Gahhos F N, Jaquith M, Hidalgo R
Section of Surgery, Venice Hospital, FL.
Ann Plast Surg. 1989 Sep;23(3):255-62. doi: 10.1097/00000637-198909000-00011.
The anatomy of the anterior tibial artery was studied in eight fresh cadavers. Consistently no major branches were found to the long toe extensor or anterior tibial muscle in the segment 15 cm preceding the lateral malleolus. This allowed the use of the extensor digitorum brevis muscle on a long anterior tibial vascular pedicle following release of the extensor retinaculum. The longer pedicle made this reliable muscle flap suitable for coverage of mid and lower tibial defects, in addition to ankle defects, as an alternative to free flaps. Its use is described in three complex cases.
在八具新鲜尸体上研究了胫前动脉的解剖结构。在距外踝前15厘米的节段内，始终未发现有主要分支供应长趾伸肌或胫前肌。在松开伸肌支持带后，可利用长的胫前血管蒂上的趾短伸肌。较长的血管蒂使这种可靠的肌皮瓣除了可用于覆盖踝关节缺损外，还适用于覆盖胫骨干中下段缺损，作为游离皮瓣的替代方案。文中描述了在三个复杂病例中的应用情况。
