Malikov S, Valenti P, Masquelet A C
Service de Microchirurgie, Hôpital de l'Académie d'Etat de Pédiatrie, Saint-Pétersbourg.
Ann Chir Plast Esthet. 1999 Oct;44(5):531-40.
The authors report an anatomic study of the vascularization of the medial aspect of the thigh on 21 cadaveric dissections with injection. They describe a neuro-cutaneous medial thigh flap, with a distal pedicle, vascularised by proximal branches of the saphenous artery (branch from the descending genicular artery). This flap includes the medial femoral cutaneous nerve, which runs with a supra-aponeurotic vascular network. The anatomic variants and harvesting technique of this flap are described. Our clinical experience is based on 3 patients operated between 1996 and 1998, for coverage of an amputation stump. The results were excellent in all cases with a follow-up of 6 months to 3 years. The good quality of this skin coverage allows satisfactory adaptation of the leg prosthesis in our cases.
作者报告了一项在21具尸体上进行注射的大腿内侧血管化的解剖学研究。他们描述了一种带远端蒂的神经皮内侧大腿皮瓣，由隐动脉（膝降动脉分支）的近端分支供血。该皮瓣包括股内侧皮神经，其与腱膜上血管网伴行。描述了该皮瓣的解剖变异和切取技术。我们的临床经验基于1996年至1998年间为3例截肢残端覆盖手术的患者。随访6个月至3年，所有病例结果均良好。这种皮肤覆盖的良好质量使我们病例中的腿部假体能够令人满意地适配。
