The extensor digitorum brevis island flap: possible applications based on anatomy

Plastic and Reconstructive Surgery
M M BaltenspergerV E Meyer

Abstract

In the past few years, the proximally based extensor digitorum brevis island flap has been recognized as a useful method in the reconstruction of the lower extremity. The major goal of this study, which was performed in 16 cadavers, was to show the possible application of the extensor digitorum brevis island flap based on its anatomy. The vascularization and morphology of the muscle were also studied. We are able to show that, with sufficient mobilization of the vascular pedicle, the extensor digitorum brevis easily can reach both the lateral and the medial malleoli. In most cases, the island flap even reaches the Achilles tendon, the posterior aspect of the heel, and the lower to middle part of the anterior crural region. The vascular supply of the extensor digitorum brevis muscle shows a great consistency, with the lateral tarsal artery being the dominant supply of the muscle. The mean surface of 27 cm2 allows coverage of small to medium-sized defects.

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Citations

Apr 1, 2000·Plastic and Reconstructive Surgery·F del Piñal, F Herrero
Mar 12, 2009·The Journal of Trauma·Ashok Raj KoulVinoth Philip
Nov 28, 2012·Journal of Foot and Ankle Research·Achini SoysaJoshua Burns
Jul 9, 2016·Journal of Orthopaedic Trauma·Matthew T HoudekWalter A Eglseder
Aug 25, 2006·Annals of Plastic Surgery·Deowall Chattar-Cora, William C Pederson
Nov 20, 2014·The Open Orthopaedics Journal·Daniel J JordanAli Juma
Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Brett J GilbertJames A Nunley
Sep 13, 2018·Journal of Wound Care·Crystal L RamanujamThomas Zgonis

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