Zhang G
Zhonghua Yi Xue Za Zhi. 1990 Dec;70(12):676-8, 46.
The blood supply of free anterolateral thigh flap and myocutaneous flap comes from the descending branch of the lateral femoral circumflex artery. On the basis of anatomical data, the descending branch coincides with the lateral superior genicular artery. Therefore, the authors suggested reversed anterolateral thigh island flap and myocutaneous flap transplantation. The blood supply of the reversed island flap, is from the lateral superior genicular artery. The flap seemed to have a constant vascular anatomy with a long pedicle and a large diameter, so that dissection of the flap can be accomplished easily. Moreover, donor defects were usually closed primarily without the need of skin-grafting. Since 1985, 4 cases of soft tissue defect around the knee joint have been repaired with reversed anterolateral thigh island flap and myocutaneous flap. All flaps survived completely and obtained satisfactory results. In this paper, the anatomy, design and operative technique of the flap are discussed.
游离股前外侧皮瓣和肌皮瓣的血供来自旋股外侧动脉降支。根据解剖学资料，降支与膝上外侧动脉相吻合。因此，作者提出逆行股前外侧岛状皮瓣和肌皮瓣移植。逆行岛状皮瓣的血供来自膝上外侧动脉。该皮瓣血管解剖恒定，蒂长且直径大，便于皮瓣的解剖。此外，供区缺损通常可一期缝合，无需植皮。自1985年以来，应用逆行股前外侧岛状皮瓣和肌皮瓣修复膝关节周围软组织缺损4例。所有皮瓣均完全成活，效果满意。本文对该皮瓣的解剖、设计及手术技术进行了讨论。
