The Experts below are selected from a list of 183 Experts worldwide ranked by ideXlab platform
Hidehiko Yoshimatsu - One of the best experts on this subject based on the ideXlab platform.
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superficial circumflex iliac artery perforator flap an anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the Sartorius Muscle and the iliac bone
Plastic and Reconstructive Surgery, 2019Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Johannes Steinbacher, Stefan Meng, Ulrike M Hamscha, Wolfgang Weninger, Ines E Tinhofer, Mitsunobu Harima, Yuma Fuse, Chieh Han John TzouAbstract:Background Harvesting the Sartorius Muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. Methods Twenty groin regions from 10 fresh cadavers were dissected. The characteristics and landmarks of the SCIA system, including branches to the Sartorius Muscle and the iliac bone, were examined. Perfusion of the Sartorius Muscle and the iliac bone by means of the deep branch of the SCIA was evaluated with indocyanine green angiography and computed tomographic angiography. Results The superficial and the deep branches were identifiable in all specimens. In 85 percent of the specimens, the bifurcation point could be seen within 2 cm from a fixed site: 6 cm from the pubic tubercle to the anterior superior iliac spine, and 3 cm caudal from that point. The deep branch in each case gave off branches to the Sartorius Muscle and the iliac bone. The cephalad portion of the Sartorius Muscle (up to 8 cm from the anterior superior iliac spine) and the superficial portion of the iliac bone (up to 1.5 cm from the iliac crest) were perfused by the deep branch of the SCIA. Conclusions In all specimens, both the superficial branch and the deep branch of the SCIA were found. The deep branch was found consistently to give off perfusing branches to the Sartorius Muscle and the iliac bone.
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reconstruction of the ankle complex wound with a fabricated superficial circumflex iliac artery chimeric flap including the Sartorius Muscle a case report
Microsurgery, 2017Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Nobuko Hayashi, Motoi Kato, Takuya Iida, Isao KoshimaAbstract:Free flap reconstruction of the foot and ankle can be challenging in that it must fulfill functional and esthetic demands. Injury of this region is often associated with fractures, and Muscle flaps are sometimes preferred. Here we present a case of the use of superficial circumflex iliac artery (SCIA) chimeric flap for reconstruction of ankle complex wound. A 78-year-old lady sustained open fractures of the left distal tibia, fibula, and talus, with a 10 × 6 cm2 soft-tissue defect over the lateral aspect of her left ankle due to an automobile accident. A 7 × 3 cm2 Sartorius Muscle component was inset to cover the exposed left ankle joint capsule, and a 5 × 10 cm2 SCIP skin paddle was used for coverage of the defect. The postoperative course was uneventful, and the Sartorius Muscle component and the SCIP skin paddle survived completely. Six months after the reconstruction, the flap and the donor site showed pleasing cosmesis, and the patient could ambulate with a supple ankle without crutches. The Sartorius Muscle component was elevated based on the deep branch of the SCIA, and was chimerically combined with a SCIP skin paddle for reconstruction of a complex ankle injury. © 2015 Wiley Periodicals, Inc. Microsurgery 37:421-425, 2017.
Chieh Han John Tzou - One of the best experts on this subject based on the ideXlab platform.
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superficial circumflex iliac artery perforator flap an anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the Sartorius Muscle and the iliac bone
Plastic and Reconstructive Surgery, 2019Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Johannes Steinbacher, Stefan Meng, Ulrike M Hamscha, Wolfgang Weninger, Ines E Tinhofer, Mitsunobu Harima, Yuma Fuse, Chieh Han John TzouAbstract:Background Harvesting the Sartorius Muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. Methods Twenty groin regions from 10 fresh cadavers were dissected. The characteristics and landmarks of the SCIA system, including branches to the Sartorius Muscle and the iliac bone, were examined. Perfusion of the Sartorius Muscle and the iliac bone by means of the deep branch of the SCIA was evaluated with indocyanine green angiography and computed tomographic angiography. Results The superficial and the deep branches were identifiable in all specimens. In 85 percent of the specimens, the bifurcation point could be seen within 2 cm from a fixed site: 6 cm from the pubic tubercle to the anterior superior iliac spine, and 3 cm caudal from that point. The deep branch in each case gave off branches to the Sartorius Muscle and the iliac bone. The cephalad portion of the Sartorius Muscle (up to 8 cm from the anterior superior iliac spine) and the superficial portion of the iliac bone (up to 1.5 cm from the iliac crest) were perfused by the deep branch of the SCIA. Conclusions In all specimens, both the superficial branch and the deep branch of the SCIA were found. The deep branch was found consistently to give off perfusing branches to the Sartorius Muscle and the iliac bone.
Takumi Yamamoto - One of the best experts on this subject based on the ideXlab platform.
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superficial circumflex iliac artery perforator flap an anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the Sartorius Muscle and the iliac bone
Plastic and Reconstructive Surgery, 2019Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Johannes Steinbacher, Stefan Meng, Ulrike M Hamscha, Wolfgang Weninger, Ines E Tinhofer, Mitsunobu Harima, Yuma Fuse, Chieh Han John TzouAbstract:Background Harvesting the Sartorius Muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. Methods Twenty groin regions from 10 fresh cadavers were dissected. The characteristics and landmarks of the SCIA system, including branches to the Sartorius Muscle and the iliac bone, were examined. Perfusion of the Sartorius Muscle and the iliac bone by means of the deep branch of the SCIA was evaluated with indocyanine green angiography and computed tomographic angiography. Results The superficial and the deep branches were identifiable in all specimens. In 85 percent of the specimens, the bifurcation point could be seen within 2 cm from a fixed site: 6 cm from the pubic tubercle to the anterior superior iliac spine, and 3 cm caudal from that point. The deep branch in each case gave off branches to the Sartorius Muscle and the iliac bone. The cephalad portion of the Sartorius Muscle (up to 8 cm from the anterior superior iliac spine) and the superficial portion of the iliac bone (up to 1.5 cm from the iliac crest) were perfused by the deep branch of the SCIA. Conclusions In all specimens, both the superficial branch and the deep branch of the SCIA were found. The deep branch was found consistently to give off perfusing branches to the Sartorius Muscle and the iliac bone.
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reconstruction of the ankle complex wound with a fabricated superficial circumflex iliac artery chimeric flap including the Sartorius Muscle a case report
Microsurgery, 2017Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Nobuko Hayashi, Motoi Kato, Takuya Iida, Isao KoshimaAbstract:Free flap reconstruction of the foot and ankle can be challenging in that it must fulfill functional and esthetic demands. Injury of this region is often associated with fractures, and Muscle flaps are sometimes preferred. Here we present a case of the use of superficial circumflex iliac artery (SCIA) chimeric flap for reconstruction of ankle complex wound. A 78-year-old lady sustained open fractures of the left distal tibia, fibula, and talus, with a 10 × 6 cm2 soft-tissue defect over the lateral aspect of her left ankle due to an automobile accident. A 7 × 3 cm2 Sartorius Muscle component was inset to cover the exposed left ankle joint capsule, and a 5 × 10 cm2 SCIP skin paddle was used for coverage of the defect. The postoperative course was uneventful, and the Sartorius Muscle component and the SCIP skin paddle survived completely. Six months after the reconstruction, the flap and the donor site showed pleasing cosmesis, and the patient could ambulate with a supple ankle without crutches. The Sartorius Muscle component was elevated based on the deep branch of the SCIA, and was chimerically combined with a SCIP skin paddle for reconstruction of a complex ankle injury. © 2015 Wiley Periodicals, Inc. Microsurgery 37:421-425, 2017.
Isao Koshima - One of the best experts on this subject based on the ideXlab platform.
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reconstruction of the ankle complex wound with a fabricated superficial circumflex iliac artery chimeric flap including the Sartorius Muscle a case report
Microsurgery, 2017Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Nobuko Hayashi, Motoi Kato, Takuya Iida, Isao KoshimaAbstract:Free flap reconstruction of the foot and ankle can be challenging in that it must fulfill functional and esthetic demands. Injury of this region is often associated with fractures, and Muscle flaps are sometimes preferred. Here we present a case of the use of superficial circumflex iliac artery (SCIA) chimeric flap for reconstruction of ankle complex wound. A 78-year-old lady sustained open fractures of the left distal tibia, fibula, and talus, with a 10 × 6 cm2 soft-tissue defect over the lateral aspect of her left ankle due to an automobile accident. A 7 × 3 cm2 Sartorius Muscle component was inset to cover the exposed left ankle joint capsule, and a 5 × 10 cm2 SCIP skin paddle was used for coverage of the defect. The postoperative course was uneventful, and the Sartorius Muscle component and the SCIP skin paddle survived completely. Six months after the reconstruction, the flap and the donor site showed pleasing cosmesis, and the patient could ambulate with a supple ankle without crutches. The Sartorius Muscle component was elevated based on the deep branch of the SCIA, and was chimerically combined with a SCIP skin paddle for reconstruction of a complex ankle injury. © 2015 Wiley Periodicals, Inc. Microsurgery 37:421-425, 2017.
Johannes Steinbacher - One of the best experts on this subject based on the ideXlab platform.
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superficial circumflex iliac artery perforator flap an anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the Sartorius Muscle and the iliac bone
Plastic and Reconstructive Surgery, 2019Co-Authors: Hidehiko Yoshimatsu, Takumi Yamamoto, Johannes Steinbacher, Stefan Meng, Ulrike M Hamscha, Wolfgang Weninger, Ines E Tinhofer, Mitsunobu Harima, Yuma Fuse, Chieh Han John TzouAbstract:Background Harvesting the Sartorius Muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. Methods Twenty groin regions from 10 fresh cadavers were dissected. The characteristics and landmarks of the SCIA system, including branches to the Sartorius Muscle and the iliac bone, were examined. Perfusion of the Sartorius Muscle and the iliac bone by means of the deep branch of the SCIA was evaluated with indocyanine green angiography and computed tomographic angiography. Results The superficial and the deep branches were identifiable in all specimens. In 85 percent of the specimens, the bifurcation point could be seen within 2 cm from a fixed site: 6 cm from the pubic tubercle to the anterior superior iliac spine, and 3 cm caudal from that point. The deep branch in each case gave off branches to the Sartorius Muscle and the iliac bone. The cephalad portion of the Sartorius Muscle (up to 8 cm from the anterior superior iliac spine) and the superficial portion of the iliac bone (up to 1.5 cm from the iliac crest) were perfused by the deep branch of the SCIA. Conclusions In all specimens, both the superficial branch and the deep branch of the SCIA were found. The deep branch was found consistently to give off perfusing branches to the Sartorius Muscle and the iliac bone.