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Topographical anatomy of the fibula and peroneal artery in Koreans

Authors
 S.W. Choi  ;  H.J. Kim  ;  K.S. Koh  ;  I.H. Chung  ;  I.H. Cha 
Citation
 INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, Vol.30(4) : 329-332, 2001 
Journal Title
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN
 0901-5027 
Issue Date
2001
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arteries/anatomy & histology* ; Asian Continental Ancestry Group ; Female ; Fibula/anatomy & histology* ; Fibula/blood supply ; Humans ; Korea ; Leg/blood supply* ; Male ; Middle Aged ; Surgical Flaps
Keywords
fibula ; peroneal artery ; free flap ; implant
Abstract
Vascularized fibula flaps have many advantages in the restoration of the contour and function of the mandible. Potential disadvantages include, unreliable skin paddle and the limited volume of the fibula. This study was designed, to clarify the anatomy of the peroneal artery to the fibula and lateral leg skin, and to measure the dimensions of the fibula available for dental implant placement in Korean. Through the dissection of 63 legs of Korean cadavers, we demonstrated that in most cases the musculoperiosteal (mp) and septocutaneous (sc) branches of the peroneal artery were distributed at the middle and lower thirds of the fibula. There were double the number of mp perforators to the skin compared to sc branches. This indicates the inclusion of a generous >1 cm cuff of Peroneous longus and flexor hallucis longus (FHL) in the distal and middle third of the fibula. The location of the nutrient foramen was just proximal to the midpoint. Thus, a 15–20 cm length of the fibula is available in Koreans and an 8–12 mm length of implant can be placed to the fibula, which provides sufficient bone to reconstruct a large mandibular defect.
Full Text
http://www.sciencedirect.com/science/article/pii/S0901502701900554
DOI
10.1054/ijom.2001.0055
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Chung, In Hyuk(정인혁)
Cha, In Ho(차인호) ORCID logo https://orcid.org/0000-0001-8259-2190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141890
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