MEDIAL FEMORAL CONDYLE CORTICOPERIOSTEAL FLAP: ANATOMIC STUDY

Carregando...
Imagem de Miniatura
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2018
Título da Revista
ISSN da Revista
Título do Volume
Editora
ATHA COMUNICACAO & EDITORA
Citação
ACTA ORTOPEDICA BRASILEIRA, v.26, n.3, p.179-182, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: The medial femoral condyle corticoperiosteal flap is irrigated by the descending genicular artery, and when this is absent, by the superior medial genicular artery. The descending genicular artery divides into the muscular, saphenous, and osteoarticular branches. The objective of this study was to describe the variables involved in the dissection of the medial femoral condyle flap. Methods: Thirty thighs from 20 cadavers were dissected and the following variables were recorded: age, height, weight, thigh length, presence of the descending genicular artery, whether the saphenous branch originated from the descending genicular artery, the length of the branches originating from the descending genicular artery, and the diameter of the descending genicular artery and the vena comitans. Results: The descending genicular artery was present in 93.3% of the specimens (28/30). The saphenous branch originated from this artery in 76.7% of the dissections (23/70). The mean distance between the origin of the descending genicular artery and the knee joint was 13.4 cm (+/- 1.4), the mean length of the descending genicular artery was 7.5 cm (+/- 1.5), the mean diameter of the descending genicular artery was 1.9 mm (+/- 0.3), and the mean diameter of the vena comitans was 1.7 mm (+/- 0.3). Conclusion: The vascularized medial femoral condyle is a versatile option for reconstruction of musculoskeletal injuries. It allows transference of bone associated with muscle and skin, which are each nourished by independent branches.
Palavras-chave
Surgical flaps, Microsurgery, Reconstruction, Arteries/anatomy and histology, Thigh/anatomy and histology
Referências
  1. Brandtner C, 2016, BRIT J ORAL MAX SURG, V54, P614, DOI 10.1016/j.bjoms.2016.03.007
  2. Burger HK, 2014, J HAND SURG-AM, V39, P1313, DOI 10.1016/j.jhsa.2014.03.040
  3. Cavadas PC, 2008, J TRAUMA, V64, P144, DOI 10.1097/01.ta.0000249347.35050.3f
  4. Choudry UH, 2008, ANN PLAS SURG, V60, P174, DOI 10.1097/SAP.0b013e318056d6b5
  5. DOI K, 1994, MICROSURG, V15, P305, DOI 10.1002/micr.1920150505
  6. Doi K, 2000, J HAND SURG-AM, V25A, P507, DOI 10.1053/jhsu.2000.5993
  7. FINLEY JM, 1978, PLAST RECONSTR SURG, V61, P1
  8. Fuchs B, 2005, J SHOULDER ELB SURG, V14, P264, DOI 10.1016/j.jse.2004.06.007
  9. Garcia-Pumarino R, 2014, ANN PLAS SURG, V73, P607, DOI 10.1097/SAP.0b013e318276d964
  10. Guzzini M, 2016, CASE REP ORTHOP, V2016
  11. HERTEL R, 1989, SURG RADIOL ANAT, V11, P257, DOI 10.1007/BF02098691
  12. Huang D, 2011, CLIN ANAT, V24, P77, DOI 10.1002/ca.21060
  13. Iorio ML, 2012, J HAND SURG-AM, V37A, P1033, DOI 10.1016/j.jhsa.2012.02.033
  14. Jones DB, 2008, J BONE JOINT SURG AM, V90A, P2616, DOI 10.2106/JBJS.G.01503
  15. Malizos KN, 2010, J HAND SURG-AM, V35A, P1710, DOI 10.1016/j.jhsa.2010.08.006
  16. MARTIN D, 1991, BRIT J PLAST SURG, V44, P397, DOI 10.1016/0007-1226(91)90194-O
  17. OSTRUP LT, 1974, PLAST RECONSTR SURG, V54, P274
  18. SAKAI K, 1991, PLAST RECONSTR SURG, V87, P290, DOI 10.1097/00006534-199102000-00011
  19. Sananpanich K, 2013, PLAST RECONSTR SURG, V131, p363E, DOI 10.1097/PRS.0b013e31827c7067
  20. Yamamoto H, 2010, J HAND SURG-EUR VOL, V35E, P569, DOI 10.1177/1753193410364484