Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap
Purpose: A further understanding of the anterior supramalleolar artery (ASMA) and its potential applications in reconstructive surgery. Materials and Methods: A total of 24 fresh lower limbs from fresh cadavers were injected with red latex for dissection. The type of origin, course, diameter of the...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2015-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155262 |
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| author | Ji-Yin He Shih-Heng Chen Kannan Karuppiah Kumar Zhi-Hong Fan Jie Lao Huey Tien |
| author_facet | Ji-Yin He Shih-Heng Chen Kannan Karuppiah Kumar Zhi-Hong Fan Jie Lao Huey Tien |
| author_sort | Ji-Yin He |
| collection | DOAJ |
| description | Purpose: A further understanding of the anterior supramalleolar artery (ASMA) and its potential applications in reconstructive surgery. Materials and Methods: A total of 24 fresh lower limbs from fresh cadavers were injected with red latex for dissection. The type of origin, course, diameter of the pedicle, and the distance between the origin of the ASMA from the anterior tibial artery to the extensor retinaculum (O-R) were recorded. Bi-foliate fasciocutaneous flaps were harvested using the branches of the ASMA. Results: We found four types of origin of the ASMA, and we have accordingly classified them into four types. 10 of them were type A, 7 were type B, 6 were type C and 1 was type D. The mean O-R (origin of ASMA to retinaculum) distance was 2.0 ± 0.8 cm. The diameter of the medial branch (D1), the diameter of the lateral branch (D2), and the diameter of artery stem (D3) (only in type A) were 1.0 ± 0.2 mm, 0.8 ± 0.3 mm, 1.1 ± 0.2 mm, respectively. The mean pedicle length of the lateral flap (L1) and medial flap (L2) were 5.1 ± 1.0 cm and 3.7 ± 0.6 cm, respectively. Conclusions: The ASMA exists constantly with four different types of origin. Its sizable diameter and lengthy pedicle make it suitable for bi-foliate fasciocutaneous flap transfer. |
| format | Article |
| id | doaj-art-7badf4c08afe42fb8fbf649fda826425 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-7badf4c08afe42fb8fbf649fda8264252025-08-20T03:35:02ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2015-01-01480101702110.4103/0970-0358.155262Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flapJi-Yin He0Shih-Heng Chen1Kannan Karuppiah Kumar2Zhi-Hong Fan3Jie Lao4Huey Tien5Department of Plastic Surgery, School of Medicine, Renji Hospital, Shanghai Jiaotong University, Shanghai, ChinaDepartment of Plastic and Reconstructive Surgery, College of Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanChristine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, USADepartment of Plastic Surgery, School of Medicine, Renji Hospital, Shanghai Jiaotong University, Shanghai, ChinaDepartment of Hand Surgery, Huashan Hospital Affiliated Fudan University, Shanghai, ChinaChristine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, USAPurpose: A further understanding of the anterior supramalleolar artery (ASMA) and its potential applications in reconstructive surgery. Materials and Methods: A total of 24 fresh lower limbs from fresh cadavers were injected with red latex for dissection. The type of origin, course, diameter of the pedicle, and the distance between the origin of the ASMA from the anterior tibial artery to the extensor retinaculum (O-R) were recorded. Bi-foliate fasciocutaneous flaps were harvested using the branches of the ASMA. Results: We found four types of origin of the ASMA, and we have accordingly classified them into four types. 10 of them were type A, 7 were type B, 6 were type C and 1 was type D. The mean O-R (origin of ASMA to retinaculum) distance was 2.0 ± 0.8 cm. The diameter of the medial branch (D1), the diameter of the lateral branch (D2), and the diameter of artery stem (D3) (only in type A) were 1.0 ± 0.2 mm, 0.8 ± 0.3 mm, 1.1 ± 0.2 mm, respectively. The mean pedicle length of the lateral flap (L1) and medial flap (L2) were 5.1 ± 1.0 cm and 3.7 ± 0.6 cm, respectively. Conclusions: The ASMA exists constantly with four different types of origin. Its sizable diameter and lengthy pedicle make it suitable for bi-foliate fasciocutaneous flap transfer.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155262anterior supramalleolar arterybipaddle flapsfasciocutaneous flapsmultiple defects |
| spellingShingle | Ji-Yin He Shih-Heng Chen Kannan Karuppiah Kumar Zhi-Hong Fan Jie Lao Huey Tien Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap Indian Journal of Plastic Surgery anterior supramalleolar artery bipaddle flaps fasciocutaneous flaps multiple defects |
| title | Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap |
| title_full | Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap |
| title_fullStr | Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap |
| title_full_unstemmed | Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap |
| title_short | Anatomical study of anterior supramalleolar artery and its potential application to design a bi-foliate fasciocutaneous flap |
| title_sort | anatomical study of anterior supramalleolar artery and its potential application to design a bi foliate fasciocutaneous flap |
| topic | anterior supramalleolar artery bipaddle flaps fasciocutaneous flaps multiple defects |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.155262 |
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