Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study
Background:. Inferiorly based gastrocnemius muscle flaps have been successfully used to cover soft tissue defects of the middle third of the leg. This is done especially in older patients or patients with major complications where operative time should be limited. We aimed to determine the gastrocne...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2020-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003201 |
| _version_ | 1818730348121423872 |
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| author | Shogo Ebisudani, MD, PhD Kiichi Inagawa, MD, PhD Yoshinori Suzuki, MD, PhD Ikuko Osugi, MD, PhD |
| author_facet | Shogo Ebisudani, MD, PhD Kiichi Inagawa, MD, PhD Yoshinori Suzuki, MD, PhD Ikuko Osugi, MD, PhD |
| author_sort | Shogo Ebisudani, MD, PhD |
| collection | DOAJ |
| description | Background:. Inferiorly based gastrocnemius muscle flaps have been successfully used to cover soft tissue defects of the middle third of the leg. This is done especially in older patients or patients with major complications where operative time should be limited. We aimed to determine the gastrocnemius muscle length that can be safely used for preparing inferiorly based muscle flaps.
Methods:. We performed angiographies and dissection to investigate the numbers and distribution of the communicating arterial branches between the medial and lateral heads of the gastrocnemius muscle, and the perforating arterial branches of the medial sural artery from the soleus to the gastrocnemius muscles on 18 legs of preserved cadavers.
Results:. The lengths of the gastrocnemius heads were approximately 10 cm, and the communicating arterial branches of the gastrocnemius muscle also were located at approximately 10 cm from the gastrocnemius head. The perforating arterial branches from the soleus muscle to the gastrocnemius muscle were also located at approximately 10 cm from the gastrocnemius head.
Conclusions:. Communicating arterial branches of the gastrocnemius muscle were found in all cadavers. To the best of our knowledge, no other study has focused on investigating the perforating arterial branches that supply the gastrocnemius from the soleus muscle. Our study indicates that the entire gastrocnemius muscle can be safely used in reconstruction surgeries. |
| first_indexed | 2024-12-17T23:00:21Z |
| format | Article |
| id | doaj.art-b6c14c33907e4ff1b93dd41da9ccfd4a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-17T23:00:21Z |
| publishDate | 2020-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-b6c14c33907e4ff1b93dd41da9ccfd4a2022-12-21T21:29:25ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-11-01811e320110.1097/GOX.0000000000003201202011000-00032Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver StudyShogo Ebisudani, MD, PhD0Kiichi Inagawa, MD, PhD1Yoshinori Suzuki, MD, PhD2Ikuko Osugi, MD, PhD3From the Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.From the Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.From the Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.From the Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.Background:. Inferiorly based gastrocnemius muscle flaps have been successfully used to cover soft tissue defects of the middle third of the leg. This is done especially in older patients or patients with major complications where operative time should be limited. We aimed to determine the gastrocnemius muscle length that can be safely used for preparing inferiorly based muscle flaps. Methods:. We performed angiographies and dissection to investigate the numbers and distribution of the communicating arterial branches between the medial and lateral heads of the gastrocnemius muscle, and the perforating arterial branches of the medial sural artery from the soleus to the gastrocnemius muscles on 18 legs of preserved cadavers. Results:. The lengths of the gastrocnemius heads were approximately 10 cm, and the communicating arterial branches of the gastrocnemius muscle also were located at approximately 10 cm from the gastrocnemius head. The perforating arterial branches from the soleus muscle to the gastrocnemius muscle were also located at approximately 10 cm from the gastrocnemius head. Conclusions:. Communicating arterial branches of the gastrocnemius muscle were found in all cadavers. To the best of our knowledge, no other study has focused on investigating the perforating arterial branches that supply the gastrocnemius from the soleus muscle. Our study indicates that the entire gastrocnemius muscle can be safely used in reconstruction surgeries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003201 |
| spellingShingle | Shogo Ebisudani, MD, PhD Kiichi Inagawa, MD, PhD Yoshinori Suzuki, MD, PhD Ikuko Osugi, MD, PhD Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study Plastic and Reconstructive Surgery, Global Open |
| title | Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study |
| title_full | Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study |
| title_fullStr | Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study |
| title_full_unstemmed | Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study |
| title_short | Analysis of Vascular Anatomy in Inferiorly Based Gastrocnemius Muscle Flaps in Japanese Individuals Using a Cadaver Study |
| title_sort | analysis of vascular anatomy in inferiorly based gastrocnemius muscle flaps in japanese individuals using a cadaver study |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003201 |
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