Title: Applied anatomy of the lower medial leg fasciocutaneous flap pedicled with the intermuscular branch of the posterior tibial artery and its clinical significance
Abstract: Objective: To provide anatomical basis for the application of the lower medial leg fasciocutaneous flap pedicled with the intermuscular branch of the posterior tibial artery.Methods: The lower leg was divided into four average regions: A,B,C and D regions.The lengths, diameters and branching patterns of the intermuscular branches of posterior tibial artery were observed under microscope on 60 sides lower limbs perfused with black ink at the origin of posterior tibial arteries. Result: The length and diameter of the intermuscular branch of posterior tibial artery averaged 4.5±0.6 cm and 1.7±0.2 mm in region B, and averaged 4.0±0.6 cm and 1.5±0.3 mm in region C.The branches in region A and D were shorter and finer. Conclusion: The lower medial leg fasciocutaneous flap pedicled with the intermuscular branch of the posterior tibial artery (in region B and C) has a long vessel pedicle and the diameter of the vesel is big enough for microsurgical operation. This flap has been used to resurface wounds of the hand on six cases, all the flaps survived completely.
Publication Year: 2002
Publication Date: 2002-01-01
Language: en
Type: article
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