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The reversed-flow medio-distal fasciocutaneous island thigh flap: anatomic basis and clinical applications = Le lambeau fascio-cutané médio-distal de la cuisse à flux inversé. Bases anatomiques et applications cliniques

Ballmer, F. ; Masquelet, A.

In: Surgical and Radiologic Anatomy, 1998, vol. 20, no. 5, p. 311-316

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    Titre
    • The reversed-flow medio-distal fasciocutaneous island thigh flap: anatomic basis and clinical applications
    Titre traduit ()
    • Le lambeau fascio-cutané médio-distal de la cuisse à flux inversé. Bases anatomiques et applications cliniques
    Auteur
    • Ballmer, F.. Department of Orthopaedic Surgery, University of Berne, Inselspital, CH-3010, Berne, Switzerland
    • Masquelet, A.. Service de Chirurgie Orthopédique et Réparatrice, Hôpital Avicenne, 125, route de Stalingrad, F-93000, Bobigny, France
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Surgical and Radiologic Anatomy, 1998, vol. 20, no. 5, p. 311-316. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:315251
    Summary
    Summary: A new fasciocutaneous reversed-flow island flap of the thigh is presented which is independent of the presence of perfused blood vessels below the level of the knee joint-line. The pedicle, which is supplied by the proximal genicular anastomotic network, consists of the osteoarticular branch (OAB) and concomitant veins of the descending genicular artery. Based on cadaver dissections the OAB arose in 23/30 specimens (77%) together with the saphenous artery (SA). In 2/30 specimens (7%) the OAB originated directly from the superficial femoral artery and in 1/30 specimens (3%) the OAB was absent. The OAB gave off one to three cutaneous branches to the overlying skin in 26/30 specimens (87%). We were able to elevate a flap on the osteoarticular branch alone in 57%. Additional length could be added to the pedicle in 33% by including the most proximal part of the saphenous artery together with its first cutaneous branch. Thus, in 90% of the dissections a reversed-flow island flap could be raised which reached the proximal half of the leg, the knee and the most distal part of the thigh. We report our early clinical experience