title: An anatomic study of the intermuscular septum of the lower leg; branches from the posterior tibial artery and potential for reconstruction of the lower leg and the heel.
abstract: The anatomy of the intermuscular septum (IMS) of the lower leg has been studied in 10 legs of 10 cadavers. The IMS was well developed in the distal half of the lower leg and its vascular supply from the posterior tibial artery was frequently seen at 60mm proximal from the tip of the medial malleolus. We advocate that these anatomical features contribute to clinical applications of the IMS flap. It may be useful for reconstruction of the lower leg and heel as safer options with less morbidity.
authors.affiliation: Department of Plastic Surgery, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku Shinjuku-ku, Tokyo 160-0023, Japan. k-tnk-a@mtj.biglobe.ne.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Tanaka
authors.forename: Hajime
authors.initials: H
authors.lastname: Matsumura
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Miyaki
authors.forename: Katsueki
authors.initials: K
authors.lastname: Watanabe
mesh_terms: D002102:Cadaver; D004210:Dissection; D005260:Female; D006365:Heel / Q000033:anatomy & histology / Q000098:blood supply / Q000601:surgery; D006801:Humans; D007866:Leg / Q000033:anatomy & histology* / Q000098:blood supply / Q000601:surgery; D008297:Male; D018482:Muscle, Skeletal / Q000033:anatomy & histology* / Q000098:blood supply / Q000601:surgery; D019651:Plastic Surgery Procedures; D016909:Tibial Arteries / Q000033:anatomy & histology* / Q000601:surgery; D013979:Tibial Nerve / Q000033:anatomy & histology* / Q000601:surgery