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Because of the unavailability of anterior tibial artery due to posttraumatic vascular disease, donor vascular pedicles were passed posterior to the tibia through the tibial tunnel and anastomosed to the posterior tibial artery or its branch in an end\u2010to\u2010end fashion. The flaps survived perfectly, without any vascular complication. This technique represents a safe route, and the shortest route, to an expected anastomosis point. Our technique is indicated especially in cases with a single\u2010vessel leg. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/micr.20023","type":"journal-article","created":{"date-parts":[[2004,5,20]],"date-time":"2004-05-20T23:01:07Z","timestamp":1085094067000},"page":"293-297","source":"Crossref","is-referenced-by-count":2,"title":["Microvascular anastomosis through the tibial tunnel: A new technique in free\u2010tissue transfer to the leg"],"prefix":"10.1002","volume":"24","author":[{"given":"Keiichi","family":"Muramatsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsunori","family":"Shigetomi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Ihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Kawai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,5,20]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"57","article-title":"Soft\u2010tissue reconstruction in severe lower extremity trauma","volume":"243","author":"Gorman PW","year":"1989","journal-title":"A review. 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