Terminology of the branches of the lateral circumflex femoral artery: Who is Who?. Issue 6 (26th July 2021)

• Record Type: Journal Article
• Authors: Palackic, Alen; Skias, Christoph; Winter, Raimund; Hubmer, Martin; Andrianakis, Alexandros; Feigl, Georg
• Is Part Of: Journal of anatomy. Volume 239:Issue 6(2021)
• Page Start: 1465
• Page End: 1472
• Publication Date: 2021-07-26
• Subjects: ALT flap -- anatomy -- lateral circumflex femoral artery -- nomenclature -- TFL flap; Anatomy -- Periodicals; 571.3
• DOI: 10.1111/joa.13507
• Languages: English
• ISSNs: 0021-8782

Abstract

Abstract: The anterolateral thigh flap and the tensor fasciae latae flap are supplied by the lateral circumflex femoral artery (LCFA). Different branching patterns of the LCFA have been described, leading to confusion, discrepancies and difficulties in clinical and cadaveric study comparisons. The aim of this study was to evaluate the branching patterns of the LCFA in dissected lower limbs and propose a simplified nomenclature. One hundred and two lower limbs fixed with Thiel's method were investigated. Meticulous dissection was performed, and the branching pattern of the arteries was documented by illustration and photography. These were analysed and allocated to the currently existing terminologies regarding the numbers of the branches (Part 1), and these subgroups were evaluated according to the variability of the trunk formations (Part 2). In Part 1, four subgroups could be classified (A, B, C and D). Group A included a total number of three branches ( n = 50), Group B included four ( n = 41), Group C included five ( n = 5) and Group D included only two branches ( n = 6). Part 2 showed in total 11 different trunk variations. Group A had four trunk variations: A1 ( n = 38), A2 ( n = 5), A3 ( n = 2) and A4 ( n = 6); Group B also had four variations: B1 ( n = 16), B2 ( n = 18), B3 ( n = 3) and B4 ( n = 4); Group C displayed two variations: C1 ( n = 1) and C2 ( n = 4); and in Group D, there was only one variation observed D1 ( n = 6). Branching patterns were highly variable and inconsistent in terms of the number of branches and trunk variations, which resulted in different possible and justified interpretations and classifications. A new terminology should be defined cooperatively among anatomists and clinicians that will be useful for everybody. We propose a terminology oriented to the associated muscles. Abstract : The manuscript indicates confusing terminologies used for the branching pattern of the lateral circumflex femoral artery. No existing terminology could be used for the results found in this manuscript, as they do not include trunk formations which were found in this investigation. Therfore, we recommend a new terminology focussing on the supplied muscles.