Masquelet A C, Romana M C, Wolf G
Department of Orthopedic and Reconstructive Surgery, Hôpital Avicenne, Paris, France.
Plast Reconstr Surg. 1992 Jun;89(6):1115-21. doi: 10.1097/00006534-199206000-00018.
An anatomic study performed on 64 fresh injected legs has shown the role of the vascular axis that follows the superficial sensitive nerves in supplying the skin. Three nerves were studied: the saphenous nerve, the superficial peroneal nerve, and the sural nerve. Conclusions are the same for the three nerves: The vascular axis, which can be either a true artery or an interlacing network, ensures the vascularization of the nerves, gives off several cutaneous branches in the suprafascial course of the nerve, and anastomoses with the septocutaneous arteries issuing from a deep main vessel. The superficial nerves that course the leg can therefore be considered as vascular relays owing to their neurocutaneous arteries. The concept of a neuroskin island flap has been developed and applied to six clinical cases for coverage of some specific areas of the knee and of the lower part of the limb.
对64条新鲜注射过的腿部进行的解剖学研究表明，沿着浅表感觉神经走行的血管轴在为皮肤供血方面所起的作用。研究了三条神经：隐神经、腓浅神经和腓肠神经。这三条神经的结论相同：血管轴可以是一条真正的动脉，也可以是一个交织的网络，它确保神经的血管化，在神经的筋膜上行程中发出几条皮支，并与发自深部主要血管的隔皮动脉吻合。因此，走行于腿部的浅表神经因其神经皮动脉可被视为血管中继站。神经皮岛状皮瓣的概念已被提出并应用于6例临床病例，用于覆盖膝关节的一些特定区域和肢体下部。
