We read with great interest the recent article entitled "Lower Limb Reconstruction Using the Islanded Posterior Tibial Artery Perforator Flap," by Dr. Mark Schaverien et al. We congratulate the authors on their article, which provides a review of the anatomy, their surgical technique, and indications for use of the posterior tibial artery perforator flap.This article prompted a lengthy discussion among plastic surgeons at our institution. However, our review of lower limb anatomy differs slightly from that described by the authors in this article. In 1997, the posterior tibial artery perforators and their fasciocutane-ous territories were described by Whetzel et al. A number of studies have described the lower limb arterial supply, including the anterior tibial, peroneal, sural, and posterior tibial artery perforators.
展开▼
