The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
Abstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and si...
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| Format: | Article |
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Nature Portfolio
2021-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-99203-1 |
| _version_ | 1818425453123207168 |
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| author | Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum |
| author_facet | Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum |
| author_sort | Mathee Ongsiriporn |
| collection | DOAJ |
| description | Abstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and sixty-two legs from 81 formalin-embalmed cadavers were dissected. The popliteal artery branching patterns were classified. The previous data retrieved from cadaveric and angiographic studies were also collected and compared with the current study. The most common pattern is type I-A (90.7%). For the variants, type III-A was the majority among variants (6.2%). Type IV-A, hypoplastic peroneal artery, was found in one limb. A symmetrical branching pattern was found in 74 cadavers. Compared with cadaveric studies, type III-B and III-C are significantly common in angiographic studies (p = 0.015 and p = 0.009, respectively). Type I-A is most common according to previous studies. Apart from this, the prevalence of type III-A variant was higher than in previous studies. Furthermore, type III-B and III-C are more frequent in angiographic studies which might be from atherosclerosis. Thus, if the pre-operative CTA policy is not mandatory, the patients at risk for atherosclerosis and population with high variants prevalence should undergo pre-operative CTA with cost-effectiveness consideration. |
| first_indexed | 2024-12-14T14:14:10Z |
| format | Article |
| id | doaj.art-f2e2e7724e074e05befe8e0b946f6696 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T14:14:10Z |
| publishDate | 2021-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-f2e2e7724e074e05befe8e0b946f66962022-12-21T22:58:14ZengNature PortfolioScientific Reports2045-23222021-10-011111810.1038/s41598-021-99203-1The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadaversMathee Ongsiriporn0Piyawadee Jongpradubgiat1Sasiprapa Pisittrakoonporn2Natthapong Kongkunnavat3Kosin Panyaatisin4Nutcha Yodrabum5Department of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityGraduate School of Language and Communication, National Institute of Development AdministrationDivision of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityAbstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and sixty-two legs from 81 formalin-embalmed cadavers were dissected. The popliteal artery branching patterns were classified. The previous data retrieved from cadaveric and angiographic studies were also collected and compared with the current study. The most common pattern is type I-A (90.7%). For the variants, type III-A was the majority among variants (6.2%). Type IV-A, hypoplastic peroneal artery, was found in one limb. A symmetrical branching pattern was found in 74 cadavers. Compared with cadaveric studies, type III-B and III-C are significantly common in angiographic studies (p = 0.015 and p = 0.009, respectively). Type I-A is most common according to previous studies. Apart from this, the prevalence of type III-A variant was higher than in previous studies. Furthermore, type III-B and III-C are more frequent in angiographic studies which might be from atherosclerosis. Thus, if the pre-operative CTA policy is not mandatory, the patients at risk for atherosclerosis and population with high variants prevalence should undergo pre-operative CTA with cost-effectiveness consideration.https://doi.org/10.1038/s41598-021-99203-1 |
| spellingShingle | Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers Scientific Reports |
| title | The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| title_full | The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| title_fullStr | The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| title_full_unstemmed | The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| title_short | The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| title_sort | congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers |
| url | https://doi.org/10.1038/s41598-021-99203-1 |
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