An Anatomical Study of Vascular Supply of the Distally Based Sural Artery Flap: a Cadaveric Study
Punyavong, P.; Winaikosol, K.; Jenwitheesuk, K.; Surakunprapha, P.; Chowchuen, B.
Journal of the Medical Association of Thailand 99(Suppl 5): S182-S186
2016
ISSN/ISBN: 0125-2208 PMID: 29906077 Document Number: 7363
In this study we conducted the vascular anatomy of sural flap to determine the peroneal artery perforator contribution relative to anatomical landmark of tip of lateral malleolus, include the first peroneal artery perforator to identify safely pivot point of the flap. A retrospective study of an anatomical study of Vascular supply of the Distally Based Sural Artery Flap The anatomical of vascular supply of the distally based sural artery flap, anatomical of peroneal artery perforators was identified and measured from anatomical landmark is tip of lateral malleolus. The mean number of perforators was 3.4 (range, two to five), grouped in 5 perforators at the following average locations proximal to the tip of lateral malleolus: first, at 6.3+0.9 cm; second, at 8.5+1 cm; third, at 11.17+1.4 cm; fourth, at 12.7+1.2 cm; and fifth, at 14.6+0.2 cm proximal to the tip of the lateral malleolus. Complete vascularization of venoneurofasciocutaneous sural flap was accomplished by peroneal perforator, the blood supply of the distally based sural venoneurofasciocutaneous flap can be pivoted at the lowest perforators in the posterolateral region, which are about 5.4 to 7.2 cm proximal to the tip of lateral malleolus.