Skandalakis Surgical Anatomy Pdf Free _BEST_
Skandalakis Surgical Anatomy Pdf Free > https://urlgoal.com/2td8qY
After designating a suitable osteotomy plane which avoids any injury to the periosteum, the PR was identified and preplanted on the bone and mobilized away from the main vascular pedicle. The FFF was then drawn from the lateral cortical margin of the fibula with preservation of the nutrient branch of PR. This free flap has to be carried from two to three cm beyond the bifurcation of the supplying artery to ensure a sufficient length of the vascular pedicle to be transferred to the recipient site. The donor site was closed over a direct-pressure dressing and after 2 weeks the graft was transferred to the recipient site. The first experience with this flap was done in mamma subcutanea patients until 1989 when this flap was first performed in head and neck cancer patients5,5.
Scope of the review is the free fibular flap, as is it meant to be one among other flaps, and it is not meant to cover the higher studies which are needed to answer the question, “What is the best alternative to the free fibular flap?”
Factors affecting success are flap size, recipient site and procedure, and multiple other factors. The various alternative free flaps include the radial forearm flap, iliotibial muscle flap, latissimus dorsi flap, rectangular myocutaneous flap, gracilis flap, posterior tibial flap, tensor fasciae latae flap, and metatarsalis transfer. Each of these flaps has its own advantages and disadvantages. Thus, the fibular flap is better for long bone defects in head and neck reconstruction where the iliotibial flap or tensor fasciae latae flap can generally be used for the same scenario. The radial forearm is also versatile in face and neck but has a reconstructive potential only for certain defect areas of the hand. With its classification of angiosomes and anastomotic points for the different soft tissues and muscles, the fibula has significant advantage in such cases where the iliotibial and latissimus dorsi muscles are chosen to be crossed and the axial muscle is usually sacrificed for transferring the more distant vascular pedicle. d2c66b5586