Free gracilis end-to-side microanastomosis to a peronea arteria magna: a case report
| العنوان: | Free gracilis end-to-side microanastomosis to a peronea arteria magna: a case report |
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| المؤلفون: | Dargan, Dallan, Lakshminarayan, Raghuram, Chuo, Cher Bing |
| المصدر: | Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-9 (2021) Journal of Medical Case Reports |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Lower limb trauma, Peronea arteria magna, Open fracture, Case report, Free tissue transfer, Medicine, Polytrauma, General Medicine, Anatomical variant |
| الوصف: | Background Complex orthoplastic lower limb trauma in individuals with multiple injuries requires considerable resources and interdisciplinary collaboration for good outcomes. We present the first reported end-to-side free flap microanastomosis for lower limb trauma reconstruction involving a peronea arteria magna without radiographic collaterals. Case presentation A 55-year-old Caucasian gentleman involved in road traffic collision sustained an open tibial fracture on the anteromedial distal third of the left lower leg with local degloving and a subtotal right foot and ankle degloving. Both injuries were reconstructed with free tissue transfer. A left lower limb peronea arteria magna successfully received a free gracilis muscle flap by end-to-side microanastomosis and perfusion of the foot was preserved. This rare anatomical variant and its anatomy is reviewed, as well as a description of the suggested preoperative planning and technique for reconstruction. Conclusions Successful free flap reconstruction may be performed to a lower limb with a peronea arteria magna recipient as the lone vessel supplying the foot in trauma, although preoperative counseling of the risks, benefits, and options are essential. Level of evidence Level V, case report |
| اللغة: | English |
| تدمد: | 1752-1947 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a246d7f87acd1fc299f6ec33606e9f4 https://doaj.org/article/89f778986703408bbeb14c04a0933386 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2a246d7f87acd1fc299f6ec33606e9f4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17521947 |
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