PERFORATORS OF THE CALF ARTERIES - ANATOMICAL STUDY.

The purpose of this anatomical study is to prove the existence of reliable perforator vessels arising from the three main arteries of the calf. Based on these perforators, cutaneous, fasciocutanous or complex flaps can be raised to cover different types of defects of the leg or other parts of the body. Material and method: An anatomical study was performed on 15 fresh cadavers, after injecting the contrast substance, Biodur S14 red, in the popliteal artery. The perforators of the main arteries were counted, their caliber noted, the distance from the artery origin to the skin and also the type of perforator (musculocutaneous or septocutaneous) determined. Results: Reliable perforators were found for each main arteries of the calf, both septocutaneous (in different intermuscular septa) and musculocutaneous, with a predictable location and caliber that can be used successfully in creating perforator flaps. Conclusions: Anatomical studies of the perforator vessels in the calf region represent a powerful tool for any plastic surgeon in the attempt to solve difficult cases. Knowing their exact location and caliber, we can design reliable perforator flaps that enable us to perform complex reconstructions. [ABSTRACT FROM AUTHOR]