Astarci P, Siciliano S, Verhelst R, Lacroix V, Noirhomme P, Rubay J, Poncelet A, Funken J C, Glineur D, El Kourhy G
Cardiovascular and Thoracic Surgery Department, Catholic University of Louvain Saint-Luc Hospital, Bruxelles, Belgium.
Acta Chir Belg. 2006 Jul-Aug;106(4):423-6. doi: 10.1080/00015458.2006.11679921.
Osteosarcomas of the cranial bones need a large surgical radical resection. The best option to reconstruct mandible defect after resection is the free fibula flap. In our patient an acute ischaemic leg occurred just after the free fibula flap harvest for mandible reconstruction. The abnormal distribution of the calf arteries leads to catastrophic consequences. The peroneal artery could be the main dominant artery of the leg in a small number of patients. We reported an extremely rare case of "peronea magna", described in less than 0.2% of the global population. A careful pre-operative workup of the calf vessels is required in all the patients who need free fibula flap harvest.
颅骨骨肉瘤需要进行大范围的手术根治性切除。下颌骨切除术后重建的最佳选择是游离腓骨瓣。在我们的患者中，为进行下颌骨重建取游离腓骨瓣后，立即出现了急性缺血性腿部病变。小腿动脉分布异常会导致灾难性后果。在少数患者中，腓动脉可能是腿部的主要优势动脉。我们报告了一例极为罕见的“巨大腓骨”病例，全球人口中出现率不到0.2%。所有需要取游离腓骨瓣的患者都需要对小腿血管进行仔细的术前检查。
