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VASCULARIZED FIBULAR OSTEOCUTANEOUS GRAFT: SURGICAL TECHNIQUE AND CLINICAL STUDY
Author(s) -
Tonkin Michael A.,
Hanel Douglas P.,
Scheker Luis R.
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07353.x
Subject(s) - medicine , peroneal artery , fibula , vascularity , surgery , dissection (medical) , anterior tibial artery , artery , tibia
This paper presents a detailed description of the dissection of the vascularized fibular osteocutaneous graft. The fibular graft is vascularized by the peroneal artery. A cutaneous vessel takes origin from the peroneal artery within 2 cm of the fibular midpoint in more than 90% of legs. The reliability of this vessel allows a skin island to be transferred with bone, to act as a monitor of vascularity and provide for skin loss. Ten clinical cases confirmed the reliability of the surgical dissection when centred at the midpoint of the fibula.