J Reconstr Microsurg 2012; 28(03): 175-180
DOI: 10.1055/s-0031-1301068
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A New Experimental Flap Design: The Saphenous Artery Periosto-Fasciocutaneous Flap of the Rat

Mehmet Bayramiçli
1   Marmara Üniversitesi Hastanesi, Plastik ve Rekonstrüktif Cerrahi A.D., Fevzi Çakmak mahallesi, Pendik, Istanbul, Turkey
,
Burak Ersoy
1   Marmara Üniversitesi Hastanesi, Plastik ve Rekonstrüktif Cerrahi A.D., Fevzi Çakmak mahallesi, Pendik, Istanbul, Turkey
,
Hakan Şirinoğlu
1   Marmara Üniversitesi Hastanesi, Plastik ve Rekonstrüktif Cerrahi A.D., Fevzi Çakmak mahallesi, Pendik, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

05 June 2011

15 October 2011

Publication Date:
24 January 2012 (online)

Abstract

Vascularized periosteal graft is a frequently applied flap model for bone prefabrication studies due to its inhabitance of osteoprogenitor cells and osteoinductive potential. Various bones such as rib and fibula are reported as a potential source for the harvest of the periosteal flap in experimental studies on higher species such as dogs and pigs, which necessitates a rather complicated and expensive experimental setting. Therefore a reliable and inexpensive small animal model on vascularized periosteal flaps is necessary for future research. A new saphenous artery based periosto-fasciocutaneous flap model in rats is described here, which is easily dissected and monitorized. In this experimental study, 15 male Sprague Dawley rats were operated and killed following a 3-month-long follow-up period . The histological analysis revealed heterotopic osteoneogenesis in 12 of 15 flaps (80%), whereas 14 flaps (93.3%) exhibited signs of angioneogenesis originating from the periostofasciocutaneous flap. The presented flap model promises to be an appropriate alternative for new studies where bone prefabrication methods are evaluated.

 
  • References

  • 1 Norman-Taylor FH, Santori N, Villar RN. The trouble with bone allograft. BMJ 1997; 315 (7107) 498
  • 2 Babak JM, McCarthy JG. Repair and grafting of bone. In: Mathes SJ, ed. Plastic Surgery. 2nd ed. Philadelphia: WB Saunders; 2006: 639-718
  • 3 Finley JM, Acland RD, Wood MB. Revascularized periosteal grafts—a new method to produce functional new bone without bone grafting. Plast Reconstr Surg 1978; 61 (1) 1-6
  • 4 Poussa M, Ritsilä V. The osteogenic capacity of free periosteal and osteoperiosteal grafts. A comparative study in growing rabbits. Acta Orthop Scand 1979; 50 (5) 491-499
  • 5 Vögelin M D E, Jones NF, Lieberman JR, Baker JM, Tsingotjidou AS, Brekke JH. Prefabrication of bone by use of a vascularized periosteal flap and bone morphogenetic protein. Plast Reconstr Surg 2002; 109 (1) 190-198
  • 6 Chen AC, Lin SS, Chan YS, Lee MS, Ueng SW. Osteogenesis of prefabricated vascularized periosteal graft in rabbits. J Trauma 2009; 67 (1) 165-167
  • 7 Dailiana ZH, Shiamishis G, Niokou D, Ioachim E, Malizos KN. Heterotopic neo-osteogenesis from vascularized periosteum and bone grafts. J Trauma 2002; 53 (5) 934-938
  • 8 Ersoy B, Sirinoğlu H, Bayramiçli M. A new role for hygienic pad in the laboratory settings. Microsurgery 2010; 30 (5) 422
  • 9 Bayramiçli M. Osteomyocutaneous tibia flap. In: Bayramiçli M, ed. Experimental Microsurgery—Basic Research, Tissue and Organ Transplantation Models. Istanbul: Argos İletişim;; 2005: 627-632
  • 10 Bayramiçli M, Yilmaz B, Numanoğlu A. Modified protective rat vest. Plast Reconstr Surg 1998; 101 (3) 859-860
  • 11 Bayramiçli M. Experimental conditions and equipment. In: Bayramiçli M, ed. Experimental Microsurgery—Basic Research, Tissue and Organ Transplantation Models. Istanbul: Argos İletişim;; 2005: 93-98
  • 12 Rees MJW, Taylor GI. A simplified lead oxide cadaver injection technique. Plast Reconstr Surg 1986; 77 (1) 141-145
  • 13 Burstein FD, Canalis RF. Studies on the osteogenic potential of vascularized periosteum: behavior of periosteal flaps transferred onto soft tissues. Otolaryngol Head Neck Surg 1985; 93 (6) 731-735
  • 14 Burstein FD, Canalis RF, Canalis EM, Ariyan S. Scanning electron microscopy and gel electrophoresis of vascularized periosteal autografts. Plast Reconstr Surg 1989; 83 (3) 500-510
  • 15 Ortak T, Ozdemir R, Uysal A , et al. Osteogenic capacities of periost grafts, periost flaps and prefabricated periosteal flaps: experimental study. J Craniofac Surg 2005; 16 (4) 594-600
  • 16 Sakai K, Doi K, Kawai S. Free vascularized thin corticoperiosteal graft. Plast Reconstr Surg 1991; 87 (2) 290-298
  • 17 Hertel R, Masquelet AC. The reverse flow medial knee osteoperiosteal flap for skeletal reconstruction of the leg. Description and anatomical basis. Surg Radiol Anat 1989; 11 (4) 257-262
  • 18 Penteado CV, Masquelet AC, Romana MC, Chevrel JP. Periosteal flaps: anatomical bases of sites of elevation. Surg Radiol Anat 1990; 12 (1) 3-7
  • 19 Romana MC, Masquelet AC. Vascularized periosteum associated with cancellous bone graft: an experimental study. Plast Reconstr Surg 1990; 85 (4) 587-592
  • 20 Poussa M, Ritsilä V. The osteogenic capacity of free periosteal and osteoperiosteal grafts. A comparative study in growing rabbits. Acta Orthop Scand 1979; 50 (5) 491-499
  • 21 Ortak T, Ozdemir R, Uysal A , et al. Osteogenic capacities of periost grafts, periost flaps and prefabricated periosteal flaps: experimental study. J Craniofac Surg 2005; 16 (4) 594-600
  • 22 Mutaf M, Tasaki Y, Arakaki M, Fujii T. A true osteomyocutaneous free-flap model in rats: the saphenous artery osteomyocutaneous flap. Plast Reconstr Surg 1995; 96 (7) 1629-1635
  • 23 Ishida H, Tamai S, Yajima H, Inoue K, Ohgushi H, Dohi Y. Histologic and biochemical analysis of osteogenic capacity of vascularized periosteum. Plast Reconstr Surg 1996; 97 (3) 512-518
  • 24 Satoh T, Tsuchiya M, Harii K. A vascularised iliac musculo-periosteal free flap transfer: a case report. Br J Plast Surg 1983; 36 (1) 109-112