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[The vascularized cross-leg flap].

A C Masquelet, T Begue, C Pages

    Presse Medicale (Paris, France : 1983)
    |November 16, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Understanding leg skin blood supply enables new cross-leg skin grafting techniques. Two reliable flaps, internal and external saphenous, offer improved patient comfort and surgical outcomes.

    Area of Science:

    • Vascular Surgery
    • Dermatology
    • Anatomy

    Context:

    • Recent advancements in understanding leg vascularization have spurred renewed interest in cross-leg skin grafting.
    • The anatomical knowledge allows for precise delineation of specific arterial and venous flaps on each leg.

    Purpose:

    • To describe the vascular anatomy of two distinct cross-leg flaps for skin grafting.
    • To highlight the safety, reliability, and patient benefits of these flap techniques.

    Summary:

    • The internal saphenous flap is supplied by the cutaneous branch of the greater anastomotic artery, associated with the internal saphenous nerve.
    • The external saphenous flap receives blood supply from two cutaneous branches of the popliteal artery or gemellar arteries.
    • Flaps with a length-to-width ratio of 3:4 are safe, reliable, and facilitate pedicle handling and patient comfort.

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    Impact:

    • Facilitates improved surgical planning and execution for cross-leg skin grafts.
    • Enhances the reliability and safety of flap viability in reconstructive surgery.
    • Contributes to better patient outcomes through increased comfort and potentially reduced complications.