title: Fibula osteoseptocutaneous flap with a variant perforator and peroneal artery arising from the anterior tibial artery.
abstract: Since the report of the first cases of vascularized free fibula graft for treatment of open fracture of the tibia and fibula in 1975, there have been many other reports of the use of vascularized free osteocutaneous fibula flaps for reconstruction of the mandible or lower leg. Usually, these flaps have a single pedicle composed of the peroneal artery, to supply the fibula with septocutaneous or musculocutaneous branches arising from the peroneal artery to supply the lateral skin of the leg. Although some authors have reported variant perforators, there have been no reports of the peroneal artery arising from the anterior tibial artery and perforator arising from the posterior tibial artery. This is the first report of a variant of the peroneal artery and perforator using a vascularized free osteocutaneous fibula flap.
authors.affiliation: Department of Plastic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakazawa
authors.forename: Motohiro
authors.initials: M
authors.lastname: Nozaki
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Higasimori
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kikuchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Honda
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Isago
authors.forename: Kenji
authors.initials: K
authors.lastname: Sasaki
mesh_terms: D003131:Combined Modality Therapy; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D016909:Tibial Arteries; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome