Valenti P, Masquelet A C, Romana C, Nordin J Y
Department of Orthopaedic Surgery, Trousseau Hospital, Paris, France.
Br J Plast Surg. 1991 Aug-Sep;44(6):459-62. doi: 10.1016/0007-1226(91)90207-z.
The lateral supramalleolar flap has proved to be versatile for managing a variety of skin defects of the foot, ankle and lower third of the leg. An anatomical study has shown the reliability of a subcutaneous vascular network, supplied by terminal branches of the perforating branch of the peroneal artery. Our technical refinement consists in designing the skin flap more proximally on the lateral aspect of the leg, and mobilising it on its vascular fascio-subcutaneous pedicle. The flap provides considerable possibilities for covering more distal skin defects of the lower extremity.
外侧踝上皮瓣已被证明在处理足部、踝关节及小腿下三分之一处的各种皮肤缺损方面用途广泛。一项解剖学研究表明，由腓动脉穿支的终末分支供血的皮下血管网具有可靠性。我们的技术改进在于在小腿外侧更靠近近端设计皮瓣，并在其血管筋膜 - 皮下蒂上进行游离。该皮瓣为覆盖下肢更远端的皮肤缺损提供了相当大的可能性。
