The ‘superficial’ peroneal artery: a variation in cutaneous branching from the peroneal artery, nourishing the distal third of the leg

Two different vascular patterns were encountered in cutaneous branches from the peroneal artery to the posterolateral aspect of the distal third of the leg in 22 flaps from 22 patients who underwent cutaneous or osteocutaneous peroneal flap surgery. In the type 1 vascular pattern, a branch from the...

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Veröffentlicht in:British journal of plastic surgery 2001-07, Vol.54 (5), p.428-433
Hauptverfasser: Saitoh, Satoru, Hata, Yukihiko, Murakami, Narumichi, Seki, Hiroshi, Kobayashi, Hiroshi, Shimizu, Tominaga, Takaoka, Kunio
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container_end_page 433
container_issue 5
container_start_page 428
container_title British journal of plastic surgery
container_volume 54
creator Saitoh, Satoru
Hata, Yukihiko
Murakami, Narumichi
Seki, Hiroshi
Kobayashi, Hiroshi
Shimizu, Tominaga
Takaoka, Kunio
description Two different vascular patterns were encountered in cutaneous branches from the peroneal artery to the posterolateral aspect of the distal third of the leg in 22 flaps from 22 patients who underwent cutaneous or osteocutaneous peroneal flap surgery. In the type 1 vascular pattern, a branch from the peroneal artery, named the ‘superficial peroneal artery’, nourished the posterolateral aspect of the leg by splitting into several septocutaneous branches. In the type 2 pattern a few septocutaneous branches originated directly from the main peroneal artery and nourished the same area as that fed by the type 1 branch. The type 1 vascular pattern has not been reported to date but was seen in nine out of the 22 consecutive peroneal flaps. The superficial peroneal artery, with its considerable vascular diameter, may serve as a recipient vessel for free flaps or may serve as a donor nutrient vessel for a cutaneous flap, which can be transferred without sacrificing the main peroneal artery. Awareness of these two vascular patterns in the distal third of the leg should also help to reduce the small percentage of skin-flap failures that occur when the cutaneous or osteocutaneous peroneal flap is used.
doi_str_mv 10.1054/bjps.2001.3598
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subjects Adult
Aged
anatomical variation
Arteries
Biological and medical sciences
Child
Child, Preschool
cutaneous branches
distal third of the leg
Female
Humans
Laser-Doppler Flowmetry
Leg - blood supply
Male
Medical sciences
Middle Aged
Orthopedic surgery
peroneal artery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
title The ‘superficial’ peroneal artery: a variation in cutaneous branching from the peroneal artery, nourishing the distal third of the leg
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