Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan.
Microsurgery. 2013 Jan;33(1):60-2. doi: 10.1002/micr.22043. Epub 2012 Sep 15.
The flow-through fibula flap utilizing the soleus branch as a distal runoff has not yet been reported. We herein present a patient with left tibial adamantimoma in whom wide resection of the tumor resulted in a segmental tibial defect 22 cm in length. The defect was successfully reconstructed with a flow-through free fibula osteocutaneous flap using the soleus branch of the peroneal artery as a distal runoff. The short T-segment of the peroneal artery was interposed to the transected posterior tibial artery. The soleus branch has a constant anatomy and a larger diameter than the distal stump of the peroneal artery. Short interposed flow-through anastomosis to the major vessels is much easier and more reliable than the conventional methods. We believe that our method represents a versatile option for vascularized fibula bone grafting for extremity reconstruction.
尚未有文献报道利用比目鱼肌支作为远端流出道的贯穿腓骨皮瓣。我们在此报告 1 例左侧胫骨成釉细胞瘤患者，广泛切除肿瘤导致 22cm 长节段性胫骨缺损。采用带腓动脉比目鱼肌支的游离腓骨皮瓣桥式转流修复缺损，获得成功。腓动脉短 T 段间置于胫后动脉切断处。比目鱼肌支解剖恒定，直径大于腓动脉远端残端。与传统方法相比，短桥接贯穿吻合主要血管更容易、更可靠。我们认为，我们的方法为肢体重建的带血管腓骨骨移植提供了一种多用途的选择。
