Rajendra Prasad J S, Chaudhari C, Cunha-Gomes D, Bhathena H M, Sheth A, Kavarana N M
Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Mumbai, India.
Br J Plast Surg. 2002 Apr;55(3):210-4. doi: 10.1054/bjps.2001.3816.
Complex soft-tissue defects of the lower third of the leg, the heel and the ankle still present a challenge for the reconstructive surgeon. In addition to skin replacement, many of these defects require muscle bulk, which promotes the healing of open bone fractures, effectively fills osteomyelitic cavities and deep three-dimensional defects, and helps to reconstruct the Achilles tendon. In an anatomical study, we developed a new flap based on the 'neuromuscular concept'. This flap consists of a paddle of gastrocnemius muscle and a skin paddle based distally on the sural venoneuroadipofascial pedicle supplied by the lower peroneal perforators. Three cases are presented to illustrate the versatile use of this flap.
小腿下三分之一、足跟及踝关节的复杂软组织缺损，对重建外科医生而言仍是一项挑战。除了皮肤置换外，这些缺损中的许多还需要肌肉组织，以促进开放性骨折的愈合，有效填充骨髓炎腔和深部三维缺损，并有助于重建跟腱。在一项解剖学研究中，我们基于“神经肌肉概念”开发了一种新的皮瓣。该皮瓣由一块腓肠肌皮瓣和一块远端基于腓骨下穿支供应的腓肠神经血管脂肪筋膜蒂的皮肤皮瓣组成。现展示三例病例以说明该皮瓣的多种用途。
