PMC4714626_01
pedicles providing independent perforators to the medial, posterior-lateral, and anterolateral thigh from the superficial femoral artery, directly from the profundus femoris artery, and from the descending branch of the lateral circumflex artery.
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PMC4714626_01_eplasty16e04_fig1.jpg
F1
Three separate pedicles providing independent perforators to the medial, posterior-lateral, and anterolateral thigh from the superficial femoral (SF) artery, directly from the profunda femoris (PF) artery, and from a transverse branch coming off the descending branch of the lateral circumflex and traversing through the tensor fasciae latae muscle (Fig 1).
Three arterial and 5 venous anastomoses were done (see text). The arrow indicates the flow-through anastomosis (ie, flow going through the facial artery to the descending lateral circumflex artery and then to the perforator originating from the profunda femoris artery.
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PMC4714626_01_eplasty16e04_fig2.jpg
F2
Three arteries and 5 venous anastomoses were then performed as follows: descending branch of the lateral circumflex (DLC) artery/vein to the facial artery and vein x2; SF artery/vein to the superior thyroid artery and external jugular vein; PF artery/vein to the distal end of the DLC artery and vein, that is, flow-through anastomoses: inflow going from the facial artery to the DLC and then to the PF branch (Fig 2).
Appearance after anastomosis and inset.
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PMC4714626_01_eplasty16e04_fig3.jpg
F3
The flap healed without venous congestion or arterial insufficiency (Fig 3).