An Unreported Variation of Origin of Posterior Tibial Artery Encountered During Free Fibula Flap Harvest.
Ann Plast Surg
; 91(1): 101-103, 2023 07 01.
Article
en En
| MEDLINE
| ID: mdl-37450867
ABSTRACT
ABSTRACT Variations in the division of popliteal artery and origin of the 3 vascular systems are well documented. Here, we report a case in which the posterior tibial artery originated from the peroneal artery, in lower leg and then followed the normal course. The anomaly was detected intraoperatively precluding the harvest of free fibula flap. The procedure was abandoned and fibula was fixed using plates and screws and a free radial forearm flap was done over 2 mini-plates, which spanned the bone gap. A second bone flap procedure was to be planned in another sitting.The anomalous origin of posterior tibial artery from the peroneal artery in lower leg did not fall into any of the categories described previously by Kim et al (Ann Surg 1989;210776-81.). In the event such atypical anatomy is encountered, it must be delineated, and the surgical plan adjusted accordingly. Flexibility in surgical approach can prevent vascular catastrophe.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos de Cirugía Plástica
/
Colgajos Tisulares Libres
Límite:
Humans
Idioma:
En
Revista:
Ann Plast Surg
Año:
2023
Tipo del documento:
Article
País de afiliación:
India