Sauer P F
Department of Surgery, University of Alabama, Birmingham.
Clin Plast Surg. 1991 Jul;18(3):553-7.
The blood supply to the lower extremity has been reviewed, and the concept of direct arterial or axial supply at the groin, fasciocutaneous perforators, and septocutaneous blood vessels in the lower leg has been outlined. The major myocutaneous and fasciocutaneous units in the lower extremity have been outlined and their applications described. All of the reconstructive flaps available are based on a clear understanding of the underlying blood supply. We have tried to look toward what might be multiple contributions of blood supply that may change flap design in an anatomic territory or alter the flap concept entirely. An example would be a myocutaneous flap and its overlying fasciocutaneous territory, or a flap based on a septocutaneous perforator. The plastic surgeon has truly benefited from more in-depth study of the lower extremity blood supply.
已对下肢的血液供应进行了综述，并概述了腹股沟处直接动脉或轴型供血、筋膜皮穿支以及小腿的间隔皮血管的概念。已概述了下肢主要的肌皮和筋膜皮单位，并描述了它们的应用。所有可用的重建皮瓣均基于对其潜在血液供应的清晰理解。我们试图探讨血液供应可能存在的多种贡献，这些贡献可能会改变解剖区域的皮瓣设计，或者完全改变皮瓣概念。例如肌皮瓣及其上方的筋膜皮区域，或者基于间隔皮穿支的皮瓣。整形外科医生确实从对下肢血液供应的更深入研究中受益。
