Stanec Z, Ivrlac R, Hulina D, Dzepina I, Unusić J, Montani D, Prpić I
Chir Maxillofac Plast. 1989;19(1-3):1-8.
In the anatomical investigation the authors dissected 20 fresh cadaveric forearms to study septofascial layers. It's vascularization was based on radial artery and concomitant veins. We perfused those flaps with methylene blue in the proximal part of radial artery. In 10 cases we found fine vascular network colored in blue. In the second group we isolated free septofascial tissue which was perfused with radiopaque contrast Hexabrix. Five flaps were perfused in the proximal part of vascular pedicle and five in the distal part. Afterwards the radiographs confirmed good vascular network, independent of flow direction. Fascia dimension in the proximal part of the forearm varied from 7-15 cm and in the distal part from 6-10 cm, depending on the forearm size. Fascia length varied from 21-27 cm. The authors found thicker and stronger fascia in the ulnar part of the forearm. The length of vascular pedicle was reversely proportional with the flap dimension. This anatomical investigation may find it's greatest application in plastic and reconstructive surgery.
在解剖学研究中，作者解剖了20具新鲜尸体的前臂以研究隔筋膜层。其血管化基于桡动脉及伴行静脉。我们在桡动脉近端用亚甲蓝灌注这些皮瓣。在10例中，我们发现了染成蓝色的精细血管网络。在第二组中，我们分离了游离的隔筋膜组织，并用不透射线的造影剂Hexabrix进行灌注。5个皮瓣在血管蒂近端进行灌注，5个在远端进行灌注。之后，X线片证实了良好的血管网络，与血流方向无关。前臂近端的筋膜尺寸根据前臂大小在7至15厘米之间变化，远端在6至10厘米之间变化。筋膜长度在21至27厘米之间变化。作者发现前臂尺侧的筋膜更厚更强。血管蒂的长度与皮瓣尺寸成反比。这项解剖学研究可能在整形和重建手术中找到其最大应用。
