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Sagittal split tibialis anterior muscle flap
1Division of Plastic Surgery, The Lehigh Valley Hospitals, Allentown, PA 18103, USA.
Annals of Plastic Surgery
|July 27, 2002
Summary
Preserving function is key when using the tibialis anterior muscle for vascularized flaps. Specific surgical techniques allow defect coverage without impairing muscle function.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- The tibialis anterior muscle is crucial for lower leg function, making its use as a vascularized flap complex.
- Preserving muscle function is essential when considering flap reconstruction.
Observation:
- Direct longitudinal vertical or partial sagittal splitting of the tibialis anterior muscle can be employed.
- This technique allows for the coverage of mid-tibial defects.
Findings:
- Tibialis anterior muscle flaps can cover mid-tibial defects without significant functional impairment.
- Malleability of the muscle is important; posteromedial undermining may be needed if the muscle is not sufficiently pliable.
Implications:
- This technique offers a valuable alternative for reconstructing small to moderate tibial defects, particularly when the muscle is already exposed.
- Surgical modifications can enhance flap viability by preserving microcirculation, making it a more expedient and effective reconstructive option.