scholarly journals Propeller Perforator Flaps in Distal Lower Leg: Evolution and Clinical Applications

2012 ◽  
Vol 39 (2) ◽  
pp. 94 ◽  
Author(s):  
Alexandru V. Georgescu
Author(s):  
Kyubeom Kim ◽  
Junhyung Kim ◽  
Woonhyeok Jeong ◽  
Taehee Jo ◽  
Sang Woo Park ◽  
...  

Author(s):  
Mirjam V. Neumann ◽  
Peter C. Strohm ◽  
Kilian Reising ◽  
Joern Zwingmann ◽  
Thorsten O. Hammer ◽  
...  

2014 ◽  
Vol 7 (1) ◽  
pp. 69 ◽  
Author(s):  
Sohaib Akhtar ◽  
Rampukar Choudhary ◽  
A.H. Khan ◽  
Fahud Khurram ◽  
Ehsan Rashidi ◽  
...  

1984 ◽  
Vol 73 (4) ◽  
pp. 671-675 ◽  
Author(s):  
Hsu-Hsi Cheng ◽  
Guo-Wei Rong ◽  
Ta-Ching Yin ◽  
Hung-Yeh Wang ◽  
A. Yu-Chenjiao ◽  
...  

2009 ◽  
Vol 35 (6) ◽  
pp. 513-519 ◽  
Author(s):  
Maximilian Faschingbauer ◽  
Benjamin Kienast ◽  
Arndt P. Schulz ◽  
Rudolf Vukelic ◽  
Jan Meiners

2000 ◽  
Vol Volume 16 (Number 3) ◽  
pp. 0187-0192 ◽  
Author(s):  
Barbara S. Lutz ◽  
Fu-Chan Wei ◽  
Hans-Guenther Machens ◽  
Ulrich Rhode ◽  
Alfred Berger

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

2020 ◽  
Vol 47 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Luca Vaienti ◽  
Giuseppe Cottone ◽  
Francesco De Francesco ◽  
Francesco Borelli ◽  
Giovanna Zaccaria ◽  
...  

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.


2002 ◽  
Vol 92 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Ellen Sobel ◽  
Renato Giorgini ◽  
Ruben Oropeza ◽  
Kalyani Bapat ◽  
Hugh Richardson

Synovial sarcoma of the extremities represents 7% of all soft-tissue sarcomas. This article presents the case of a patient who was treated for a synovial sarcoma of the lateral aspect of the distal lower leg extending to the ankle and involving the fibular bone. The patient underwent a wide excision of the tumor, including the fibular bone, followed by radiation and chemotherapy, rather than undergo an amputation of the right leg. Consideration is also given to the traumatic etiology of the tumor. (J Am Podiatr Med Assoc 92(2): 90-96, 2002)


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