Vascularized fibular osteocutaneous graft: surgical technique and clinical study.
This paper presents a detailed description of the dissection of the vascularized fibular osteocutaneous graft. The fibular graft is vascularized by the peroneal artery. A cutaneous vessel takes origin from the peroneal artery within 2 cm of the fibular midpoint in more than 90% of legs. The reliability of this vessel allows a skin island to be transferred with bone, to act as a monitor of vascularity and provide for skin loss. Ten clinical cases confirmed the reliability of the surgical dissection when centred at the midpoint of the fibula.
Tonkin
M A
MA
University of Louisville School of Medicine, Kentucky.
Hanel
D P
DP
Scheker
L R
LR
D000293:Adolescent; D000328:Adult; D001158:Arteries / Q000637:transplantation; D001847:Bone Diseases / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D007223:Infant; D007866:Leg / Q000098:blood supply; D008297:Male; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000379:methods*