[Fibular pedicled proximal vascular island flap for distal femoral bone reconstruction. Anatomical study].
The fibular pedicled proximal vascular island flap for distal femoral bone reconstruction described for the first time by Cariou on 1996, is studied in this article with an anatomical view. This anatomical morphometric study allows to assure the surgeon that this procedure can be done and to precise the surgical technique. The authors showed that, dependent on the length of the lower limb and the level of the fibular artery origin, 10 to 19 cm of femoral bone reconstruction could be done, after 180 degrees flap rotation. The flap can be used, the fibula separated in two parts, for inferior femoral metaphysis reconstruction or for knee joint arthrodesis.
Delia
G
G
Service Chirurgie Plastique-Brûlés, CHU de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
Delfino
S
S
Persichetti
P
P
Stagno d'Alcontres
F
F
Casoli
V
V
D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005269:Femur / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000098:blood supply*