Use of fibula pedicle as a composite interposition vascular graft to salvage large skin paddle with anomalous vascular supply
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Quazi Gazwan Ahmad & Prabha S. Yadav & Vinay K. Shankhdhar & Nambi Gurunathampalayam Ilango
- چاپ و سال / کشور: 2011
Description
We report a case of free fibula osteomyocutaneous flap whose skin paddle had a dominant blood supply from a soleus musculocutaneous perforator which originated in the posterior tibial artery in addition to contribution from the peroneal septocutaneous perforators and was managed by two sets of anastomosis on either side of the neck, one for the peroneal vessels and the other for the dominant musculocutaneous perforator. The second anastomosis was achieved by using the excess length of the flap pedicle vessels (peroneal) as composite (both artery and vein) autologous interposition vascular graft to reach the opposite side of the neck.
Eur J Plast Surg DOI 10.1007/s00238-011-0563-4 Received: 28 June 2010 / Accepted: 21 February 2011
