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Anatomical study of terminal peroneal artery perforators and their clinical applications

INTRODUCTION: Peroneal artery gives off plenty of perforators that pass through fascial septum to supply skin and tenosynovium of peroneal muscles. AIM: The aim of this study was to study the anatomical basis of perforators from terminal part of peroneal artery axiality and to make use of this knowl...

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Autores principales: Purushothaman, Rajendran, Balakrishnan, T. M., Alalasundaram, K. V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publication & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745125/
https://www.ncbi.nlm.nih.gov/pubmed/23960308
http://dx.doi.org/10.4103/0970-0358.113713
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author Purushothaman, Rajendran
Balakrishnan, T. M.
Alalasundaram, K. V.
author_facet Purushothaman, Rajendran
Balakrishnan, T. M.
Alalasundaram, K. V.
author_sort Purushothaman, Rajendran
collection PubMed
description INTRODUCTION: Peroneal artery gives off plenty of perforators that pass through fascial septum to supply skin and tenosynovium of peroneal muscles. AIM: The aim of this study was to study the anatomical basis of perforators from terminal part of peroneal artery axiality and to make use of this knowledge in reconstructing defects of posterior heel with the advantage of reducing the morbidity of conventional flaps. MATERIALS AND METHODS: Our study was conducted at Department of Plastic surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, India. We have carried out eleven cadaver dissections (from six cadavers-four fresh cadavers and two preserved cadavers) and delineated all septocutaneous and septosynovial perforators of distal peroneal axis and studied their relation with short saphenous vein (SSV) and sural nerve. Using this anatomical knowledge we have fashioned perforator based flaps in 13 patients (three propeller, four V-Y advancement, six tenosynovial flaps) for reconstruction of defects over tendo achilles and pericalcaneal region. RESULTS: In all cases, SSV and sural nerve were preserved and donor site was closed primarily. No total flap loss was noted. CONCLUSION: Perforator based flaps from distal most part of peroneal artery provide a good and reliable method for reconstruction of pericalcaneal and tendo achilles region defects with preservation of SSV and sural nerve. It also avoids contour deformity of the grafted donor site of the classical lateral calcaneal artery axial flap.
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spelling pubmed-37451252013-08-19 Anatomical study of terminal peroneal artery perforators and their clinical applications Purushothaman, Rajendran Balakrishnan, T. M. Alalasundaram, K. V. Indian J Plast Surg Original Article INTRODUCTION: Peroneal artery gives off plenty of perforators that pass through fascial septum to supply skin and tenosynovium of peroneal muscles. AIM: The aim of this study was to study the anatomical basis of perforators from terminal part of peroneal artery axiality and to make use of this knowledge in reconstructing defects of posterior heel with the advantage of reducing the morbidity of conventional flaps. MATERIALS AND METHODS: Our study was conducted at Department of Plastic surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, India. We have carried out eleven cadaver dissections (from six cadavers-four fresh cadavers and two preserved cadavers) and delineated all septocutaneous and septosynovial perforators of distal peroneal axis and studied their relation with short saphenous vein (SSV) and sural nerve. Using this anatomical knowledge we have fashioned perforator based flaps in 13 patients (three propeller, four V-Y advancement, six tenosynovial flaps) for reconstruction of defects over tendo achilles and pericalcaneal region. RESULTS: In all cases, SSV and sural nerve were preserved and donor site was closed primarily. No total flap loss was noted. CONCLUSION: Perforator based flaps from distal most part of peroneal artery provide a good and reliable method for reconstruction of pericalcaneal and tendo achilles region defects with preservation of SSV and sural nerve. It also avoids contour deformity of the grafted donor site of the classical lateral calcaneal artery axial flap. Medknow Publication & Media Pvt Ltd 2013 /pmc/articles/PMC3745125/ /pubmed/23960308 http://dx.doi.org/10.4103/0970-0358.113713 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Purushothaman, Rajendran
Balakrishnan, T. M.
Alalasundaram, K. V.
Anatomical study of terminal peroneal artery perforators and their clinical applications
title Anatomical study of terminal peroneal artery perforators and their clinical applications
title_full Anatomical study of terminal peroneal artery perforators and their clinical applications
title_fullStr Anatomical study of terminal peroneal artery perforators and their clinical applications
title_full_unstemmed Anatomical study of terminal peroneal artery perforators and their clinical applications
title_short Anatomical study of terminal peroneal artery perforators and their clinical applications
title_sort anatomical study of terminal peroneal artery perforators and their clinical applications
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745125/
https://www.ncbi.nlm.nih.gov/pubmed/23960308
http://dx.doi.org/10.4103/0970-0358.113713
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