The proximally based peroneal vascular bundle

An insulated extension cord for free flap reconstruction

Alexander M. Sailon, Derek D. Reformat, Elizabeth M. Hecht, Evan S. Garfein, Jason A. Spector, Jamie P. Levine, Pierre B. Saadeh

Research output: Contribution to journalArticle

Abstract

Large, traumatic wounds around the proximal third of the lower extremity may have disrupted local vasculature, potentially obviating local pedicled options. However, free-tissue transfer to this area is technically challenging given the resulting paucity of recipient options and the depth of principal blood vessels. We present an anatomic and radiographic study of the proximally based peroneal vascular bundle as a recipient option in the proximal leg. Optimal approach was prone, through an incision over the fibula with dissection between lateral and posterior compartments. Magnetic resonance angiography demonstrated consistent vascular anatomy between patients. A proximally based peroneal vascular bundle protected by a cuff of flexor hallucis longus was used as a recipient vessel in free flap reconstruction of an open knee wound. The bundle itself does not require coverage by virtue of its own local muscle cuff. Caveats for its use include the need for adequate leg inflow and foot outflow.

Original languageEnglish (US)
Pages (from-to)556-559
Number of pages4
JournalAnnals of Plastic Surgery
Volume62
Issue number5
DOIs
StatePublished - May 2009
Externally publishedYes

Fingerprint

Free Tissue Flaps
Blood Vessels
Leg
Fibula
Magnetic Resonance Angiography
Wounds and Injuries
Dissection
Foot
Lower Extremity
Knee
Anatomy
Muscles

Keywords

  • Flexor hallucis longus
  • Local flap
  • Lower extremity reconstruction

ASJC Scopus subject areas

  • Surgery

Cite this

The proximally based peroneal vascular bundle : An insulated extension cord for free flap reconstruction. / Sailon, Alexander M.; Reformat, Derek D.; Hecht, Elizabeth M.; Garfein, Evan S.; Spector, Jason A.; Levine, Jamie P.; Saadeh, Pierre B.

In: Annals of Plastic Surgery, Vol. 62, No. 5, 05.2009, p. 556-559.

Research output: Contribution to journalArticle

Sailon, Alexander M. ; Reformat, Derek D. ; Hecht, Elizabeth M. ; Garfein, Evan S. ; Spector, Jason A. ; Levine, Jamie P. ; Saadeh, Pierre B. / The proximally based peroneal vascular bundle : An insulated extension cord for free flap reconstruction. In: Annals of Plastic Surgery. 2009 ; Vol. 62, No. 5. pp. 556-559.
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