带变异穿支且腓动脉起自胫前动脉的腓骨骨膜皮瓣

Fibula osteoseptocutaneous flap with a variant perforator and peroneal artery arising from the anterior tibial artery.

作者信息

Nakazawa Hiroaki, Nozaki Motohiro, Higasimori Takamitsu, Kikuchi Yuji, Honda Takashi, Isago Tsukasa, Sasaki Kenji

机构信息

Department of Plastic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

出版信息

J Reconstr Microsurg. 2005 Feb;21(2):119-24. doi: 10.1055/s-2005-864845.

DOI:10.1055/s-2005-864845

PMID:15739148

Abstract

Since the report of the first cases of vascularized free fibula graft for treatment of open fracture of the tibia and fibula in 1975, there have been many other reports of the use of vascularized free osteocutaneous fibula flaps for reconstruction of the mandible or lower leg. Usually, these flaps have a single pedicle composed of the peroneal artery, to supply the fibula with septocutaneous or musculocutaneous branches arising from the peroneal artery to supply the lateral skin of the leg. Although some authors have reported variant perforators, there have been no reports of the peroneal artery arising from the anterior tibial artery and perforator arising from the posterior tibial artery. This is the first report of a variant of the peroneal artery and perforator using a vascularized free osteocutaneous fibula flap.

摘要

自1975年首次报道采用带血管游离腓骨移植治疗胫腓骨开放性骨折以来，还有许多关于使用带血管游离骨皮瓣腓骨重建下颌骨或小腿的报道。通常，这些皮瓣有一个由腓动脉组成的单一蒂部，通过腓动脉发出的穿支皮支或肌皮支为腓骨供血，这些分支供应小腿外侧皮肤。虽然一些作者报道过变异穿支，但尚无腓动脉起源于胫前动脉且穿支起源于胫后动脉的报道。本文首次报道了使用带血管游离骨皮瓣腓骨时腓动脉和穿支的变异情况。