Gosau, Martin and Schoeneich, Moritz and Koyama, Keisuke and Jung, Ernst Michael and Fanghaenel, Jochen and Prantl, Lukas (2013) Ultrasound analyses, anatomical considerations, and clinical experience with the peroneus brevis muscle flap. ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER, 195 (2). pp. 183-188. ISSN 0940-9602,
Full text not available from this repository. (Request a copy)Abstract
This ultrasound study investigated the frequency, location, and diameter of segmental blood supply of 34 lower legs in relation to muscle size. Furthermore, we investigated the possibilities and constraints of distally pedicled peroneus brevis muscle flaps, which allow defect coverage down to the medial as well as the lateral ankle. In the proximal part of the peroneus brevis muscle, blood is supplied by branches from the anterior tibial artery that perforate the anterior intermuscular septum; in the distal part of the muscle, blood is supplied by branches from the peroneal artery that perforate the posterior intermuscular septum. All lower legs showed at least one perforating vessel penetrating the posterior intermuscular septum. In all, 32.4% of the legs showed two perforators and 17.6% three perforators. The average position of the most distal perforator was 4.8 cm proximal to the tip of the malleolus lateralis. Based on this blood supply, muscle tissue measuring up to 15-20 cm can be harvested and rotated by 180 degrees to cover defects of the lower ankle. Our ultrasound study is supplemented by an anatomical dissection and two clinical cases of successful defect coverage with the distally pedicled peroneus muscle flap. (c) 2012 Elsevier GmbH. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LOWER LEG; FASCIOCUTANEOUS FLAPS; LOWER-EXTREMITY; SURAL FLAP; FOOT; RECONSTRUCTION; COVERAGE; WOUNDS; ANKLE; HEEL; Peroneus brevis; Ultrasound; Reconstructive surgery; Ankle |
| Divisions: | Medicine > Lehrstuhl für Kieferorthopädie Medicine > Lehrstuhl für Röntgendiagnostik Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Apr 2020 14:11 |
| Last Modified: | 28 Apr 2020 14:11 |
| URI: | https://pred.uni-regensburg.de/id/eprint/17408 |
Actions (login required)
 |
View Item |
