Ameil M, Avisse C, Agathe-Nerine J, Belair F, Greco J M, Delattre J F
Laboratoire d'Anatomie, Faculté de Médecine, Reims, France.
Surg Radiol Anat. 1991;13(1):1-6. doi: 10.1007/BF01623133.
The cutaneous blood-supply of the limbs is ensured by three types of arteries: the large septo-cutaneous arteries, the slender musculocutaneous arteries, and the rare satellites of the cutaneous nerves. The skin cover of the outer aspect of the leg is particularly well vascularized thanks to its special situation, centered on the intermuscular septa bounding the outer compartment of the leg. Neuromuscular arteries are rare at this site, but there are numerous septo-cutaneous arteries at intervals along the septa. This anatomic study is based on 20 dissections and a radiologic survey and provides findings confirming the reliability of a distally based lateral leg flap. This pedicle arises from the fibular artery behind and the anterior tibial artery in front. It is situated, on average, 10.8 cm from the lateral malleolus, thus allowing coverage of peripheral losses of substances at the malleoli and heel.
粗大的肌间隔皮动脉、纤细的肌皮动脉以及罕见的皮神经伴行血管。小腿外侧的皮肤由于其特殊的位置，以界定小腿外侧肌间隔为中心，血管分布尤为丰富。此部位神经肌肉动脉较少见，但沿肌间隔有许多间隔一定距离分布的肌间隔皮动脉。这项解剖学研究基于20例解剖和一项放射学调查，其结果证实了以小腿外侧为蒂的皮瓣的可靠性。该蒂部起自后方的腓动脉和前方的胫前动脉。它平均距离外踝10.8厘米，从而能够覆盖外踝和足跟部位的外周组织缺损。
