Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators
| Autor: | Bram Van Loon, Paul H.M. Spauwen, Johan W.M. Vehof, Jan G. M. Kooloos, Gert-Jan Lauret, Pieter Hupkens, Ed H.M. Hartman |
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| Rok vydání: | 2009 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Dissection (medical) Thigh Surgical Flaps Thigh vessels Cadaver Deep Femoral Artery Medicine Humans Muscle Skeletal Functional Neurogenomics Implementation Science [DCN 2] business.industry Dissection Anatomy Pedicled Flap Plastic Surgery Procedures medicine.disease Tissue engineering and pathology [NCMLS 3] musculoskeletal system Surgery Distal third body regions Femoral Artery medicine.anatomical_structure Tissue and Organ Harvesting Female business Perforator flaps |
| Zdroj: | Microsurgery, 30, 43-9 Microsurgery, 30, 1, pp. 43-9 |
| ISSN: | 1098-2752 0738-1085 |
| Popis: | Contains fulltext : 88207.pdf (Publisher’s version ) (Closed access) Until now, research on flaps in the anteromedial thigh region has focused on flaps in specific regions. To elucidate the complete pattern of suitable anteromedial thigh perforators, an anatomical study was performed by dissecting nine thighs from different cadavers. The ideal perforator has maximum length and diameter and runs through a septum. According to the data found in our study, these perforators can predominantly be found in the middle third of the anteromedial thigh region. All of the three main thigh vessels supply perforators which can be used for flaps. Pertaining to length and diameter the most suitable perforators originate from the deep femoral artery, which can be found in the proximal and middle third of the anteromedial thigh. Musculocutaneous perforators are found to be longer than septocutaneous perforators. Because of their position, the proximal and distal third perforators should preferentially be used for local pedicled flaps. Defects in the pelvic area and around the knee can be closed with perforator flaps from the proximal and distal anteromedial thigh, respectively. Because of their diameter, length, and number, the middle third perforators should be the first choice for harvesting free flaps. Skin closure is easily achieved in the anteromedial thigh region even when larger flaps are used. |
| Databáze: | OpenAIRE |
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