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DOI: 10.1055/s-2001-14512
Rare Variant of the Intrasoleus Musculocutaneous Perforator: Clinical Considerations in Raising a Free Peroneal Osteocutaneous Flap
Publikationsverlauf
Publikationsdatum:
31. Dezember 2001 (online)
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ABSTRACT
To improve the stability of the cutaneous portion of the vascularized free peroneal osteocutaneous flap (the so-called peroneal flap), various anatomic studies have been conducted, and a reliable notion of the course of cutaneous perforators has been provided; however, anatomic anomalies have occasionally been observed. The authors encountered a rare type of cutaneous perforator in the distal third of the lower leg. It was located under the inferior surface of the flexor hallucis longus muscle, after running in the soleus muscle parallel to the fibula, and then joined the posterior tibial artery. Since absolutely definite diagnostic methods have not been established for the course of the cutaneous perforator, surgery with the possibility of secondary anastomosis, always with a separate peroneal flap, should be a consideration.
KEYWORD
Free peroneal osteocutaneous flap - variant of intrasoleus musculocutaneous perforator
REFERENCES
- 1 Hidalgo D A. Fibula free flap: a new method of mandibular reconstruction. Plast Reconstr Surg . 1989; 84 71
- 2 Yoshimura M, Shimamura K, Iwai Y. Free vascularized fibula transport. J Bone Joint Surg . 1983; 65A 1295
- 3 Chen Z W, Yan W. The study and clinical application of the osteocutaneous flap of fibula. Microsurgery . 1983; 4 11
- 4 Carriquiry C, Costa M A, Vasconez L O. An anatomic study of the septocutaneous vessels of the leg. Plast Reconstr Surg . 1985; 76 354
- 5 Beppu M, Hanel D P, Johnston G HF. The osteocutaneous fibula flap: an anatomic study. J Reconstr Mictosurg . 1992; 8 215
- 6 Schusterman M A, Reece G P, Miller M J, Harris S. The osteocutaneous free fibula flap: is the skin paddle reliable?. Plast Reconstr Surg . 1992; 90 787
- 7 Wei F C, Seah C S, Tsai Y C. Fibula osteocutaneous flap for reconstruction of composite mandibular defects. Plast Reconstr Surg . 1993; 93 294
- 8 Jones N F, Monstrey S, Gambier B A. Reliability of the fibula osteocutaneous flap for mandibular reconstruction: anatomical and surgical confirmation. Plast Reconstr Surg . 1996; 97 707
- 9 Flemming A FS, Brough M D, Evans N D. Mandibular reconstruction using vascularized fibula. Br J Plast Surg . 1990; 43 403
- 10 Winters H AH, De Jongh J G. Reliability of the proximal skin paddle of the osteocutaneous free fibula flap: a prospective clinical study. Plast Reconstr Surg . 1999; 103 846
- 11 Weber R A, Pederson W C. Skin paddle salvage in the fibula osteocutaneous free flap with secondary skin paddle vascular anastomosis. J Reconstr Microsurg . 1995; 11 242