Comparison between anterolateral thigh, radial forearm, and peroneal artery flap donor site thickness in Asian patients-A sonographic study.

Abstract:

PURPOSE:This study aimed to determine the thicknesses of the three locations used as donor sites for radial forearm (RF), anterolateral thigh (ALT), and peroneal flaps and to determine probable contributing factors of the thickness. METHODS:This study included 201 healthy participants (mean age: 45.8 ± 17.2 years; male: 114; female: 87; BMI: 24.3 ± 4.3). Sonography was used to measure the thickness of flap donor sites. Forward stepwise regressions were conducted to determine the contributing factors of flap thickness. RESULTS:The RF flap (0.28 ± 0.08 cm) was thinner than peroneal flap (0.47 ± 0.17 cm) (P < 0.0001), and peroneal flap was thinner than ALT flap (0.98 ± 0.4 cm) (P < 0.0001). Flap type (P < 0.001, 95%CI: 0.33-0.41), BMI (P < 0.001, 95%CI: 0.02-0.033), gender (P < 0.001, 95%CI: -0.3 to -0.17), and age (P = 0.002, 95%CI: -0.005 to -0.001) were the contributing factors of flap thickness. In the subgroup analysis, BMI was the only contributing factor of RF flap thickness (P < 0.001). For ALT and peroneal flaps, age, gender, and BMI were the contributing factors (P < 0.001). The coefficient of BMI was 0.005 in RF flap, 0.01 in peroneal flap, and 0.04 in ALT flap. CONCLUSIONS:The RF flap was found thinner than peroneal flap, and peroneal flap was found thinner than ALT flap. The BMI effects on RF and peroneal flaps were much less than that on ALT flap. Therefore, the RF and peroneal flaps would be the better choice in obese patients with soft tissue defects where a thin flap is needed.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Hsu KC,Tsai WH,Ting PS,Hsueh JH,Chen LW,Lin YS

doi

10.1002/micr.30164

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

655-660

issue

6

eissn

0738-1085

issn

1098-2752

journal_volume

37

pub_type

杂志文章
  • Reconstruction of midfoot bone and soft tissue loss with chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap following gunshot injuries: Report of two cases.

    abstract:INTRODUCTION:In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the seco...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.30099

    authors: Ozcan Akcal A,Ünal K,Gorgulu T,Akif Akcal M,Bigat Z

    更新日期:2016-10-01 00:00:00

  • Reconstruction of diabetic lower leg and foot soft tissue defects using thoracodorsal artery perforator chimeric flaps.

    abstract:BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHOD...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30314

    authors: Sung IH,Jang DW,Kim SW,Kim YH,Kim SW

    更新日期:2018-09-01 00:00:00

  • Lateral lower leg perforator flaps: an anatomical study to localize and classify lateral lower leg perforators.

    abstract::Despite increasing use of lateral lower leg perforator flaps, comprehensive anatomical data are still lacking. The aim of this article was to comprehensively document the pattern of usable lateral lower leg perforators. Systematic mapping of 16 cadaver leg perforators in a well-defined area was performed to elucidate ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22313

    authors: Hupkens P,Schijns W,Van Abeelen M,Kooloos JG,Slater NJ,Ulrich DJ

    更新日期:2015-02-01 00:00:00

  • Non-revascularized epigastric free flap: no all-or-none survival pattern.

    abstract::We have previously shown that the epigastric flap in Dark Agouty rats, measuring approximately 6 x 4 cm with borders related to well-defined anatomical structures, does not exhibit an all-or-none survival pattern. This study was designed to investigate the survival pattern of non-revascularized epigastric flaps in thr...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140907

    authors: Franken RJ,Werker PM,Overgoor ML,Kon M

    更新日期:1993-01-01 00:00:00

  • Study of in vivo differentiation of rat bone marrow stromal cells into schwann cell-like cells.

    abstract::In order to raise an abundant and accessible reservoir for Schwann cells (SCs), which are used as seed cells for constructing tissue-engineered nerve grafts, we investigated the feasibilty of in vivo differentiation of bone marrow stromal cells (MSCs) into SC-like cells. In this study, MSCs were harvested from adult r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20184

    authors: Chen X,Wang XD,Chen G,Lin WW,Yao J,Gu XS

    更新日期:2006-01-01 00:00:00

  • Effect of vascularized periosteum on revitalization of massive bone isografts: An experimental study in a rabbit model.

    abstract:INTRODUCTION:In the last years, limb salvage has become the gold standard treatment over amputation. Today, 90% of extremity osteogenic sarcomas can be treated with limb salvage surgery. However, these reconstructions are not exempt from complications. Massive allografts have been associated to high risk of nonunion (1...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30647

    authors: Barastegui D,Gallardo-Calero I,Rodriguez-Carunchio L,Barrera-Ochoa S,Knorr J,Rivas-Nicolls D,Soldado F

    更新日期:2020-09-19 00:00:00

  • A comparison of nerve grafting and tissue expansion techniques in the rat.

    abstract::This study compares nerve repair following tissue expansion with nerve repair using an interposed graft in the rat. Group I had expansion conducted over 2 weeks at 40 mmHg. A 4 mm segment was excised from the lengthened nerve and repaired primarily. Group II had a 4 mm segment of nerve excised and then replaced as an ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150614

    authors: Hall GD,van Way CW 3rd

    更新日期:1994-01-01 00:00:00

  • An analysis of free flap failure using the ACS NSQIP database. Does flap site and flap type matter?

    abstract:PURPOSE:We sought to use the NSQIP database to determine the national rate and predictors of free flap failure based upon flap sites and flap types. METHODS:Free flaps were identified using the 2005-2010 NSQIP database. We examined overall flap failure rates as well as failure rates based upon flap sites (head and nec...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30121

    authors: Kwok AC,Agarwal JP

    更新日期:2017-09-01 00:00:00

  • Extremity salvage with a free musculocutaneous latissimus dorsi flap and free tendon transfer after resection of a large congenital fibro sarcoma in a 15-week-old infant. A case report.

    abstract::A case of complex microsurgical reconstruction of the dorsum of the foot, including tendon transfer following tumor resection, in a 15-week-old male infant is presented. After birth, a 5.5 x 4 cm large tumor was observed on the dorsum of the right foot. Biopsy showed a congenital malignant fibro sarcoma. After initial...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20266

    authors: Germann G,Waag KL,Selle B,Jester A

    更新日期:2006-01-01 00:00:00

  • Stereomicroscopy as a diagnostic aid in evaluating the viability of island flaps: an experimental study.

    abstract::This study entailed direct stereomicroscopic observations of rat abdominal island flaps and the sequence of vascular events that occurred during and after occlusion by clamping of the individual femoral vessels for varying time intervals of up to 16 hours. The vascular changes and the status of the circulation in the ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920040205

    authors: Ballantyne DL,Razaboni RM,Converse JM

    更新日期:1983-01-01 00:00:00

  • Addition of nitric oxide donor S-nitroso-N-acetylcysteine to selective iNOS inhibitor 1400W further improves contractile function in reperfused skeletal muscle.

    abstract::This study examines the effects of combination therapy with the nitric oxide (NO) donor S-nitroso-N-acetylcysteine (SNAC) and the iNOS inhibitor N-(3-(aminomethyl)benzyl) acetamidine (1400W) on contractile function in reperfused rat skeletal muscle. The right extensor digitorum longus (EDL) muscles of 104 rats were su...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20122

    authors: Barker JU,Qi WN,Cai Y,Urbaniak JR,Chen LE

    更新日期:2005-01-01 00:00:00

  • Evaluation of a temporary arteriovenous shunt to establish neovascularization in a musculocutaneous flap: an experimental study.

    abstract::On the dorsum of adult Sprague-Dawley rats, 3 x 7 cm pedicle flaps were raised and a temporary arteriovenous shunt (AVS) from anastomosis of the tail artery and vein was placed beneath. Fourteen, 21 and 28 days later, the pedicle flaps were converted to island flaps leaving only the AVS attachment. The degree of subse...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150115

    authors: Zhou ZY,Nichter LS,West BR,Navarrette PM

    更新日期:1994-01-01 00:00:00

  • Free latissimus dorsi flap used in treatment of cerebral aspergillosis: a case report and review of the literature.

    abstract::Cerebral aspergillosis infection is a rare disease in children that carries extremely high morbidity and mortality. Although occurring most commonly in the immunosuppressed patient, cerebral aspergillosis infection has been reported after trauma or neurosurgical procedures. Amphotericin B is the main medical therapy f...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10154

    authors: Antony AK,Hong RW,Amieva M,Taekman MS,Huhn SL,Karanas YL

    更新日期:2003-01-01 00:00:00

  • Supermicrosurgical lymphaticovenular anastomosis and lymphaticovenous implantation for treatment of unilateral lower extremity lymphedema.

    abstract::Recent supermicrosurgical techniques have developed the possibility for vascular anastomosis of smaller vessels and it is now safe and sound to perform precise anastomoses between lymphatics and venules. Reported here is the 2 years experience on supermicrosurgical lymphaticovenular anastomosis and/or lymphaticovenous...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20665

    authors: Demirtas Y,Ozturk N,Yapici O,Topalan M

    更新日期:2009-01-01 00:00:00

  • Noradrenaline levels rise significantly in rat arterial grafts at 6 hours postoperatively, and take 48 hours to come down.

    abstract::The aim of this study was to investigate the rate of disappearance of noradrenaline in arterial grafts after their transplanation. Arterial grafts were harvested from AO/Ks:OC strain rats. In each rat, a graft was harvested from the femoral artery and transplanted into the common carotid artery. A contralateral unoper...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20004

    authors: Penttilä H,Huttunen P,Von Smitten K,Waris T,Ashammakhi N

    更新日期:2004-01-01 00:00:00

  • Circumferential choledochoplasties with autologous venous and arterial grafts.

    abstract::Circumferential choledochoplasties with vascular grafts have rarely been attempted either experimentally or in clinical practice. In this study, choledochoplasties using autologous venous and arterial grafts were performed in rats. Sixty-four rats were randomly selected into five treatment groups: A) venous interposit...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140917

    authors: Flati G,Flati D,Porowska B,Rossi G,Francavilla S,Santoro E,Carboni M

    更新日期:1993-01-01 00:00:00

  • Current status of topical antithrombotic agents in microvascular surgery.

    abstract::Several technical advances over the years have allowed microsurgery to be successful. However, thrombosis, particularly at the anastomosis site, remains a complication of microvascular surgery. Various preventive measures, including drugs, have been used to improve microvascular surgical anastomotic patency rates. The...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920150905

    authors: Das SK,Miller JH

    更新日期:1994-01-01 00:00:00

  • Carotid blood flow in anesthetized rats: effects of carotid ligation and anastomosis.

    abstract::An experimental model was developed for continuous measurement of the common carotid blood flow, in the anesthetized rat, with an electromagnetic flowmeter. The mean carotid blood flow for 41 rats averaged 3.2 +/- 0.2 ml/min at an average mean arterial pressure of 101 +/- 2.5 mm Hg and arterial pO2 of 106 +/- 3.4 mm H...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920130513

    authors: García-Villalón AL,Roda JM,Alvarez F,Gómez B,Diéguez G

    更新日期:1992-01-01 00:00:00

  • Technique of total hepatectomy in the rat.

    abstract::We report a novel one-stage technique of total hepatectomy in the rat, in which the liver is replaced by an autologous prosthesis. This prosthesis is obtained from a donor rat, and consists of the subhepatic vena cava and the left renal vein harvested en block. This graft is sutured with the subdiaphragmatic cava and ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160711

    authors: Lorenzo M,Angrisani L,Ventriglia R,Ismail T,Tesauro B

    更新日期:1995-01-01 00:00:00

  • Artificial biological ligament: its making, testing, and experimental study on animals.

    abstract::By applying a novel biochemical technique using porcine tendon as the raw material with its antigen minimized, we developed an artificial biological ligament (ABL). We examined and tested its structure, mechanical properties, and biocompatibility and explored the feasibility of reconstructing the anterior cruciate lig...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20442

    authors: Wang K,Zhu L,Cai D,Zeng C,Lu H,Xu G,Guo X,Lin S,Cheng S

    更新日期:2008-01-01 00:00:00

  • Reconstruction of the foot with microvascular free flaps.

    abstract::Reconstruction of the foot using microvascular flaps has been widely performed in the last 15 years but the choice of flap to repair some areas in the foot remains controversial. We present a series of 128 free flaps to the foot performed during the period of 1975-1990. One hundred and seventeen had a successful outco...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150110

    authors: Ferreira MC,Besteiro JM,Monteiro Júnior AA,Zumiotti A

    更新日期:1994-01-01 00:00:00

  • Superficial or deep implantation of motor nerve after denervation: an experimental study--superficial or deep implantation of motor nerve.

    abstract::Neurorraphy, conventional nerve grafting technique, and artificial nerve conduits are not enough for repair in severe injuries of peripheral nerves, especially when there is separation of motor nerve from muscle tissue. In these nerve injuries, reinnervation is indicated for neurotization. The distal end of a peripher...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10044

    authors: Askar I,Sabuncuoglu BT

    更新日期:2002-01-01 00:00:00

  • Combined treatment of digital degloving injuries: a case report.

    abstract::In a digital degloving injury of four fingers, a combined treatment of tripedicle dermal flap, free hemipulp web flap, and skin graft was used. The functional and cosmetic results of the hand were satisfactory. The patient had an excellent sensory recovery in the free hemipulp web flap and did not complain of any disa...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:3<172::aid-micr9>3

    authors: Karacalar A,Ozgenel Y,Ozcan M

    更新日期:1998-01-01 00:00:00

  • Transfer of two motor branches of the anterior obturator nerve to the motor portion of the femoral nerve: an anatomical feasibility study.

    abstract::Femoral nerve lesions are uncommon, but very distressing at the functional level because of the absence of knee locking mechanism by the quadriceps muscle. We propose here a new neurotization procedure of obturator nerve motor branches to the motor portion of the femoral nerve in the thigh. This study was conducted on...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22012

    authors: Goubier JN,Teboul F,Yeo S

    更新日期:2012-09-01 00:00:00

  • Value of a dynamic MR scan in predicting vascular ingrowth from free vascularized scapular transplant used for treatment of avascular femoral head necrosis.

    abstract::We have treated three patients with avascular osteonecrosis using vascularized scapular bone graft. To predict blood perfusion in both the diseased femoral head and the transferred bone, all the hips were followed up using dynamic magnetic resonance (MR) scans, performed 1 and 7 months after surgery. In the present ca...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920161004

    authors: Fujisawa K,Hirata H,Inada H,Morita A,Takeda K,Hibasami H

    更新日期:1995-01-01 00:00:00

  • Factors affecting the outcome of peripheral nerve surgery.

    abstract::Over the last 40 years, various factors that influence the outcome of peripheral nerve surgery have been recognized. Some of these factors, such as age of the patient and time interval between injury and surgery, cannot be controlled by the surgeon. On the other hand, other factors related to technical details are the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20242

    authors: Millesi H

    更新日期:2006-01-01 00:00:00

  • Experimental study on vascularized island pedicle bone graft: bony fusion between the graft and the recipient floor.

    abstract::To evaluate the process of bony fusion between the recipient floor and the bone graft, where a muscle sleeve has been interposed, an experimental model for a vascularized island pedicle bone graft was prepared using rats. The proximal two thirds of the tibia pedicled with the popliteal artery and vein was collected to...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:5<239::aid-micr6>3

    authors: Arai K,Toh S,Harata S

    更新日期:1999-01-01 00:00:00

  • Free SCIA/SIEA skin flap: a dual blood supply approach to groin region.

    abstract::Free groin flap donor skin is unequaled in generous skin supply and inconspicuousness. We reliably utilize this region by taking advantage of the dual blood supply from superficial circumlex iliac (SCIA) and superficial inferior epigastric (SIEA) arteries and name the flap "Free SCIA/SIEA skin flap." The arterial pedi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20416

    authors: Aydin MA,Nasir S

    更新日期:2007-01-01 00:00:00

  • Re-animation of muscle flaps for improved function in dynamic myoplasty.

    abstract::The authors report on a series of experiments designed to produce a skeletal muscle contraction functional for dynamic myoplasties. Conventional stimulation techniques recruit all or most of the muscle fibers simultaneously and with maximal strength. This approach has limitations in free dynamic muscle flap transfers ...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1052

    authors: Stremel RW,Zonnevijlle ED

    更新日期:2001-01-01 00:00:00

  • Intraoperative flap design using ICG monitoring of a conjoined fabricated anterolateral thigh/tensor fasciae latae perforator flap in a case of extensive soft tissue reconstruction at the lower extremity.

    abstract::In this report, we present a case of the use of a conjoined fabricated free anterolateral thigh (ALT)/tensor fascia latae (TFL) perforator flap for reconstruction of the lower extremity with intraoperative flap design using intraoperative indocyanine green (ICG) monitoring. The flap was used for reconstruction of a 16...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.22424

    authors: Buehrer G,Taeger CD,Ludolph I,Horch RE,Beier JP

    更新日期:2016-11-01 00:00:00