Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery
Background/Aim. Lower-leg septocutaneous system of perforating blood vessels represents the vascular basis of fasciocutaneous flaps. Additionally, it is of a particular importance when designing distally based fasciocutaneous flaps which represent the “workhorse” in the reconstruction of the distal...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2019-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700166S.pdf |
| _version_ | 1831791662343389184 |
|---|---|
| author | Stevanović Goran R. Daković-Bjelaković Marija Z. Đorđević Boban Paravina Jadranka M. Golubović Ivan Z. Janković Irena D. Radojković Milan D. Nestorović Milica D. Ignjatović Nebojša S. Krstić Miljan S. |
| author_facet | Stevanović Goran R. Daković-Bjelaković Marija Z. Đorđević Boban Paravina Jadranka M. Golubović Ivan Z. Janković Irena D. Radojković Milan D. Nestorović Milica D. Ignjatović Nebojša S. Krstić Miljan S. |
| author_sort | Stevanović Goran R. |
| collection | DOAJ |
| description | Background/Aim. Lower-leg septocutaneous system of perforating blood vessels represents the vascular basis of fasciocutaneous flaps. Additionally, it is of a particular importance when designing distally based fasciocutaneous flaps which represent the “workhorse” in the reconstruction of the distal third of the lower leg and foot. The aim of this study was to analyse the vascular anatomy of posterior tibial artery and its septocutaneous (fasciocutaneous) perforating arterial vessels. Methods. The dissection was conducted on 20 fetuses of both sexes and of gestational age from 20 to 28 weeks. Cluster analysis was applied to the data on vascular anatomy of posterior tibial artery and its septocutaneous performating arterial vessels. Results. A total of 212 perforating arterial vessels was identified. The average number of perforating arterial vessels was 5.32 (ranging from 4 to 7). It was identified that septocutaneous perforating blood vessels are more likely to be found at certain levels (“safe levels of finding perforators”). These are: second, third, fifth and sixth tenth (measured as a distance from intermalleolar line to popliteal crease). Conclusion. The presence of septocutaneous system of perforating blood vessels and reliability of their localization even in the fetal period allows application of these findings in the lower leg reconstructions in children of early age. It also contributes to the greater level of understanding of anatomy of the lower-leg vascular system. Finally, it provides a basis for understanding the development of this system as it is now possible to compare results obtained on fetuses with those obtained on adults. |
| first_indexed | 2024-12-22T14:58:24Z |
| format | Article |
| id | doaj.art-2475e56952e54b8aa6561c674a1429ac |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-12-22T14:58:24Z |
| publishDate | 2019-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-2475e56952e54b8aa6561c674a1429ac2022-12-21T18:22:11ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202019-01-0176772873210.2298/VSP170525166S0042-84501700166SAnatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial arteryStevanović Goran R.0Daković-Bjelaković Marija Z.1Đorđević Boban2Paravina Jadranka M.3Golubović Ivan Z.4Janković Irena D.5Radojković Milan D.6Nestorović Milica D.7Ignjatović Nebojša S.8Krstić Miljan S.9Clinical Center Niš, Clinic for Plastic, Reconstructive and Aesthetic Surgery, Niš, SerbiaUniversity of Niš, Faculty of Medicine, Department of Anatomy, Niš, SerbiaMilitary Medical Academy, Clinic for Plastic Surgery and Burns, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaClinical Center Niš, Clinic for Plastic, Reconstructive and Aesthetic Surgery, Niš, SerbiaClinical Center Niš, Department of Orthopedics and Traumatology, Niš, SerbiaClinical Center Niš, Clinic for Plastic, Reconstructive and Aesthetic Surgery, Niš, SerbiaClinical Center Niš, Clinic for General Surgery, Niš, SerbiaClinical Center Niš, Clinic for General Surgery, Niš, SerbiaClinical Center Niš, Clinic for General Surgery, Niš, SerbiaClinical Center Niš, Department of Pathology, Niš, SerbiaBackground/Aim. Lower-leg septocutaneous system of perforating blood vessels represents the vascular basis of fasciocutaneous flaps. Additionally, it is of a particular importance when designing distally based fasciocutaneous flaps which represent the “workhorse” in the reconstruction of the distal third of the lower leg and foot. The aim of this study was to analyse the vascular anatomy of posterior tibial artery and its septocutaneous (fasciocutaneous) perforating arterial vessels. Methods. The dissection was conducted on 20 fetuses of both sexes and of gestational age from 20 to 28 weeks. Cluster analysis was applied to the data on vascular anatomy of posterior tibial artery and its septocutaneous performating arterial vessels. Results. A total of 212 perforating arterial vessels was identified. The average number of perforating arterial vessels was 5.32 (ranging from 4 to 7). It was identified that septocutaneous perforating blood vessels are more likely to be found at certain levels (“safe levels of finding perforators”). These are: second, third, fifth and sixth tenth (measured as a distance from intermalleolar line to popliteal crease). Conclusion. The presence of septocutaneous system of perforating blood vessels and reliability of their localization even in the fetal period allows application of these findings in the lower leg reconstructions in children of early age. It also contributes to the greater level of understanding of anatomy of the lower-leg vascular system. Finally, it provides a basis for understanding the development of this system as it is now possible to compare results obtained on fetuses with those obtained on adults.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700166S.pdfanatomyfetuslegsurgical flapstibial arteries |
| spellingShingle | Stevanović Goran R. Daković-Bjelaković Marija Z. Đorđević Boban Paravina Jadranka M. Golubović Ivan Z. Janković Irena D. Radojković Milan D. Nestorović Milica D. Ignjatović Nebojša S. Krstić Miljan S. Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery Vojnosanitetski Pregled anatomy fetus leg surgical flaps tibial arteries |
| title | Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery |
| title_full | Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery |
| title_fullStr | Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery |
| title_full_unstemmed | Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery |
| title_short | Anatomic study of septocutaneous system of the human fetuses’ lower leg: Posterior tibial artery |
| title_sort | anatomic study of septocutaneous system of the human fetuses lower leg posterior tibial artery |
| topic | anatomy fetus leg surgical flaps tibial arteries |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700166S.pdf |
| work_keys_str_mv | AT stevanovicgoranr anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT dakovicbjelakovicmarijaz anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT đorđevicboban anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT paravinajadrankam anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT golubovicivanz anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT jankovicirenad anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT radojkovicmiland anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT nestorovicmilicad anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT ignjatovicnebojsas anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery AT krsticmiljans anatomicstudyofseptocutaneoussystemofthehumanfetuseslowerlegposteriortibialartery |