Clemens Mark W, Attinger Christopher E
Department of Plastic Surgery, Georgetown University Medical Center, Washington, DC 20007, USA.
Foot Ankle Clin. 2010 Sep;15(3):439-64. doi: 10.1016/j.fcl.2010.04.003.
Successful foot and ankle reconstructions require a detailed knowledge of vascular anatomy. This knowledge becomes all the more important in diabetic patients because of healing complications and high incidence of peripheral vascular disease; it allows foot and ankle surgeons to design safe exposures and vascular surgeons to choose effective revascularization strategies. The angiosome concept separates the body into distinct threedimensional blocks of tissue fed by source arteries. This article focuses on the surgical implications of angiosomes of the foot and ankle and their arterial-arterial connections.
成功的足踝重建需要对血管解剖有详细的了解。由于愈合并发症和外周血管疾病的高发病率,这种知识在糖尿病患者中变得尤为重要;它使足踝外科医生能够设计安全的手术显露,血管外科医生能够选择有效的血运重建策略。血管体概念将身体分为由源动脉供血的不同三维组织块。本文重点关注足踝血管体的手术意义及其动脉-动脉连接。