Applied anatomy of peroneal artery perforator flap
LI Kuang-Wen, TANG Ju-Yu, LIU Chang-Xiong, XIE Song-Lin, LIU Ming-Jiang, DAO Ke-Ai
Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 382-385.
Applied anatomy of peroneal artery perforator flap
Objective To provide anatomic basis for the application of the peroneal artery perforator flap. Methods Fifteen fresh adult leg specimens injected with red latex were dissected. The number, distribution, and the courses of the peroneal artery perforators were explored, as well, the pedicle length and external diameter of the artery used for the flap were measured and analyzed. Results 68 perforators were identified in 15 leg specimens (averagely 4.5 perforators for each leg). The perforators in the proximally lateral leg originated from different arteries. Peroneal artery perforator gathered in the region under the fibular head about 10 to 15 cm, with the longest perforator of (5.23±0.75)cm. Under the fibular head about 5 to 20 cm, the larger perforator could be identified. The perforators in the proximal lateral leg were mainly soleus perforators, and the most septocutaneous perforators and the flexor hallucis longus muscle perforators gathered in the lateral mid-distal region. Conclusions With the stable course, enough size and length, peroneal artery perforators originated from the region under the fibular head about 10 to 15cm are ideal nutrient vessel for supplying free peroneal perforator flap.
[1] Hallock GG. Direct and indirect perforator flaps: the history and the controversy
[J]. Plast Reconstr Surg, 2003, 111(2): 855-865.
[2] 张世民 ，唐茂林，穆广态，等.穿支皮瓣及相关术语的专家共识
[J].中国临床解剖学杂志，2010，28（5）：475-476.
[3] 陈遥良，顾玉东，吴敏明，等.小腿外侧皮瓣的显微外科解剖学
[J].中国临床解剖学杂志，1984，2（4）：208-212.
[4] 扬大平，唐茂林，Christopher RG,等.皮肤穿支血管的解剖学研究
[J].中国临床解剖学杂志，2006，24（2）：232-235.
[5] 梅劲，任家武，楼新法.小腿部主要穿支的形态学分析与皮瓣设计
[J].中国临床解剖学杂志,2006,24(2):251-254.
[6] Chang SM , Zhang F, Xu DC ,et al. Lateral retromalleolar perforator–based flap: anatomical atudy and preliminary clinical report for heel coverage
[J]. Plast Reconstr Surg , 2007, 120(3):697-704.
[7] Taylor GI, Pan WR. Use of the soleus musculocutaneous perforator for skin paddle salvage of the fibula Oosteoseptocutaneous flap: anatomical study and clinical confirmation
[J]. Plast Reconstr Surg, 2007, 120(6): 1576-1584.
[8] Liu K, Li Z, Lin Y ,et al. The Reverse-flow posterior tibial artery island flap: anatomic study and 72 clinical cases
[J]. Plast Reconstr Surg, 1990, 86(2): 312-317.
[9] Mark S, Michel SC. Perforators of the lower leg: analysis of perforator locations and clinical application for pedicled perforator flaps
[J]. Plast Reconstr Surg., 2008, 122(1): 161-170.
[10] Heitmann C, Khan FN, Levin LS. Vasculature of the peroneal artery: an anatomic study focused on the perforator vessels
[J]. J Reconstr Microsurg, 2003, 19(3): 157-162.
[11]Yoshimura M,Shimada T, Hosokawa M. The vasculature of the peroneal tissue transfer
[J]. Plast Reconstr Surg, 1990, 85(6):917-921.
[12]Ozalp T, Masquelet AC, Begue TC. Septocutaneous perforators of the peroneal artery relative to the fibula: Anatomical basis of the use of pedicled fasciocutaneous flap
[J]. Surg Radiol Anat. 2006, 28(1):54-58.
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