Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (1): 12-15.doi: 10.13418/j.issn.1001-165x.2014.01.004

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Digital model of the perforators and their relationships in the lumbar and gluteal regions

GUO Yu1, SHI Xiao-tian1, LIU Meng-meng2, TIAN Feng-yuan2, LIU Wan-ting3, CHEN Fei 3, TANG Bin-yan3, QIU Xun-yong4   

  1. 1.Department of Anatomy, Medical College of Hainan University, Hainan 571199, China; 2.Class 1 of 2010 Clinical Medicine, Medical College of Hainan University, Hainan 571199, China; 3.Class 4 of 2011 Clinical Medicine, Medical College of Hainan University, Hainan 571199, China;  4.Department of Hand Surgery, Hainan General Hospital, Haikou 570311, China
  • Received:2013-07-04 Online:2014-01-25 Published:2014-02-11

Abstract:

Objective To build digitized visible model of the perforators and their relationships, and to provide morphological data of an algorithm to safely elevate the cross-boundary perforator flaps in the lumbar and gluteal regions.     Method    Three bodies underwent whole body polyvinyl alcohol - cerium oxide injection, and one body was perfused with gelatin-lead oxide. The cadavers were scanned using a 64 row spiral CT. The computed tomographic data were transformed to digital imaging and communications in medicine format and imported to a personal computer. 3D-reconstructions of lumbar and gluteal regions were then performed using Materialise’s Interactive Medical Image Control System Software (MIMICS).    Results    The 3D reconstructed model of the lumbar and gluteal regions can display the modality, spatial location and the adjacent relationship of the perforators and vascular net clearly.    Conclusion    It is feasible to design various cross-boundary perforator flaps in lumbar and gluteal regions.

Key words:  Angiography, Gluteal perforators, Perforators flap, 3D-reconstruction, Digital anatomy

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