Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Posterior Tibial Artery Perforator Flap: An Anatomical Study and Clinical Applications

후경골동맥천공지피판의 해부학적 연구와 임상적 적용

  • Lee, Sang Yun (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyungpook National University) ;
  • Yang, Jung Dug (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyungpook National University) ;
  • Kim, Il Whan (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyungpook National University) ;
  • Jung, Ho Yun (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyungpook National University) ;
  • Cho, Byung Chae (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyungpook National University) ;
  • Park, Jae Woo (S Jelim Plastic Surgery Center)
  • 이상윤 (경북대학교 의과대학 성형외과학교실) ;
  • 양정덕 (경북대학교 의과대학 성형외과학교실) ;
  • 김일환 (경북대학교 의과대학 성형외과학교실) ;
  • 정호윤 (경북대학교 의과대학 성형외과학교실) ;
  • 조병채 (경북대학교 의과대학 성형외과학교실) ;
  • 박재우 (에스제림 성형외과)
  • Received : 2007.03.19
  • Published : 2007.09.10
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Abstract

Purpose: Many studies reported anatomy of posterior tibial artery perforator. But, it is not easy to use this flap in clinical case. Methods: Authors performed cadaver dissection on 26 legs from 13 cadavers and identified the number, location, type, length and diameter of perforator. Based on anatomic study, posterior tibial artery perforator flap was performed on 3 clinical cases. Results: The perforator was found on a line drawn from the medial boarder of central patella to posterior boarder of medial malleolus. The main perforator which was longer and greater caliber than others was found was found 13 to 17cm distant from medial boarder of central patella in 23 of 26 leg(88.5%). Average length was 6.2cm and average diameter was 1.4mm. The main perforator was musculocutaneous perforator at 20 of 26 leg(77%). The posterior tibial artery perforator flap was clinically use in 3 cases. All flap were survived without any complication. Conclusion: The author found the main perforator of posterior tibial artery perforator flap was located 15cm distant from medial boarder of central patella within the circle drawn with a radius of 4cm. The posterior tibial artery perforator flap is expected to be used as one of the option for the reconstruction of hand and foot.

Keywords

References

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