A vascularised periosteal flap: anatomical study.
Twenty-seven anatomical studies were done to elucidate the periosteal blood supply on the lateral surface of the shaft of the tibia. The dissection of a vascularised periosteal flap is described. The applications of this flap are discussed in the light of previous clinical and experimental reports on periosteal flaps and a successful clinical case is detailed. This flap has application for electively treating bony non union. It may also be used as a free flap in an acute trauma situation involving bone loss.
Crock
J G
JG
Microsurgery Research Centre, St Vincent's Hospital, Fitzroy, Australia.
Morrison
W A
WA
D000328:Adult; D005597:Fractures, Open / Q000601:surgery; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D010521:Periosteum / Q000098:blood supply* / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods / Q000502:physiology*; D016909:Tibial Arteries / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery*