J reconstr Microsurg 2005; 21: 119-124 DOI: 10.1055/s-2005-864845
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.
Fibula Osteoseptocutaneous Flap with a Variant Perforator and Peroneal Artery Arising from the Anterior Tibial Artery
Hiroaki Nakazawa1, Motohiro Nozaki1, Takamitsu Higasimori1, Yuji Kikuchi1, Takashi Honda1, Tsukasa Isago1, Kenji Sasaki2
1 Departments of Plastic and Reconstructive Surgery, 1Tokya Women's Medical University, Tokyo, Japan 2 Nihon University, Tokyo, Japan

ABSTRACT

Since the report of the first cases of vascularized free fibula graft for treatment of open fracture of the tibia and fibula in 1975, there have been many other reports of the use of vascularized free osteocutaneous fibula flaps for reconstruction of the mandible or lower leg. Usually, these flaps have a single pedicle composed of the peroneal artery, to supply the fibula with septocutaneous or musculocutaneous branches arising from the peroneal artery to supply the lateral skin of the leg. Although some authors have reported variant perforators, there have been no reports of the peroneal artery arising from the anterior tibial artery and perforator arising from the posterior tibial artery. This is the first report of a variant of the peroneal artery and perforator using a vascularized free osteocutaneous fibula flap.

KEYWORDS

Osteocutaneous fibula flap - peroneal artery - anterior tibial artery