Chinese Journal of Clinical Anatomy >
Anatomical basis for design of the chimeric fibular composite flap based on the peroneal artery
Received date: 2014-02-20
Online published: 2014-06-04
Objective To provide anatomical basis for design of the chimeric fibular composite flap based on the peroneal artery. Methods 30 cadaveric lower extremities were used for this study. The fibular head and the lateral malleolus were used as the landmarks and the calves were divided into the upper, middle and lower segments, respectively. Dissection of the calves was carried out and the following contents were investigated: ①The origin, course and branches of the peroneal arteries; ②The number of the musculocutaneous or septocutaneous perforators of the three segments and the periosteal branches from the peroneal arteries. Results The peroneal artery originated from the tibial artery and travelled immediately posteriorly to the fibular bone after it coursed to the middle segment of the fibular. It continued as the lateral calcaneal artery, giving off the branches to nourish the adjacent bones, muscles, and the skin on the lateral aspect of the lower leg. Among the branches given off, 2 to 8 branches were to the periosteum of the middle and lower 1/3 of the fibular bone, averaging 0.5 to 1.1 in diameter, which were termed fibular periosteal arteries; 1 to 3 branches were to the middle and lower 1/3 of the tibial periosteum, averaging 0.6 to 0.8 in diameter, which were termed tibial periostal arteries; 4 to 8 branches were the musculocutaneous or septocutnaoues perforators supplying the skin on the lateral aspect of the middle and lower segments of the lower leg. After piercing the deep fascia, the septocutaneous perforators anastomosed with the perforators from the anterior and posterior tibial arteries. Conclusions It is anatomically feasible to harvest the chimeric fibular composite flap based on the peroneal artery, depending on the practical clinical needs;one type or multiple types of chimeric flaps can be harvested to reconstruct combined defects of bone and soft tissue.
Key words： The peroneal artery; Fibular; Chimeric tissue flap; Perforator flap
XIE Zhi-Beng , PENG Ti-Hong , ZHENG He-Beng , ZHANG Yi-Xin , LIANG Cheng , HAO Pan-De , ZHANG Fa-Hui . Anatomical basis for design of the chimeric fibular composite flap based on the peroneal artery[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(3) : 259 -263 . DOI: 10.13418/j.issn.1001-165x.201
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