Vascular Anatomy of Peroneal Perforator Flap

Journal of the Korean Society for Surgery of the Hand 2004;13(1):36-42.
Published online May 31, 2004.

Duke Whan Chung, M.D., Chung Soo Han, M.D., Joon Sung Hwang, M.D.

비골 동맥 천공지 피판의 혈관 해부학

정덕환·한정수·황준성

Abstract

Materials and Methods: We studied 50 cases of peroneal perforating branch about branching pattern, course, length of vascular pedicle, and perforating level of the perforating cutaneous branches from Oct. 1985 to November 2003 by doppler flow meter and intraoperative findings.
Results: 1) The perforating cutaneous branches were classified into four types, the Straight Branch (27cases), the Proximal Oblique Branch (11cases), the Branch from Muscular Artery (10cases), the Distal Oblique Branch(2 cases) respectively. The most common patten was Straight Branch, that was 54%. 2) There were 3 pathways of these branches, the most common one passed between the Soleus and Peroneus muscles(34 cases, 68%) 3) The length of vascular pedicle in Buoy Flap was variable from from 3 cm to 15 cm, but 32 cases(64%) were distributed between 5 cm and 6 cm. 4) The perforating level of branches were 5.9 cm in average from fibular neck to subcutaneous perforator artery 5) Peroneal Buoy Flap in possible to reconstruct both seperated bone and skin defect in some distance by One-Stage Operation and we can harvest maximal 8×16 cm sized flap in one perforating artery. If we include more two perforating artery, we get more wide flap which can cover large defect.

Key Words: Perforator cutaneous branch, Doppler flow meter, Perforator level