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Anatomical contribution to the surgical construction of the sartorius muscle flap
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Original Article
Anatomical contribution to the surgical construction of the sartorius muscle flap
Clarice Tanaka1 , Maiza Ritomy Ide2 and Aldo Junqueira Rodrigues Junior3
| (1) |
Department of Physiotherapy, Speech-Language and Hearing Science and Occupational Therapy. School of Medicine, University of São Paulo, 4 andar, Bloco 3, 4521 São Paulo , Brazil |
| (2) |
Division of Physical Therapy, University of the West of the Parana, Parana, Brazil |
| (3) |
Division of Surgical Anatomy, School of Medicine, University of São Paulo, São Paulo, Brazil |
| (4) |
Rua Dr Enéas de Carvalho Aguiar, 155, 4 andar, Bloco 3, 4521 Sala, Brazil |
Received: 23 July 2005 Accepted: 12 January 2006 Published online: 24 March 2006
Abstract The sartorius muscle (SM) is frequently used as a surgical flap. This study intends to describe sartorius nerve and artery
distribution in adult men . Fifty-three specimens obtained from fresh cadavers were prepared as described: 32 specimens were injected with a red-colored
gelatin solution through the femoral artery so that intra-muscular arteries and nerves were dissected; six specimens were
injected with barium sulfate solution through the femoral artery for radiography; seven specimens were injected with a Chinese
ink solution, also through the femoral artery, for diaphanization; seven specimens were injected with a solution of vinyl
acetate, through the femoral artery, to obtain an arterial cast and one specimen was cut and colored by Masson’s Trichrome.
Sartorius branching patterns of the nerve and artery were schematized. The following measurements were taken for each dissected
muscle: total length, arterial pedicle length and distance between each arterial pedicle to the proximal muscle extremity . Five to nine arterial pedicles were found in the sample. In their trajectories, these arteries may give rise to many branches
to form a dense and elongated net of anastomoses. Intra- and inter-pedicular anastomoses were observed in the inner part of
the muscle. The nerve supply originated from one or two branches, which enter the muscle together with the first or second
arterial pedicle. The nerve branches were divided into two or three territorial branches, and then into four or five segmental
branches, running longitudinally inside the muscle. The muscles showed an average length of 44.81 cm. SM is a segmented structure
and it can be divided into as many as five arterial and nervous segments. In the proximal and middle parts, the muscle has
better arterial supply. The segments can be filled by adjacent pedicles, due to an elongated net of anastomoses, which allow
a longer arc of rotation in the construction of pedicled flaps.
Keywords Surgical flaps - Sartorius - Nerve supply - Artery - Muscle - Radiography
 References secured to subscribers.
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