Abstract
We devised a peroneal vascularized composite tissue transfer procedure that utilizes the peroneal artery and vein and their branches as a pedicle, and the skin on the outer side of the leg as a flap. It can be used not only for pedicled and free flap transfer, but also as a flap together with the muscle or fibula.
This procedure has a wide range of applications such as monitoring buoy flaps in free vascularized fibular grafts, and for vascularized fibular grafts with an island flap, peroneal island flaps, cross leg island flaps, peroneal free flaps, double peroneal free flaps, peroneal myocutaneous flaps, vascularized fatty tissue grafts, or vascularized sural nerve grafts. It can be utilized as a pedicle for the cutaneous artery or for both the peroneal artery and its cutaneous artery.
The vascular pedicle is long, enabling a wide range of transplants from the knee to the foot and to the opposite side.
As interpositional anastomosis is carried out using the recipient artery and vein, noncirculatory disturbance develops, which can be applied to the reconstruction of ruptured arteries.
