Anatomic study and clinical application of perforator free flap in posterior region of thigh
10.3760/cma.j.issn.1001-2036.2013.01.003
- VernacularTitle:游离股后侧穿支动脉皮瓣的解剖学研究及临床应用
- Author:
Jianli WANG
;
Gen WANG
;
Gang ZHAO
;
Yongqiang GUO
;
Wuzhou WANG
- Publication Type:Journal Article
- Keywords:
Deep feworal avtery;
Perforating artery;
Perforator flap;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2013;(1):7-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study how design and harvest perforating artery free flaps in posterior region of thigh based on research of the anatomical features and distribution regularities of those perforating artery.Methods Using 8 fresh bodies specimen with latex leaded perfusion of inferior gluteal area to study perforator artery anatomy structure and distribution of rear thigh.Screen the fitting perforator arteries for perforator free flap both in caliber and length.Total 7 cases were performed with perforator free flap in posterior thigh,the flap size:from 3 cm × 8 cm-8 cm × 16 cm,and the first perforating artery flap carried out in 4 cases,the second perforating artery flap in 2 cases,the third perforating artery flap in Ⅰ case.Results Anatomic study showed that perforating artery suitable for free flap in this area were in teams of 4 to 5,the average diameter were in range of 0.4 to 2.8 mm,the average length was 2.2-9.0 cm.Seven cases had been applied with perforator flap and all survived.Followed-up from 5 to 11 months,the wounds repaired by the perforator flap of posterior thigh presented fine elasticity,thin flap,beautiful appearance.Conclusion The distribution,length and diameter of perforating artery in posterior region of thigh are suitable for perforator free flap.Being hidden,direct close the posterior region of thigh expected to acchive satisfactory clinical effects.
