title: Flow-through fibula flap using soleus branch as distal runoff: a case report.
abstract: The flow-through fibula flap utilizing the soleus branch as a distal runoff has not yet been reported. We herein present a patient with left tibial adamantimoma in whom wide resection of the tumor resulted in a segmental tibial defect 22 cm in length. The defect was successfully reconstructed with a flow-through free fibula osteocutaneous flap using the soleus branch of the peroneal artery as a distal runoff. The short T-segment of the peroneal artery was interposed to the transected posterior tibial artery. The soleus branch has a constant anatomy and a larger diameter than the distal stump of the peroneal artery. Short interposed flow-through anastomosis to the major vessels is much easier and more reliable than the conventional methods. We believe that our method represents a versatile option for vascularized fibula bone grafting for extremity reconstruction.
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan. shimiyam@ncc.go.jp
authors.forename: Shimpei
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Shuji
authors.initials: S
authors.lastname: Kayano
authors.forename: Hiroki
authors.initials: H
authors.lastname: Umezawa
authors.forename: Masahide
authors.initials: M
authors.lastname: Fujiki
authors.forename: Minoru
authors.initials: M
authors.lastname: Sakuraba
mesh_terms: D050398:Adamantinoma / Q000601:surgery*; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013977:Tibia / Q000601:surgery*