Anterolateral Thigh Flap

These chimeric flaps consist of multiple muscle combinations, every with an impartial vascular supply. The sural artery flap is a Type A fasciocutaneous flap based mostly on the sural artery direct cutaneous branch of the popliteal artery. It is located between the popliteal fossa as well as the midposterior knee between the medial and spectrum of ankle heads of this gastrocnemius muscle tissue.

Flap Pieces

Wider flaps may be farmed if the plastic surgeon is ready to pores and skin graft the donor space. The flap has a big caliber pedicle, however anatomy within the perforator yacht or boats may be variable. Most ALT flaps, within our experience, need dissection of musculocutaneous perforator(s) and are once in a while equipped only by septocutaneous perforators.

Septocutaneous perforators of the peroneal artery furnish its blood. It is utilized for protection of defects in the center and decrease third with the leg. The superficial peroneal nerve may be included with a phase of fibula. Utilize this flap for trunk, visage, abdomen, and thigh pains. The trasero interosseous artery flap may be a Type T fasciocutaneous argument based mostly above the dorsal element of the forearm between the radius and ulna.

) is a very fashionable flap for lower limb reconstruction for a number of triggers. It is predicated on an part of pores and skin and fascia on the anterolateral facet of the thigh given by perforators of the climbing down department in the lateral circumflex femoral artery.

Fibular No cost Flap

Its pedicle size is 6-10 cm, and it is diameter is 2-3 mm. This flap can be utilized for the purpose of defects throughout the ankle, foot, and lower leg, and it is commonly used being a free flap. The detras tibial artery argument is a Type B fasciocutaneous flap designed on the medial side with the leg in the knee for the medial malleolus. Based on septocutaneous perforators of your posterior tibial artery, it may be 6 a 18 centimeter.

This offers a really huge flap (15 cm × 35 cm) with a long pedicle (up to 12 cm) giving a protection answer for most defects within the decrease arm or leg. Other commonly used fasciocutaneous totally free flaps include the gigantic forearm (for smaller defects), the scapular flaps, and the parascapular flaps (raised round vessels close to the axilla). The latter are usually used throughout the ankle on the other hand could be difficult because of the width of the dermis. could be collected as a cutaneous flap consisting of pores and skin and subcutaneous structure based on both a septocutaneous vessel or perhaps musculocutaneous perforator. It may be increased as a blend flap, that includes a fascial (fasciocutaneous anterolateral upper leg flap) or muscular (vastus lateralis myocutaneous anterolateral upper leg flap) part.

Fasciocutaneous Flaps Of The Lessen Extremity

Perforator dissection can be tough and tedious towards the unskilled microsurgeon. The dorsalis pedis flap is known as a Type N fasciocutaneous flap based on the dorsal skin color of the inside 2/3 of the feet from the ankle joint to the toes and fingers. Its bloodstream provide is certainly from the septocutaneous perforators of this dorsalis pedis artery and first dorsal metatarsal artery.

The saphenous flap is a Type A fasciocutaneous flap dependent on the saphenous artery branch of the descending genicular branch of the shallow femoral artery. Design the flap over the distal medial thigh in order that it measures several x 20 cm; make use of it for leg wounds. The posterior or gluteal leg flap depends on the pores and skin of the detras thigh overlying the biceps femoris lean muscle. Its bloodstream provide certainly is the descending branch of the poor gluteal artery, identified midway between the trochanter and ischium. This argument regularly is utilized to hide ischial stress ulcers.

The pedicle is normally three -4 cm in length and contains a diameter of 0. 3-zero. eight millimeter. This argument most frequently is used designed for protection of leg wounds across the shin. It can be made use of as a sensory flap primarily based on the ” light ” peroneal neural. Most of the flaps of the leg may be designed as superiorly based, distally based, island, or turnover flaps.

Posterior Hand Flap

It can also be designed in the lateral leg between the bigger trochanter and knee with size of 7 times 20 cm. Use the medial thigh flap, which is 15 x twenty cm and has a pedicle of two-4 cm having a 1 . your five mm diameter, for wounds of the abdomen, groin, and perineum. In the proper affected individual, the skin color and subcutaneous fat within the anterolateral leg could be reasonably thin, making this flap a probably massive donor web site of supple and commonly sensate fasciocutaneous tissue. The skin area paddle could be as giant when eight by 25 cms with main closure attainable.

It may be brought up with the trasero cutaneous neural of the leg for a sensate flap intended for buttock and perineal wounds. In the thigh, the lateral and medial upper leg flaps will be Type T fasciocutaneous flaps primarily based at the perforating divisions of the profunda femoris and superficial femoral arteries, correspondingly. Use the side thigh flap for safeguard of ischial and trochanteric defects.

The flap can measure 15 times 6 centimeter and may include the sural neurological as a neurosensory flap. The anterior tibial artery flap is a Type B fasciocutaneous flap situated on the anterolateral part of the calf between the knees and spectrum of ankle malleolus. Depending on the septocutaneous branches of the informe tibial artery, it could measure 6 a 18 cm.

The pedicle is 2-four centimeter long and has a diameter of no. 5-1 millimeter. It is employed for protection of defects belonging to the center and lower third of the lower body and might range from the saphenous neural for physical innervation. The peroneal artery flap may be a Type W fasciocutaneous flap based on the lateral leg over the fibula extending from your top of the fibula to the horizontal malleolus.