Gray D W, Ng R L
Nuffield Department of Surgery, University of Oxford, John Radcliffe Hospital, Headington, UK.
Br J Surg. 1990 Jun;77(6):662-4. doi: 10.1002/bjs.1800770624.
Whether or not the soleus muscle should be excised during below-knee amputation is a point of contention. The anatomical basis for the blood supply to the skin of the posterior calf has been examined by dissection and selective arterial injection of cadavers. The results showed that the skin used to construct the posterior flap for below-knee amputation derives its blood supply from both axial vessels, running with the peripheral nerves, and perforating vessels arising through the gastrocnemius muscle. There is no contribution by blood vessels that pass through the soleus muscle. When a posterior flap for below-knee amputation is constructed the soleus muscle should be completely excised.
在膝下截肢时是否应该切除比目鱼肌是一个有争议的问题。通过对尸体进行解剖和选择性动脉注射，研究了小腿后部皮肤血液供应的解剖学基础。结果表明，用于构建膝下截肢后皮瓣的皮肤血液供应来自与周围神经伴行的轴型血管以及穿过腓肠肌的穿支血管。没有穿过比目鱼肌的血管供血。构建膝下截肢后皮瓣时，应将比目鱼肌完全切除。
