Summary
An anatomical study made in 25 injected fresh subjects made it possible to map out the periosteal flaps capable of being raised on the limbs. The preferred donor sites are the distal third of the humerus, the iliac fossa and the distal third of the femur. At the last 2 sites composite osteo-periosteal or musculo-osteo-periosteal flaps can be raised. These technical possibilities illustrate the importance of experimental studies which have shown the osteogenic capacity of grafts of vascularized periosteum.
Résumé
Cette étude anatomique réalisée sur 25 sujets frais, injectés a permis de dresser une cartographie des lambeaux périostés susceptibles d'être prélevés aux membres. Les sites donneurs préférentiels sont le tiers distal de l'humérus, la fosse iliaque et le tiers distal du fémur. Pour les 2 derniers sites, des lambeaux composites ostéo-périostés ou musculo-ostéo-périostés peuvent être prélevés. Ces possibilités techniques concrétisent l'intérêt des études expérimentales qui ont montré le pouvoir ostéogénique des greffes de périoste vascularisé.
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References
Baselga J (1986) La vascularisation osseuse tibiale dependant de l'artère tibiale antérieure. Mémoire d'anatomie. Laboratoire d'anatomie: UER biomédicale des Saints-Pères, Paris
Finley JM, Alland RD, Wood MB (1978) Revascularized periosteal grafts. A new method to produce functional new bone without bone grafting. Plast Reconstr Surg 61: 1–6
Hertel A, Masquelet AC (1989) The reserve flow medial knee osteoperiosteal flap for skeletal reconstruction of the leg. Description and anatomical bases. Surg Radiol Anat (in press)
Jaroma HJ, Aitsilae VA (1988) Behaviour of cancellous bone graft with and whithout periostal isolation in striated muscle. Scand J Plast Reconstr Surg 22: 47–51
Masquelet AC, Romana MC, Penteado CV, Carlioz H (1989) Les greffes périostées vascularisées, description anatomique, étude èxpérimentale, rapport préliminaire de l'expérience clinique. Rev Chir Orthop (suppl II) 74: 240–243
Masquelet AC, Romana MC, Penteado CV (1989) Vascularized periostal grafts in bone transplantation. M Aebi, P Regazzoni (eds). Springer-Verlag, Berlin Heidelberg New York, pp 259–269
Romana MC, Masquelet AC (1989) Vascularized periosteum associated with cancellous bone graft: experimental study. Plast Reconstr Surg (in press)
Takato T, Harri K, Nakatsuko T, Ueda K, Uotake T (1986) Vascularized periosteal grafts: an experimental study using two different forms of tibial periosteum in rabbits. Plast Reconstr Surg 78: 489–497
Van Den Wildenberg FAJM, Coris R, Tutein JA, Nolthenius-Puylaert MBJE (1984) Free vascularized periosteum transplantation: an experimental study. Br J Plast Surg 37: 226–235
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Penteado, C.V., Masquelet, A.C., Romana, M.C. et al. Periosteal flaps: Anatomical bases of sites of elevation. Surg Radiol Anat 12, 3–7 (1990). https://doi.org/10.1007/BF02094118
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DOI: https://doi.org/10.1007/BF02094118