Investigation of arterial vessel system supplied for the vastus lateralis muscle flap in adult Vietnamese people using 320-detector-row CT scanners

  • Phùng Văn Tuấn Bệnh viện Trung ương Quân đội 108
  • Nguyễn Thế Hoàng Bệnh viện Trung ương Quân đội 108
  • Lâm Khánh Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

The descending branch of lateral circumflex femoral artery, 320 multi-detector row CT scanners, vastus lateralis muscle flap

Abstract

Objective: To investigate the descending branch of lateral circumflex femoral artery for blood supply of the vastus lateralis muscle flap using 320 multi-detector row CT scanners. Subject and method: There were 46 thigh regions of 23 patients underwent CTA with 320 multi-detector row CT scanners for arterial blood supply investigation. Result: A total of 28 extremities (60.78 %) had descending branch takeoff from lateral circumflex femoral artery that originated from the deep femoral artery, diameters of the descending branch of lateral circumflex femoral artery were 2.16 ± 0.54mm at proximal and 1.65 ± 0.41mm at distal. The average descending branch length was 159.62 ± 38.83mm. Conclusion: This study provides images (origin, diametters, length) of the descending branch of lateral circumflex femoral artery, which helps the surgeon to be more active in surgery.

Article Details

References

1. Burusapat C, Nanasilp T, Kunaphensaeng P, Ruamthanthong A (2016) Effect of Atherosclerosis on the Lateral Circumflex Femoral Artery and Its Descending Branch: Comparative Study to Nonatherosclerotic Risk. Plast Reconstr Surg Glob Open 4: 856; doi: 10.1097/GOX.0000000000000849.
2. Collins DN, Garvin KL, Nelson CL (1987) The use of the vastus lateralis flap in patients with intractable infection after resection arthroplasty following the use of a hip implant. J Bone Joint Surg Am 69(4): 510-516.
3. Rovere G, De Mauro D, D'Orio M, Fulchignoni C, Matrangolo MR, Perisano C, Ziranu A, Pataia E (2021) Use of muscular faps for the treatment of hip prosthetic joint infection: a systematic review. BMC Musculoskeletal Disorders 22: 1059.
4. Artero GE, Ulla M, Neligan PC, Angrigiani CH (2018) Artero bilateral anatomic variation of anterolateral thigh flap in the same individual. Plast Reconstr Surg Glob Open 6: 167.
5. Huang KC, Peng KT, Li YY, Tsai YH, Huang TJ, Hsu RW (2005) Modified vastus lat- eralis flap in treating a difficult hip infection. J Trauma 59(3): 665-671.
6. Yadav MK, Mohammed AKM, Puramadathil V, Geetha D, Unni M (2019) Mohammed, Vineeth Puramadathil, Deepa Geetha, Madhavan Unni (2019). Lower extremity arteries. Cardiovasc Diagn Ther 9(1):S174-S182.
7. Meland NB, Arnold PG, Weiss HC (1991) Management of the recalcitrant total-hip arthroplasty wound. Plast Reconstr Surg 88: 681.
8. Loskot P, Tonar Z, Baxa J, Valenta J (2016) The descending branch of the lateral circumflex femoral artery as an alternative conduit for coronary artery bypass grafting: experience from an anatomical, radiological and histological study. Clin Anat 29(6): 779-788. doi: 10.1002/ca.22737.
9. Rodríguez-Rosales G, Cebrián-Parra JL, Francés-Borrego A, Marco-Martínez F, López-Durán Stern L (2012) Treatment of a recalcitrant hip infection with a vastus lateralis muscle flap. Rev Esp Cir Ortop Traumatol 56(6): 439-443.
10. Shieh SJ, Jou I (2007) Management of Intractable Hip Infection after Resectional Arthroplasty Using a Vastus Lateralis Muscle Flap and Secondary Total Hip Arthroplasty. Plast. Reconstr. Surg 120(1): 202-207.
11. Luo XJ, Wang YT, Wang W, Xu DH, Wang X, Hu SS (2021) Application of the descending branch of the lateral circumflex femoral artery in coronary artery bypass grafting. Cardiovascular Surgery 161(4): 1266-1271.
12. Yu XX, Yang SF, Ji CS, Qiu SQ, Qi YD, Wang XM (2022) A novel computed tomography angiography technique: guided preoperative localization and design of anterolateral thigh perforator fap. Insights Imaging 13(1): 190. doi: 10.1186/s13244-022-01318-0.