Godina M, Arnez Z M, Lister G D
University Department of Plastic Surgery and Burns, Ljubljana University Medical Center, Yugoslavia.
Plast Reconstr Surg. 1991 Aug;88(2):287-91. doi: 10.1097/00006534-199108000-00019.
A posterior approach to the vessels of the lower leg, with particular emphasis on the posterior tibial artery, is presented as the method of choice for microvascular free-tissue transfer to the region. This approach offers wide exposure, better definition of the zone of injury, appropriate selection of the recipient vessel and of the site of anastomosis, and enough room for microsurgical work. Exposing the large posterior tibial artery down to the distal third of the lower leg facilitates the use of end-to-side anastomosis and makes the transfer of large muscle flaps to that region more predictable, in part by obviating the need for long vein grafts. This exposure leaves no functional and few aesthetic deficits.
本文介绍了一种小腿血管的后路入路方法，特别强调胫后动脉，该方法是向该区域进行微血管游离组织移植的首选方法。这种入路提供了广泛的暴露，能更好地界定损伤区域，便于正确选择受区血管和吻合部位，还为显微外科操作提供了足够的空间。暴露胫后动脉直至小腿远端三分之一，有利于采用端侧吻合，部分避免了使用长静脉移植物，从而使向该区域转移大肌皮瓣更具可预测性。这种暴露不会造成功能缺失，且美观方面的缺陷也很少。
