PDF icon PDF herunterladen
Open Access
CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(02): 253-257
DOI: 10.1055/s-0042-1744411
Extremity/Lymphedema
Case Report

A Lucky Case of Successful Free Fibula Osteocutaneous Flap Harvest in Peronea Arteria Magna

Mohamad Aizat Rosli 
1   Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
2   Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
,
Wan Azman Wan Sulaiman 
1   Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
2   Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
,
Ahmad Sukari Halim 
1   Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
2   Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
› Institutsangaben
› Weitere Informationen
  Lizenzen und Reprints
Preview

Abstract

The free fibula flap (FFF) is based on the peroneal artery (PA) system, and it is well known that several anatomical variations of the lower limb vascular system exist, including peronea arteria magna (PAM). PAM is a rare congenital variation in which both anterior tibial artery and posterior tibial artery are either aplastic or hypoplastic, and as a result, PA will be the dominant blood supply to the foot. This variation was described as type III-C in Kim-Lippert's Classification of the Infra-Popliteal Arterial Branching Variations. The awareness of its existence is crucial as it often precludes FFF from being harvested due to the risk of significant limb ischemia and limb loss. Despite some literature reporting donor site complications and impending limb loss following FFF harvest in PAM, preoperative vascular mapping before FFF transfer remains controversial among the microsurgeons. We present a case with an incidental intraoperative finding of PAM that had a successful FFF harvest by luck, without preoperative vascular mapping.

Keywords

fibula - free tissue flaps - tibial arteries - lower extremity - foot

Author Contributions

Conceptualization: M.A.R., W.A.W.S., A.S.H. Data curation: M.A.R., W.A.W.S. Formal analysis: M.A.R., W.A.W.S., A.S.H. Funding acquisition: None. Methodology: M.A.R., W.A.W.S., A.S.H. Project administration: M.A.R., W.A.W.S., A.S.H. Writing - original draft: M.A.R. Writing - review and editing: all authors.


Ethical Approval

The study was performed in accordance with the principles of the Declaration of Helsinki. Written informed consents were obtained.


Patient Consent

The patients provided written informed consent for the publication and the use of their images.




Publikationsverlauf

Artikel online veröffentlicht:
06. April 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA