Increased use of perforator flaps, super microsurgical techniques, and angiosome
concept propose more predictable results in this highly challenging population.
Plissonnier, "Below-the-knee angioplasty for critical limb ischemia: results of a series of 157 procedures and impact of the angiosome
concept," Annals of Vascular Surgery, vol.
Takehara et al., "Variations of plantar thermographic patterns in normal controls and non-ulcer diabetic patients: novel classification using angiosome
concept," Journal of Plastic, Reconstructive and Aesthetic Surgery, vol.
However, one of the problems with axial flaps is that the technique requires an angiosome
, containing an artery and a vein, while subdermal flaps may be created from any cutaneous region of the skin.
(2,3) Some studies have looked at the impact of the integrity of the arterial foot arch and the angiosome
concept on below knee bypass outcomes as well as foot ulcer healing rate.
Revascularization was targeted at the tibial artery supplying the area of tissue loss using the angiosome
Use of the angiosome
concept in flap tailoring , offers the best possible postoperative results by providing the maximum amount of tissue to be harvested in a relatively safe fashion.
The developers of the Eclipse believe that by avoiding an anterior incision, which is required for nearly all TARs, they avoid crossing the angiosome
of the anterior skin of the ankle and thereby hope to avoid postoperative skin complications.
The plantar area is analyzed by taking into account the angiosome
concept since the blood flow in these regions accurately reflects the temperature variation.
In addition, data shown in several recent reports suggest that improved clinical outcomes could be achieved when blood flow is directed to the local ischemic area of the foot through its specific source tibial artery using and angiosome
anatomical model [7-9,13].
C) The lateral extensions of GPA and its angiosome
are defined sharply on the midline of the alveolar ridge.
The vascular anatomy and angiosome
of the posterior auricular artery.