Yiwu and Wenzhou, Zhejiang, People's Republic of China From the Department of Hand and Foot Surgery, Yiwu Central Hospital, and the Department of Anatomy, Wenzhou Medical College.
Plast Reconstr Surg. 2013 Apr;131(4):534e-543e. doi: 10.1097/PRS.0b013e3182827675.
There is a dearth of detailed published work on anterolateral leg perforators. The authors fully documented the vascular basis of the anterolateral leg perforator flap and report its use in reconstruction of distal extremities.
Anterolateral leg perforators were investigated in 25 fresh cadavers and 10 casts of arteries. Fresh cadavers were injected with a standardized injection of lead oxide for three-dimensional visualization reconstruction using multidetector-row computed tomography and professional software. The origin, course, and distribution of the perforators in the anterolateral leg region were observed. Between March of 2008 and March of 2012, 15 free superficial peroneal artery perforator flaps were used for reconstruction of distal limbs. Flap size varied from 3.5 × 4.0 cm to 11 × 5 cm, with a uniform thickness of 3 mm.
There were 7 ± 3.0 perforators in the anterolateral leg. The average external diameter was 0.7 ± 0.2 mm. Each perforator supplied an average area of 33 ± 8.0 cm. Extensive anastomoses were found between the superficial peroneal artery perforators and multiple adjacent source arteries. All cases were repaired successfully without any complications. The clinical results were satisfactory after 3 to 12 months of follow-up. The flaps were considered cosmetically acceptable by both patients and doctors.
The anterolateral leg perforator flaps have a consistent, reliable blood supply and good texture. The donor site not only supplies a thin skin flap but also provides the option of harvesting cross-boundary proximally or distally based perforator flaps that could be useful for repairing widespread traumatic soft-tissue defects.
关于前外侧小腿穿支的详细文献报道较少。作者详细记录了前外侧小腿穿支皮瓣的血管基础，并报告了其在四肢远端重建中的应用。
在 25 具新鲜尸体和 10 具动脉铸型标本中研究了前外侧小腿穿支。用标准化的氧化铅注射剂对新鲜尸体进行注射，然后使用多排螺旋 CT 和专业软件进行三维可视化重建。观察前外侧小腿区域穿支的起源、走行和分布。2008 年 3 月至 2012 年 3 月，我们使用 15 个游离腓浅动脉穿支皮瓣重建四肢远端。皮瓣大小为 3.5×4.0cm 至 11×5cm，厚度均为 3mm。
前外侧小腿有 7±3.0 个穿支，平均外径 0.7±0.2mm，每个穿支平均供应 33±8.0cm 的面积。腓浅动脉穿支与多个相邻供血动脉之间存在广泛吻合。所有病例均成功修复，无并发症。随访 3~12 个月后，临床效果满意。患者和医生均认为皮瓣的美容效果良好。
前外侧小腿穿支皮瓣血供可靠，质地良好。供区不仅可以提供薄皮瓣，还可以选择采集近端或远端跨边界的穿支皮瓣，这对于修复广泛的创伤性软组织缺损可能很有用。
