Transversally oriented pedicled perforator flaps: A reliable alternative for lower leg reconstruction

Microsurgery ◽  
2015 ◽  
Vol 35 (7) ◽  
pp. 541-545 ◽  
Author(s):  
Beniamino Brunetti ◽  
Igor Poccia ◽  
Stefania Tenna ◽  
Stefano Campa ◽  
Paolo Persichetti
Keyword(s):  
Lower Leg ◽  
Perforator Flaps

Lateral lower leg perforator flaps: An anatomical study to localize and classify lateral lower leg perforators

Microsurgery ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 140-147 ◽  
Author(s):  
Pieter Hupkens ◽  
Wendy Schijns ◽  
Marjolijn Van Abeelen ◽  
Jan G.M. Kooloos ◽  
Nicholas J. Slater ◽  
...  
Keyword(s):  
Anatomical Study ◽  
Lower Leg ◽  
Perforator Flaps

scholarly journals The suprafascial course of lower leg perforators: An anatomical study

2020 ◽  
Vol 47 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Luca Vaienti ◽  
Giuseppe Cottone ◽  
Francesco De Francesco ◽  
Francesco Borelli ◽  
Giovanna Zaccaria ◽  
...  
Keyword(s):  
Lower Limb ◽  
Anatomical Study ◽  
Anatomical Variations ◽  
Lower Leg ◽  
Present Knowledge ◽  
Perforator Flaps ◽  
Surgical Exploration ◽  
Branching Patterns

Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of whether an anastomosis exists between perforators superficially to the fascia, in order to choose the best vessel upon which to base the reconstruction. Our retrospective <i>in vivo</i> anatomical study of lower leg perforator flaps presents the first description of variations in the suprafascial path of perforators, which may influence preoperative flap design.Methods An anatomical study of lower limb perforators was performed on 46 nonconsecutive patients who were referred to our department from June 2012 to October 2018. Reconstruction with perforator-based propeller flaps was planned for each of the patients. In total, 72 perforators were preoperatively identified and surgically isolated. The suprafascial course of each perforator was reported.Results During suprafascial surgical exploration, branching patterns were observed in four perforators. These perforators had been classified as single vessels in the preoperative ultrasonographic analysis. However, after surgical dissection, distal converging branches were noted in two of them.Conclusions Our study is the first description in the literature of suprafascial converging perforators, which might constitute an obstacle to planned reconstruction procedures. Despite the accuracy of preoperative evaluations, anatomical variations were present. Knowledge of suprafascial perforator variations may help surgeons to choose the correct perforator upon which to base a planned flap.

Versatility of the pedicled peroneal artery perforator flaps for soft-tissue coverage of the lower leg and foot defects

2011 ◽  
Vol 64 (3) ◽  
pp. 386-393 ◽  
Author(s):  
Ting-Chen Lu ◽  
Cheng-Hung Lin ◽  
Chih-Hung Lin ◽  
Yu-Te Lin ◽  
Ruei-Feng Chen ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Leg ◽  
Peroneal Artery ◽  
Soft Tissue Coverage ◽  
Perforator Flaps ◽  
Artery Perforator

Thin Perforator Flaps for Reconstruction of the Lower Extremity

2019 ◽  
Author(s):  
Peggy J. Ebner ◽  
Daniel J. Gould ◽  
Ketan M. Patel
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
Soft Tissue Coverage ◽  
Patient Centered ◽  
Perforator Flaps ◽  
Limb Reconstruction ◽  
Flap Survival ◽  
Flap Transfer ◽  
Viable Solution ◽  
Lower Limb Reconstruction

AbstractThin flaps, a modification of traditional flaps that minimize the need for debulking and revision, offer unique advantages in the field of lower limb reconstruction. Advances in the field of microsurgery have made this streamlined method of reconstruction a viable solution for soft tissue coverage in patients with both trauma and nonhealing wounds. Better understanding of anatomy has allowed for flap harvest above the fascia level and the Scarpal plane. These modifications allow for flap transfer with thicknesses more comparable to the native anatomy of the lower leg, ankle, and foot. Flap survival is comparable to traditional techniques with greater potential for improved patient-centered outcomes.

Perforator Flaps from the Lateral Lower Leg for Intraoral Reconstruction

2004 ◽  
Vol 113 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Klaus-Dietrich Wolff ◽  
Frank Hölzle ◽  
Dirk Nolte
Keyword(s):  
Lower Leg ◽  
Perforator Flaps ◽  
Intraoral Reconstruction
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