Anatomy of medial plantar superficial branch artery perforators: Facilitation of medial plantar superficial branch artery perforator (MPAP) flap harvesting and design for finger pulp reconstruction
| Autor: | Kongkrit Chaiyasate, Parin Tatsanavivat, Ali Roham, Suphalerk Lohasammakul, Rosarin Ratanalekha, Chairat Turbpaiboon, Chongdee Aojanepong, Supin Chompoopong |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030230 surgery Fingers Hospitals University 03 medical and health sciences Quadrant (abdomen) 0302 clinical medicine Asian People Cadaver medicine.artery Humans Medicine Fascia Calcaneal tuberosity Metatarsal Bones Aged Aged 80 and over business.industry Dissection Anatomy Middle Aged Plastic Surgery Procedures Thailand Tibial Arteries Medial plantar artery Calcaneus medicine.anatomical_structure 030220 oncology & carcinogenesis Tissue and Organ Harvesting Pulp (tooth) Female Surgery Blood supply business Cadaveric spasm Perforator Flap Artery |
| Zdroj: | Microsurgery. 38:536-543 |
| ISSN: | 0738-1085 |
| Popis: | Background Medial plantar artery perforator (MPAP) flap was proposed as proper option for finger pulp reconstruction. To provide the previously unavailable vessel information required for this small flap design, this study aimed to gather all necessary anatomy of MPA, MPAP, and their territories of blood supply to apply in clinical MPAP flap reconstruction minimizing perforator injury. Methods Dissection of 30 Thai cadaveric feet for visualizing superficial branch of MPA and its perforators (MPAP) using acrylic dye cannulation were performed. Diameter, length, number of branches, course, distributing areas of these vessels, and also their areas of blood supply were recorded in relation to specified landmarks, eg, C-MTH line; medial calcaneal tuberosity to plantar side of the first metatarsal head and S point; emerging point of superficial branch of MPA from deep fasciae into subcutaneous layer. Results Average diameter of MPA at its origin and total length are 1.63 ± 0.3 and 52.8 ± 16.1 mm, respectively. It provides 1-3 perforators, with an average size and length of 0.36 ± 0.11 and 23.2 ± 5.47 mm, respectively. Its distribution is mostly in the posteromedial quadrant within 50 and 30 mm from the midpoint of C-MTH line and the S point, respectively. The estimated perforator flap area is 2.5 cm × 1.5 cm and 4.5 cm × 2.5 cm for single and double perforators, respectively. Conclusions MPAP flap was proved as another ideal option for finger pulp reconstruction. Its limitation is small size of perforators but this can be overcome by using MPA for microsurgical anastomosis instead. |
| Databáze: | OpenAIRE |
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