Superficial Femoral Artery Perforator Flap资料.pdf

RECONSTRUCTIVE Superficial Femoral Artery Perforator Flap: Anatomical Study of a New Flap and Clinical Cases Ali Mojallal, M.D., Ph.D. Background: The medial thigh has been infrequently studied as a donor site Fabien Boucher, M.D. for pedicled or free flaps. In their previous studies, the authors observed a Hristo Shipkov, M.D., Ph.D. direct cutaneous branch from the superficial femoral artery. This study aimed Michel Saint-Cyr, M.D. to investigate the anatomy and potential possibility for flap elevation (the mid- Fabienne Braye, M.D., Ph.D. medial thigh flap) on this direct branch of the superficial femoral vessels. Lyon, France; and Rochester, Minn. Methods: Circumferential adipocutaneous thigh flaps were harvested from 14 fresh adult cadaver legs. The direct cutaneous branch from the superficial femoral vessels was located between the sartorius and gracilis muscles. Pedicle location, diameter, and length and position of the great saphenous vein and saphenous nerve were recorded. A flap based on this vessel was designed. Height, width, and surface of the skin paddle were recorded. Three-dimensional computed tomographic angiography was used to analyze the area of cutaneous territory supplied by the studied perforator. Results: The pedicle was located at an average distance of 22.79 ± 1.55 cm below the pubic tubercle on the medial axis