The free sartorius flap: Clinical cases and anatomical study

Ng, Darren; Veselý, Martin

doi:10.1016/j.bjps.2012.06.015

Cited by 8 publications

(10 citation statements)

References 26 publications

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“…In the proximal thigh, these perforators took origin from the SCIA, superficial femoral artery, and lateral circumflex femoral systems. The second perforator (P2) was found approximately 12.7 cm (range 10–19 cm) distal to the ASIS along the sartorius muscle belly and was present in 15% of cases (Ng & Vesely, ). The reduced incidence of this perforator may reflect with our own observation that an intramuscular course was present in only three of our specimens (38%), where the remainder had direct cutaneous courses.…”

Section: Discussionmentioning

confidence: 99%

The proximal superficial femoral artery perforator flap: Anatomic study and clinical cases

2017

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Section: Discussionmentioning

confidence: 99%

The proximal superficial femoral artery perforator flap: Anatomic study and clinical cases

2017

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“…According to the anatomical study by Mojallal et al, there is proximal cluster of major pedicles from the superficial femoral artery supplying sartorius muscle at the junction of the first and second third of the thigh . These proximal major pedicles usually give off a sizable septocutaneous or musculocutaneous perforator around the apex of the femoral triangle . In this case series, we elevated the S‐FAP flaps based on these perforators.…”

Section: Discussionmentioning

confidence: 93%

“…5 These proximal major pedicles usually give off a sizable septocutaneous or musculocutaneous perforator around the apex of the femoral triangle. [4][5][6] In this case series, we elevated the S-FAP flaps based on these perforators. It is our clinical impression that these perforators run along the long axis of the sartorius muscle after emerging from the fascia.…”

Section: Discussionmentioning

confidence: 99%

Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects

et al. 2014

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Soft-tissue defects after wide resection of groin sarcomas have been reconstructed with well-characterized flaps, such as rectus abdominis, gracilis, and anterolateral thigh flaps. To our knowledge, the use of superficial femoral artery perforator (S-FAP) flaps for this purpose has not been reported. We report on three female patients in whom groin defects after sarcoma resection were reconstructed with pedicled S-FAP flaps. The dimensions of the skin defects ranged from 13.5 × 11 to 16 × 14.5 cm. Sizable perforators from the superficial femoral arteries were identified preoperatively around the apex of the femoral triangle with computed tomographic angiography or color Doppler ultrasonography. The lengths of the flaps ranged from 17 to 19 cm. The main perforator penetrated the sartorius muscle in two patients and emerged between the sartorius and the adductor longus muscles in the other patient. The postoperative course was uneventful, and results were satisfactory in all patients. The main advantages of the S-FAP flap over more commonly used flaps are that it is easier to harvest and is associated with less donor-site morbidity. We believe that the S-FAP flap may be a versatile option for the coverage of groin defects.

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“…Additionally, the bilateral hip can be operated at the same sitting, and no changing of position is required after operating one side hip, this significantly reduces operating time. Sartorius’ muscle has a good blood supply, in the form of series of equal size and segmental pedicles that enter the muscle along its course [29]. Therefore, transposition of the muscle flap along with bone chip of ASIS does not hamper its blood supply and provide an adequate vascular bed to the femur head.…”

Section: Discussionmentioning

confidence: 99%

Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head

et al. 2016

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Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included 40 cases (53 hips) of AVN of femoral head operated with Sartorius muscle pedicle iliac bone grafting, done by the senior author. Early post-operative rehabilitation was done. The weight bearing was delayed for 6 weeks. All the patients were followed clinically and radiologically at regular intervals. The operated femoral heads, were grouped according to Ficat’s staging: 24 in stage IIA (45.3%), 22 in stage IIB (41.5%) and 07 in stage III (13.2%). The average duration of surgery was 85 min (range: 55–130 min). The total duration of follow-up was average 4.2 years (range: 2.2–15 years).The Harris hip score was excellent (>90) in 18 hips (33.96%), good (80–89) in 24 hips (45.28%), fair (70–79) in 9 hips (17%) and poor (<70) in 2 hips (3.7%). AVN of the femoral head is a painful and disabling condition in young adults. Sartorius muscle pedicle bone graft technique allows adequate decompression, re vascularization and osteogenesis of the femur head in Ficat’s stage IIa, IIb and III, in young adults. This is an effective and easy technique to adopt with excellent to good results in 80% cases and is associated with only minimal complications.

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The free sartorius flap: Clinical cases and anatomical study

Cited by 8 publications

References 26 publications

The proximal superficial femoral artery perforator flap: Anatomic study and clinical cases

The proximal superficial femoral artery perforator flap: Anatomic study and clinical cases

Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects

Sartorius muscle pedicle iliac bone graft for the treatment of avascular necrosis of femur head

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