Anterior tibial perforators of the leg: anatomic and doppler study Recently, the reconstructive surgery of the leg has been exploring the perforators these originating from the main arteries of the leg. Anterior tibial perforators, along with the peroneal and tibial posterior perforators serve for harvesting multiple perforator flaps, which are useful in the reconstruction of soft tissue defects. High individual variability of perforators justifies the use of Doppler examination in order to choose the most suitable perforator for flap harvesting. The aim of this study was to examine the anterior tibial perforators of the leg in 10 fresh cadavers and to compare these results with the results of Doppler ultrasound obtained in 10 patients scheduled for reconstructive surgery of the leg. The results of the study confirm that the localization and caliber of anterior tibial perforators differ considerably between cadaveric and Doppler groups, the phenomenon explained by a high anatomic individual variability, justifying preoperative Doppler examination in reconstructive surgery of leg defects.

Ultimii ani chirurgia reconstructivă a gambei explorează larg perforantele originare din cele trei artere principale ale gambei. Perforantele tibiale anterioare, la fel ca cele peroneale şi cele tibiale posterioare servesc la modelarea multiplelor lambouri perforante utile pentru reconstrucţia defectelor de ţesuturi moi. Variabilitatea individuală a perforantelor justifică examinarea Doppler preoperatorii în vederea selectării perforantei potrivite pentru modelarea lamboului. Scopul acestui studiu a fost de a examina perforantele tibiale anterioare la 10 cadavre şi de a compara rezultatele cu cele ale examenului Doppler la 10 pacienţi care au beneficiat de reconstrucţia defectelor gambei. Rezultatele studiului au evidenţiat faptul că calibrul şi localizarea perforantelor tibiale anterioare diferă semnificativ între lotul cadaveric şi cel dopplerografic, fenomen explicat de variabilitatea anatomică, care de altfel, justifică examinarea Doppler preoperatorie în chirurgia reconstructivă a defectelor gambei.