Abstract
The tibioperoneal trunk and the posterior tibial artery provide an array of opportunities throughout the course of the leg for microvascular anastomoses. End-to-side techniques should be performed on the tibioperoneal trunk. The posterior tibial artery has many branches that can accept end-to-end techniques. Also if in-line flow can be proven to the foot without perfusion compromise (without the posterior tibial artery providing distal flow), then end-to-end anastomoses can be safely performed directly on the posterior tibial artery. Otherwise, end-to-side techniques should be preferred. We will discuss the anatomy, surgical approach, and the different pros and cons of the tibioperoneal trunk and the posterior tibial artery as recipient vessels in microvascular surgery.
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Cadaver dissection of the tibioperoneal trunk and the posterior tibial vessels (MP4 984570 kb)
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Bishop, S.N., Drake, R.L., Jacob, D.D., Gurunian, R. (2021). Tibioperoneal Trunk and Posterior Tibial Artery. In: Gurunian, R., Djohan, R. (eds) Recipient Vessels in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-75389-4_35
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DOI: https://doi.org/10.1007/978-3-030-75389-4_35
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