Accompanying arteries of the lesser saphenous vein and sural nerve: Anatomic study and its clinical applications

Hideo Nakajima, Nobuaki Imanishi, Satoshi Fukuzumi, Toshiharu Minabe, Yasuyuki Fukui, Toshiyuki Miyasaka, Takao Kodama, Sadakazu Aiso, Toyorni Fujino

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141 Citations (Scopus)


The arteries adjacent to the lesser saphenous vein and sural nerve were investigated in 10 fresh cadavers that had been systemically injected with a lead oxide-gelatin mixture. The accompanying arteries were found to lie along the lesser saphenous vein and sural nerve and to nourish the skin through venocutaneous and neurocutaneous perforators. On the basis of the anatomy of these accompanying arteries, the lesser saphenous venoadipofascial (VAF) pedicled fasciocutaneous flap and the lesser saphenous-sural veno-neuro adipofascial (V-NAF) pedicled fasciocutaneous flap have been developed and applied to 23 cases of various reconstructions of the lower extremity with proximal and distal bases. Survival of the flaps has been extremely good, and the flaps have been clinically useful.

Original languageEnglish
Pages (from-to)104-120
Number of pages17
JournalPlastic and Reconstructive Surgery
Issue number1
Publication statusPublished - 1999 Jan 1


ASJC Scopus subject areas

  • Surgery

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