[Neurocutaneous flap of the anteromedial aspect of the thigh with a distal pedicle. Anatomical study and clinical application].
The authors report an anatomic study of the vascularization of the medial aspect of the thigh on 21 cadaveric dissections with injection. They describe a neuro-cutaneous medial thigh flap, with a distal pedicle, vascularised by proximal branches of the saphenous artery (branch from the descending genicular artery). This flap includes the medial femoral cutaneous nerve, which runs with a supra-aponeurotic vascular network. The anatomic variants and harvesting technique of this flap are described. Our clinical experience is based on 3 patients operated between 1996 and 1998, for coverage of an amputation stump. The results were excellent in all cases with a follow-up of 6 months to 3 years. The good quality of this skin coverage allows satisfactory adaptation of the leg prosthesis in our cases.
Malikov
S
S
Service de Microchirurgie, Hôpital de l'Académie d'Etat de Pédiatrie, Saint-Pétersbourg.
Valenti
P
P
Masquelet
A C
AC
D000328:Adult; D000672:Amputation Stumps / Q000601:surgery*; D001186:Artificial Limbs; D002648:Child; D006801:Humans; D007866:Leg / Q000033:anatomy & histology / Q000601:surgery; D008297:Male; D013524:Surgical Flaps; D013848:Thigh / Q000033:anatomy & histology / Q000601:surgery