open access

Vol 74, No 3 (2015)
ORIGINAL ARTICLES
Published online: 2015-09-02
Submitted: 2014-08-30
Accepted: 2014-11-13
Get Citation

Significance of anatomical variations of the lateral circumflex femoral artery for the tensor fasciae latae flapping

A. Vuksanovic-Bozaric, N. Radojevic, D. Muhovic, M. Abramovic, M. Radunovic
DOI: 10.5603/FM.2015.0060
·
Pubmed: 26339822
·
Folia Morphol 2015;74(3):389-395.

open access

Vol 74, No 3 (2015)
ORIGINAL ARTICLES
Published online: 2015-09-02
Submitted: 2014-08-30
Accepted: 2014-11-13

Abstract

The tensor fasciae latae (TFL) muscle is commonly used in plastic and reconstructive surgery as a transpositional or a free flap, in order to repair different kinds of defects. In most cases its vascularisation is provided by an ascending branch of lateral circumflex femoral artery (LCFA), which gives different numbers of branches and enters the TFL muscle in different manners. The represented study deals with the arterial vascularisation of the TFL muscle: the entrance of the vascular stalk branches; variations of the LCFA bifurcation’s angle; and the skin area of vascularisation. The study was performed on both lower limbs of a 100 foetal and 10 adult cadavers. The LCFA was injected with micropaque solution, afterwards fixed and preserved in 10% formalin solution. Microdissection was performed under magnifying glass and surgical microscope. Analysis of adult cadavers was performed to determine the skin area vascularised by perforating blood vessels from the TFL muscle, by injecting methylene-blue dye into the artery, prior to which all branches of the LCFA, besides the ascending branch, were ligated. The research of a 100 foetal cadavers showed that the LCFA with its ascending branch ensured the blood supply to the muscle. In 85% it gave two branches, the ascending and the descending one, with the angle of bifurcation circa 90o in 73% of cases. The ascending branch can give 0 or more terminal branches, or even form an arterial net. Skin area affected with dye ranged from 18 × 22 cm to 23 × 28 cm and is in positive correlation with the LCFA length and diameter. The understanding of the presented variations have an exceptional significance in planning and applying the TFL flap, especially free flap, in successful repairing and covering the defects, as well as in preventing postoperative complications.

Abstract

The tensor fasciae latae (TFL) muscle is commonly used in plastic and reconstructive surgery as a transpositional or a free flap, in order to repair different kinds of defects. In most cases its vascularisation is provided by an ascending branch of lateral circumflex femoral artery (LCFA), which gives different numbers of branches and enters the TFL muscle in different manners. The represented study deals with the arterial vascularisation of the TFL muscle: the entrance of the vascular stalk branches; variations of the LCFA bifurcation’s angle; and the skin area of vascularisation. The study was performed on both lower limbs of a 100 foetal and 10 adult cadavers. The LCFA was injected with micropaque solution, afterwards fixed and preserved in 10% formalin solution. Microdissection was performed under magnifying glass and surgical microscope. Analysis of adult cadavers was performed to determine the skin area vascularised by perforating blood vessels from the TFL muscle, by injecting methylene-blue dye into the artery, prior to which all branches of the LCFA, besides the ascending branch, were ligated. The research of a 100 foetal cadavers showed that the LCFA with its ascending branch ensured the blood supply to the muscle. In 85% it gave two branches, the ascending and the descending one, with the angle of bifurcation circa 90o in 73% of cases. The ascending branch can give 0 or more terminal branches, or even form an arterial net. Skin area affected with dye ranged from 18 × 22 cm to 23 × 28 cm and is in positive correlation with the LCFA length and diameter. The understanding of the presented variations have an exceptional significance in planning and applying the TFL flap, especially free flap, in successful repairing and covering the defects, as well as in preventing postoperative complications.

Get Citation

Keywords

tensor fasciae latae, lateral circumflex femoral artery, reconstructive surgery, muscle flap, preventing flap necrosis, anatomical variations

About this article
Title

Significance of anatomical variations of the lateral circumflex femoral artery for the tensor fasciae latae flapping

Journal

Folia Morphologica

Issue

Vol 74, No 3 (2015)

Pages

389-395

Published online

2015-09-02

DOI

10.5603/FM.2015.0060

Pubmed

26339822

Bibliographic record

Folia Morphol 2015;74(3):389-395.

Keywords

tensor fasciae latae
lateral circumflex femoral artery
reconstructive surgery
muscle flap
preventing flap necrosis
anatomical variations

Authors

A. Vuksanovic-Bozaric
N. Radojevic
D. Muhovic
M. Abramovic
M. Radunovic

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl