Li Z, Liu K, Lin Y, Li L
Department of Orthopaedic Surgery, Third Teaching Hospital, Changchun, Jilin, People's Republic of China.
Br J Plast Surg. 1990 Sep;43(5):546-50. doi: 10.1016/0007-1226(90)90118-j.
This paper describes a flap for covering defects around the knee. Dissections of 20 legs showed that in the majority the lateral sural cutaneous artery branched from the popliteal artery and descended along the posterolateral aspect of the leg together with two venae comitantes and the lateral sural cutaneous nerve. An island flap was designed, pedicled on these vessels and nerve, and was used in 17 patients with defects around the knee, including acute trauma (three cases), soft tissue tumours (three cases), unstable scar or ulcer (seven cases), and chronic osteomyelitis or infected open fractures with tissue loss (four cases). All the flaps survived entirely and possessed normal sensation. Furthermore, it was not necessary to sacrifice the main vessels of the lower leg.
本文描述了一种用于覆盖膝关节周围缺损的皮瓣。对20条腿的解剖显示，在大多数情况下，腓肠外侧皮动脉从腘动脉分出，与两条伴行静脉和腓肠外侧皮神经一起沿小腿后外侧下行。设计了一种以这些血管和神经为蒂的岛状皮瓣，并用于17例膝关节周围缺损患者，包括急性创伤（3例）、软组织肿瘤（3例）、不稳定瘢痕或溃疡（7例）以及慢性骨髓炎或伴有组织缺损的感染开放性骨折（4例）。所有皮瓣均完全存活且感觉正常。此外，无需牺牲小腿的主要血管。
