English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Introduccion: El exito de este colgajo depende de la anatomia vascular de su pediculo y de la existencia de anastomosis con pediculos proximales. Los estudios vasculares anatomicos en cadaveres fundan las bases para la realizacion de colgajos musculares. El cirujano debe conocer cuales de los resultados de un estudio cadaverico son aplicables al paciente. Objetivos: Estudiar en cadaveres el numero de pediculos distales, su topografia y la existencia de anastomosis con vasos proximales. Luego comparar estos datos con los hallados en pacientes. Material y Metodos: En 9 piernas cadavericas se estudio la anatomia de los pediculos distales. En 5 pacientes se realizo colgajo de hemisoleo a pediculo distal y se verifico la correspondencia de los datos cadavericos con los hallados en el vivo. Resultados: En el grupo cadaverico los pediculos distales para el musculo soleo se originaron tanto de la arteria tibial posterior como de la peronea. El vaso mas distal se encontro en promedio a 6,32 cm de la linea intermaleolar y su origen mas frecuente fue la arteria tibial posterior. La presencia de anastomosis no fue demostrable en las disecciones cadavericas pero si en el vivo. Conclusiones: Los resultados cadavericos fueron comparables con los hallazgos del modelo vivo, salvo en la identificacion de anastomosis, solo evidenciables en estos ultimos. Esta informacion es util para el abordaje y localizacion del pediculo distal que nutre el colgajo, pero no para definir el territorio anatomico del vaso. Por lo tanto, debe conocerse que datos originados de estudios cadavericos pueden aplicarse al vivo. Introduction: The success of this flap depends on the vascular anatomy of its pedicle and on the existence of anastomosis with proximal pedicles. The anatomic cadaveric vascular studies set the foundation for muscle flap designs. Surgeons should know which results of cadaveric studies are applicable to the patient. Our objective was to study, in cadavers, the number and situation of distal pedicles to the soleous muscle and the existence of anastomosis between them and proximal dominant vessels for this muscle, and to compare this data with those found in patients. Material and Methods: The anatomy of distal pedicles was studied in nine cadaveric legs. Distally based hemisoleus flap was performed in five patients. The correspondence between cadaveric and patients data was verified. Results: Cadaveric group distal pedicles for soleus muscle were originated from the posterior tibial artery and also from the fibular artery. The most distal vessel was found at an average of 6.32 cm from the intermaleolar line. Its most frequent origin was the posterior tibial artery. The presence of anastomosis was demonstrated in patients but not in cadaveric dissections. Conclusions: Cadaveric results were comparable with those found in patients, except for the identification of the anastomosis. This information is useful for the localization and surgical approach of the distal pedicle that nourish the flap, but not to define the anatomical territory of the vessel. Therefore, it should be known which cadaveric data can be applied to the patients.

revista argentina de anatomía clínica

COLGAJO DE HEMISÓLEO A PEDÍCULO DISTAL: CORRELACIÓN ENTRE ESTUDIOS VASCULARES CADAVÉRICOS E “IN VIVO” DISTALLY BASED HEMISOLEOUS FLAP: CORRELATION BETWEEN CADAVERIC AND “IN VIVO” VASCULAR STUDIES