The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers

Abstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and si...

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Autores principales:	Mathee Ongsiriporn, Piyawadee Jongpradubgiat, Sasiprapa Pisittrakoonporn, Natthapong Kongkunnavat, Kosin Panyaatisin, Nutcha Yodrabum
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f2e2e7724e074e05befe8e0b946f6696
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spelling	oai:doaj.org-article:f2e2e7724e074e05befe8e0b946f66962021-12-02T18:51:29ZThe congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers10.1038/s41598-021-99203-12045-2322https://doaj.org/article/f2e2e7724e074e05befe8e0b946f66962021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-99203-1https://doaj.org/toc/2045-2322Abstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and sixty-two legs from 81 formalin-embalmed cadavers were dissected. The popliteal artery branching patterns were classified. The previous data retrieved from cadaveric and angiographic studies were also collected and compared with the current study. The most common pattern is type I-A (90.7%). For the variants, type III-A was the majority among variants (6.2%). Type IV-A, hypoplastic peroneal artery, was found in one limb. A symmetrical branching pattern was found in 74 cadavers. Compared with cadaveric studies, type III-B and III-C are significantly common in angiographic studies (p = 0.015 and p = 0.009, respectively). Type I-A is most common according to previous studies. Apart from this, the prevalence of type III-A variant was higher than in previous studies. Furthermore, type III-B and III-C are more frequent in angiographic studies which might be from atherosclerosis. Thus, if the pre-operative CTA policy is not mandatory, the patients at risk for atherosclerosis and population with high variants prevalence should undergo pre-operative CTA with cost-effectiveness consideration.Mathee OngsiripornPiyawadee JongpradubgiatSasiprapa PisittrakoonpornNatthapong KongkunnavatKosin PanyaatisinNutcha YodrabumNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
description	Abstract Fibular free flap (FFF) is frequently used for reconstruction requiring vascularized bone. Thus, understanding its vasculature variation is crucial. This study investigates the popliteal artery branching variations in Thai cadavers and compares them with previous studies. One hundred and sixty-two legs from 81 formalin-embalmed cadavers were dissected. The popliteal artery branching patterns were classified. The previous data retrieved from cadaveric and angiographic studies were also collected and compared with the current study. The most common pattern is type I-A (90.7%). For the variants, type III-A was the majority among variants (6.2%). Type IV-A, hypoplastic peroneal artery, was found in one limb. A symmetrical branching pattern was found in 74 cadavers. Compared with cadaveric studies, type III-B and III-C are significantly common in angiographic studies (p = 0.015 and p = 0.009, respectively). Type I-A is most common according to previous studies. Apart from this, the prevalence of type III-A variant was higher than in previous studies. Furthermore, type III-B and III-C are more frequent in angiographic studies which might be from atherosclerosis. Thus, if the pre-operative CTA policy is not mandatory, the patients at risk for atherosclerosis and population with high variants prevalence should undergo pre-operative CTA with cost-effectiveness consideration.
format	article
author	Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum
author_facet	Mathee Ongsiriporn Piyawadee Jongpradubgiat Sasiprapa Pisittrakoonporn Natthapong Kongkunnavat Kosin Panyaatisin Nutcha Yodrabum
author_sort	Mathee Ongsiriporn
title	The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
title_short	The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
title_full	The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
title_fullStr	The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
title_full_unstemmed	The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
title_sort	congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f2e2e7724e074e05befe8e0b946f6696
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The congenital popliteal vasculature patterns in fibular free flap reconstruction by means of surgical anatomy in cadavers

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