Lower Extremity Free Tissue Transfer in Peronea Arteria Magna: An Observational Retrospective Cohort Study of Anatomic and Microsurgical Considerations
PAM is a rare yet important anatomic variant that is occasionally observed in the lower extremity FTT population. The following features are important in managing patients with PAM undergoing FTT: the routine use of preoperative arteriography, an understanding of venous anatomic variability, the use of a smaller target window for microsurgery given the majority of vessels residing in the deep posterior compartment, the preservation of all peroneal side branches, and the use of ETS anastomosis when possible.
Authors
- John W. Rutland (ORCID: https://orcid.org/0000-0002-6412-6708)
- Karen K. Evans (ORCID: https://orcid.org/0000-0003-1056-2114)
- Karen R. Li (ORCID: https://orcid.org/0000-0002-6672-949X)
- Christopher E. Attinger (ORCID: https://orcid.org/0000-0001-7114-6275)
- Paul F. Martinez (ORCID: https://orcid.org/0000-0003-3609-9519)
- Rachel N. Rohrich (ORCID: https://orcid.org/0009-0002-0418-5287)
- Richard C. Youn
- Cameron M. Akbari
Institutions
- Georgetown University (US)
- MedStar Georgetown University Hospital (US)
Publication Details
- Journal
- Microsurgery
- Published
- 2025-08-26
- DOI
- https://doi.org/10.1002/micr.70079
- Citations
- 2
- Primary Topic
- Reconstructive Surgery and Microvascular Techniques
- Type
- article
- Field-Weighted Citation Impact
- 4.01