Anterolateral Thigh Flap

These chimeric flaps contain multiple skin combinations, every with an unbiased vascular source. The sural artery flap is a Type A fasciocutaneous flap primarily based on the sural artery direct cutaneous branch of the popliteal artery. It is positioned between the popliteal fossa and the midposterior knee between the medial and horizontal heads of this gastrocnemius muscle mass.

Flap Parts

Wider flaps may be collected if the surgeon is ready to pores and skin graft the donor space. The argument has a big caliber pedicle, even so the anatomy within the perforator vessel or vessels may be varied. Most OLL flaps, within our experience, need dissection of musculocutaneous perforator(s) and are sometimes equipped exclusively by septocutaneous perforators.

Septocutaneous perforators of the peroneal artery offer its blood. It can also be utilized for protection of defects on the center and decrease third on the leg. The superficial peroneal nerve could also be included with a phase of fibula. Use this flap with respect to trunk, truffe, abdomen, and thigh pains. The posterior interosseous artery flap is mostly a Type Udemærket fasciocutaneous flap based mostly within the dorsal element of the forearm between the radius and ulna.

) is definitely a fashionable flap for decrease limb reconstruction for a number of triggers. It is predicated on an area of pores and skin and fascia on the anterolateral facet of the thigh furnished by perforators of the climbing down department in the lateral circumflex femoral artery.

Fibular Totally free Flap

Its pedicle size is 6-10 cm, as well as its diameter can be 2-3 logistik. This flap can be utilized for the purpose of defects all over the ankle, feet, and lower leg, and it is typically used to be a free flap. The trasero tibial artery flap is a Type B fasciocutaneous flap designed on the medial side belonging to the leg from your knee to the medial malleolus. Based on septocutaneous perforators of this posterior tibial artery, it may be 6 by 18 centimeter.

This offers a really significant flap (15 cm × 35 cm) with a prolonged pedicle (up to doze cm) giving a protection answer for some defects with the decrease arm or leg. Other frequently used fasciocutaneous cost-free flaps include the radial forearm (for smaller defects), the scapular flaps, and the parascapular flaps (raised round ships close to the axilla). The latter are generally used along the ankle on the other hand could be awkward because of the density of the dermis. could be farmed as a cutaneous flap consisting of pores and skin and subcutaneous tissue based on equally a septocutaneous vessel or perhaps musculocutaneous perforator. It may be increased as a composite flap, that includes a fascial (fasciocutaneous anterolateral thigh flap) or perhaps muscular (vastus lateralis myocutaneous anterolateral leg flap) part.

Fasciocutaneous Flaps Of The More affordable Extremity

Perforator dissection could be tough and tedious for the is alt a scam novice microsurgeon. The dorsalis pedis flap is a Type N fasciocutaneous argument based on the dorsal pores and skin of the inside two thirds of the foot from the ankle to the toes and fingers. Its bloodstream provide is certainly from the septocutaneous perforators from the dorsalis pedis artery and first hinten metatarsal artery.

The saphenous argument is a Type A fasciocutaneous flap based totally on the saphenous artery subset of the descending genicular branch of the trivial femoral artery. Design the flap above the distal medial thigh in order that it measures six x twenty cm; use it for knee wounds. The posterior or perhaps gluteal leg flap relies on the skin color of the trasero thigh overlying the muscles femoris muscle tissue. Its blood vessels provide is the descending subset of the negative gluteal artery, identified half way between the trochanter and ischium. This flap regularly can be used to coat ischial stress ulcers.

The pedicle is certainly three -4 cm long and provides a diameter of 0. 3-zero. eight logistik. This argument most frequently is used intended for protection of leg wounds across the shin. It can be employed as a physical flap based mostly on the shallow peroneal neural. Most of the flaps of the limb may be designed as superiorly based, distally depending, island, or turnover flaps.

Posterior Supply Flap

It is typically designed in the lateral thigh between the higher trochanter and knee with size of 7 a 20 cm. Use the inside thigh argument, which is 15 x 20 cm and has a pedicle of two-4 cm using a 1 . your five mm diameter, for pains of the abdominal, groin, and perineum. Inside the proper sufferer, the pores and skin and subcutaneous fat with the anterolateral leg could be rather thin, creating this flap a probably big donor site of flexible and typically sensate fasciocutaneous tissue. The skin area paddle can be as giant because eight simply by 25 centimeters with principal closure achievable.

It may be increased with the posterior cutaneous neural of the thigh for a sensate flap just for buttock and perineal injuries. In the thigh, the lateral and medial thigh flaps are Type N fasciocutaneous flaps primarily based within the perforating divisions of the profunda femoris and superficial femoral arteries, correspondingly. Use the spectrum of ankle thigh flap for safety of ischial and trochanteric disorders.

The argument can evaluate 15 x 6 centimeter and may include the sural neural as a neurosensory flap. The anterior tibial artery argument is a Type B fasciocutaneous flap found on the anterolateral part of the lower leg between the knee and horizontal malleolus. Based upon the septocutaneous branches of the informe tibial artery, it could evaluate 6 a 18 cm.

The pedicle is definitely 2-four cm long and has a diameter of no. 5-1 millimeter. It is used for protection of defects within the center and lower third of the lower leg and might include the saphenous neurological for sensory innervation. The peroneal artery flap is actually a Type T fasciocutaneous argument based on the lateral knee over the fibula extending from top of the fibula to the lateral malleolus.