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Review
. 2020 Oct;37(4):743-749.
doi: 10.1016/j.cpm.2020.07.003. Epub 2020 Aug 13.

Understanding the Arterial Anatomy and Dermal Perfusion of the Lower Extremity with Clinical Application

Stephanie Oexeman  1 , Kaitlyn L Ward  2
Affiliations
Review

Understanding the Arterial Anatomy and Dermal Perfusion of the Lower Extremity with Clinical Application

Stephanie Oexeman et al. Clin Podiatr Med Surg. 2020 Oct.

Abstract

Respecting vascular territories is crucial for flap design and viability. There are 6 angiosomes in the foot and ankle originating from the posterior tibial, anterior tibial, and peroneal arteries. Reliable perforators from the 3 major source vessels of the lower extremity are found in 5-cm intervals within intermuscular septa. Computed tomography angiography, Doppler, and infrared cameras can be used preoperatively to help identify the perforators of the lower extremity.

Keywords: Angiosomes; Arterial anatomy; Dermal perfusion; Lower extremity; Perforators.

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Conflict of interest statement

Disclosure The authors declare that they have no relevant or material financial interests that relate to the research described in this article.