplastology

View full text Add to dashboard Cite

Introduction: In the management of amputation stumps, surgical endeavour is to provide an ideal stump, over which a well-fitting prosthesis maybe given. Moving on from the conventional workhorse flap cover of latissimus dorsi muscle or myocutaneous flap, free fasciocutaneous flaps offer several advantages. With the advent of perforator flaps, there seems to be a resurgence of islanded regional flaps providing a better tissue match while reducing the donor site morbidity.

show abstract

The free vascularized sural nerve graft

et al. 1984

View full text Add to dashboard Cite

The sural nerve was described as a new donor nerve of the free vascularized nerve graft in a fresh cadaver's dissection and in four clinical cases. The vascularized sural nerve is nourished by the cutaneous branch of the peroneal artery or the muscular perforating branch of the posterior tibial artery in our grafts. Compared to other vascularized nerve grafts, the sural nerve has many advantages: 1) A "two- or three-fold nerve graft" can be designed on itself without damage to the blood supply of the nerve, 2) survival of the nerve can be reasoned by the accompanying flap and the flap can close the skin defect simultaneously without additional vascular anastomosis, and 3) sensory loss at the donor site is negligible. The final extent of sensory recovery in our clinical cases could require several months, but a quickly advanced Tinel's sign suggested the technique's superiority.

show abstract

The Development of the Fasciocutaneous Flap and Its Clinical Applications

Cited by 116 publications

References 0 publications

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

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

Islanded Parascapular Flap: An Above Elbow Stump Cover

The free vascularized sural nerve graft

Contact Info

Product

Resources

About