IJAR.2017.128

Type of Article:  Original Research

Volume 5; Issue 1 (March 2017)

Page No.: 3644-3647

DOI: https://dx.doi.org/10.16965/ijar.2017.128

A STUDY ON THE PROFUNDA FEMORIS ARTERY AND ITS PERFORATOR BRANCHES

S. Elizabeth priyadarisini *1, S. Chithra 2.

*1 Assistant Professor of Anatomy, Stanley Medical College, Chennai,Tamilnadu, India

2 Professor and HOD of Anatomy,Stanley Medical College,Chennai,Tamilnadu, India.

Corresponding Author: Dr.S.Elizabeth Priyadarisini, Assistant Professor of Anatomy, Stanley Medical College, Chennai,Tamilnadu, India. E-Mail: drelizabethmmc@gmail.com

ABSTRACT

Background: The profunda femoris artery is a branch of the femoral artery arising about 3-4 cm below the mid inguinal point.It is used in various radiologic imaging  and vascular reconstructive procedures in the anterior thigh and hip region.Its circumflex branches  are used in fasciocutaneous  thigh flaps and its perforator branches are useful in breast reconstruction. The presence of such wide clinical applications has prompted this study on the profunda femoris artery and its perforator branches.

Materials and Methods: 50 adult lower limb specimens were obtained from the embalmed cadavers of the department of anatomy, Stanley medical college, Chennai. The femoral triangles were dissected and the profunda femoris artery with its branches exposed. The site of origin of the profunda from the femoral artery was identified.The distance of origin of  profunda femoris artery from the mid inguinal point was measured using a measuring tape and variations present were studied. The perforator branches were also dissected  and their branching pattern identified and photographed.

Results: Out of 50 lower limb specimens dissected, the profunda femoris artery was found to originate from the posterolateral aspect of the femoral artery in 32 cases(64%), from the posterior side of the femoral artery in 12 cases (24%) and from the lateral side in 6 cases (12%).The mean length of origin of profunda femoris from the mid inguinal point was 4.31 cms. In 2 specimens (4%) there was high origin of profunda femoris arising at a distance of 2 cm from the mid inguinal point. The perforating branches showed normal branching pattern in 40 specimens(80%). In 8 specimens(16%) there were five perforators and in 2 cases(4%) there were six perforating branches arising from the profunda. The perforators were seen to arise from the lateral side of the profunda than from  its medial side.

Conclusion: The knowledge of the branching pattern and  variations of the profunda femoris artery and its perforators  are useful to the surgeons to prevent iatrogenic complications while dealing with hip and anterior thigh regions.It will also be helpful to radiologists  before planning various interventional procedures.

Key words: Femoral artery, Profunda femoris artery, Mid inguinal point, Perforators.

REFERENCES

  1. Susan standring [2008] Grays anatomy, 40th edition, Churchill Livingstone Elsevier, pg 1378-1380.
  2. Dixit D P, Mehta L A, Kothari M L., Variations in the origin and course of profunda femoris, J Anat.Soc.India, 2001;50(1):6-7.
  3. Siddharth P, Smith NL,   Mason RA, Giron F., Variational Anatomy of the deep femoral artery,Anat  Rec, 1985;212(2):206-209.
  4. Kaplan JL, Allen RJ.,A Cost based comparison between perforator flaps and TRAM flaps,PlastReconstrSurg 2000;105(3):943-948.
  5. Chae Min, In Sik Yun, Won Jai Lee.,ArchPlast Surg:2014 Jul;41(4):387-393.
  6. Suthar K, Patil D, Mehta C, Patel V, Prajapati B, Bhatt C., Cadaveric study: Morphological study of branches of femoral artery in front of thigh, CIB Tech Journal of Surgery, 2013 May-August;2(2):16-22.
  7. Prakash, JyotiKumari, A.KumarBhardwaj, Betty Anna Jose, S.KumarYadav, G.Singh., Variations in the origins of the profunda femoris, medial and lateral circumflex arteries: a cadaver study in the Indian population, Romanian Journal of morphology and embryology 2010,51(1):167-170.
  8. Daksha Dixit, Dharati M Kubavat, Sureshbhai P Rathod, Mital M Pateld, Tulsibhai C Singel., A study of variations in the origin of profunda femoris artery and its circumflex branches,Int J Biol Res 2011;2(4):1084-1089.
  9. SiripornThitilertdecha, ThanapornRungruang, CholladaVoraphattropas.,The origin of profunda femoris artery in Thais,Siriraj Med J 2012;64(Suppl 1):34-S36.
  10. MB Samarawickrama, BG Nanayakkara,KWRWimalagunarathna, DG Nishantha, UB Walawage., Branching pattern of the femoral artery at the femoral triangle: a cadaveric study, Galle Medical Journal, 2009;14(1).
  11. Mamatha H, Antony SylvianD’souza, Jessica S, Subani S.,
    A cadaveric study on the variations in the origin, course and branching pattern of the profunda femoris artery, Int J Cur Res Rev,Oct 2012;04(19).
  12. Pooja Jain, RohiniMotwani., Bilateral variant branching pattern of femoral artery – A case report and embryological review, Int J Biol  Med Res, 2013;4(3):3419-3421.
  13. Mergu P, Prasad V S., Unique variation in origin and branching pattern of Profunda femoris artery-A case report, OA Anatomy 2014 Feb 01;2(1):5.
  14. Vishal K, Vinay KV, Shishir K, Raghavendra AY., Anatomical variants of profunda femoris artery: among cadavers from South India., National Journal of Clinical Anatomy 2014;3(1):8-11.
  15. De long MR., Hughes DB, Bond JE, Thomas SM, Boll DT, Zenn MR., A detailed evaluation of the anatomical variations of the profunda artery perforator flap using computerized tomographic angiograms, PlastReconstrSurg, 2014 Aug;134(2):186-192.

Cite this article: S. Elizabeth priyadarisini, S. Chithra. A STUDY ON THE PROFUNDA FEMORIS ARTERY AND ITS PERFORATOR BRANCHES. Int J Anat Res 2017;5(1):3644-3647. DOI: 10.16965/ijar.2017.128