日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
症例
前・後脛骨動脈形成不全により, 血管柄付き腓骨移植を断念した 1 例
山本 博史藤田 俊史
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29 巻 (2016) 3 号 p. 199-204

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Vascularized fibular grafts ( VFG ) are usually harvested based on the peroneal artery and is useful for reconstructing long bone defects. Most of the branching patterns of the popliteal artery are normal, and providing the surgeon performs the dissection meticulously VFG flaps can be harvested safely together with the peroneal artery. However, our knowledge regarding variations in vascular anatomy is based on angiographic and cadaveric studies. In patients scheduled to undergo VFG transfer procedures, it is important to be aware of vascular abnormalities preoperatively to be able to preserve the arterial supply to the foot as well as the fibular circulation. In this report, we describe the case of a patient who sustained a 15-cm bone defect due to the removal of osteomyelitic bone after the open reduction and internal fixation of a tibial fracture. During preoperative computed tomography angiography ( to plan for a VFG transfer procedure ), a rare vascular variant was identified ; i.e., the foot was solely nourished by dominant peroneal artery because the anterior and posterior tibial arteries were hypoplastic.

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© 2016 日本マイクロサージャリー学会
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