A study of the perforating arteries of the leg derived from the anterior tibial,posterior tibial and peroneal arteries |
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| Affiliation: | 1. Assistant Professor, Department of Anatomy, Medical College, Kolkata, West Bengal, India;2. Professor, Department of Anatomy, Calcutta National Medical College, Kolkata, West Bengal, India;3. Associate Professor, Department of Anatomy, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India;4. Associate Professor, Department of Anatomy, Midnapur Medical College, West Midnapur, West Bengal, India;5. Resident, Department of Anatomy, Medical College, Kolkata, West Bengal, India;1. Takeda Pharmaceuticals International Co., Cambridge, MA;;2. Janssen Research & Development, Division of Janssen Pharmaceutica NV, Beerse, Belgium;;3. Janssen Research and Development, Raritan, NJ;;4. Mount Sinai Hospital, New York, NY;;5. Institute for Myeloma and Bone Cancer Research, West Hollywood, CA;;6. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA;;7. University of Pennsylvania Abramson Cancer Center, Philadelphia, PA;;8. Department of Lymphoma/Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX;;9. Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA;;10. Department of Hematology, Erasmus Medical Centre, University Hospital Rotterdam, Rotterdam, The Netherlands;11. Clinica Universidad de Navarra, Centro de Investigación Medica Aplicada, Pamplona, Spain;1. Professor & Head, Doctoral Program in Morphologycal Sciences, Faculty of Medicine, Universida de La Frontera, Temuco, Chile;2. Professor & Head, Center of Research in Biomedical Sciences, Universidad Autónoma de Chile, Temuco, Chile;3. Professor, Universidad de Tarapacá, Arica, Chile;4. Professor, Universidad Autónoma de Chile, Temuco, Chile;5. Associate Professor, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile;1. Orthopaedics and Traumatology Department, American Hospital, Istanbul, Turkey;2. Orthopaedics and Traumatology Department, School of Medicine, Koc University, Istanbul, Turkey;1. Assistant Professor, Department of Anatomy, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India;2. Additional Professor, Department of Anatomy, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India;3. Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India;4. Professor, Department of Forensic Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India;5. Professor and Head, Department of Anatomy, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India;1. Service de chirurgie plastique et reconstructrice, centre des brûlés, CHRU Lapeyronie, 325, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France;2. Service de chirurgie plastique et craniofaciale pédiatrique, CHRU Lapeyronie, 34295 Montpellier cedex 5, France;3. Service de chirurgie plastique, reconstructrice et esthétique, CHRU Picardie, 80000 Amiens, France;4. Service d’orthopédie et de traumatologie, CHRU Lapeyronie, Montpellier, France;5. Laboratoire d’anatomie, faculté de médecine, université de Montpellier, Montpellier, France;6. Service de chirurgie plastique, reconstructrice et esthétique, CHRU Rangueil, 31400 Toulouse, France |
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| Abstract: | IntroductionThe present study deals with dissection of anterior tibial artery (ATA), posterior tibial artery (PTA) and peroneal artery (PA) angiosomes or their vascular territories in both legs of 10 freshly donated cadavers prior to embalming. The study shows the distribution of perforating arteries in their respective angiosomes.MethodsPerforating arteries arising from ATA, PTA and PA and passing through the fascial planes between muscles to the skin and subcutaneous tissues were dissected. The numbers of perforating arteries and their distance from easily recognizable anatomical landmarks was measured. The resultant data was tabulated and the average numbers of perforators in each of these three angiosomes was calculated.ResultsPTA angiosome had the largest number of perforating arteries followed by PA angiosome, the least number of perforators being found in the ATA angiosome. The middle and lower thirds of the leg generally had a greater number of perforators in all three territories. Presence of sural artery perforators arising from peroneal/popliteal artery was an additional supply in the PA angiosome.DiscussionThe knowledge of angiosomes and perforating arteries of the leg is essential for flap repairs and reconstruction for injuries of the leg. Such injuries may occur in accidents, burns and non-healing tissue defects due to ischemic ulcers, varicose veins, leprosy, diabetes and nerve injuries. |
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| Keywords: | Leg Anterior tibial artery Posterior tibial artery Perforator flap |
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