Satoh K, Fukuya F, Matsui A, Onizuka T
Department of Plastic and Reconstructive Surgery, School of Medicine, Showa University, Tokyo-to, Japan.
Ann Plast Surg. 1989 Aug;23(2):97-103. doi: 10.1097/00000637-198908000-00001.
The fasciocutaneous flap in the lower leg has been widely used since Pontén's 1981 report. The cutaneous artery running along the sural nerve--known as the superficial sural artery--has an important role in the blood supply of the fasciocutaneous flap in the lower leg as stated by Haertsch. The superficial sural artery has great variation with regard to its location and the origin of the vessel. The cutaneous artery is intimately connected to the sural nerve or the lateral sural nerve. It may run along the sural nerve or along the lateral sural nerve. We examined this vessel in 10 cadaver dissections and applied it in 17 clinical cases of pedicled, island, and free flaps. The island sural fasciocutaneous flap is particularly versatile for the reconstruction of the soft tissue defect around the knee joint. The operative procedure involving the island fasciocutaneous flap and the characteristics of this sural fasciocutaneous flap are described.
自1981年庞滕的报告以来，小腿筋膜皮瓣已被广泛应用。如赫奇所述，沿腓肠神经走行的皮动脉——即腓肠浅动脉——在小腿筋膜皮瓣的血供中起重要作用。腓肠浅动脉在其位置和血管起源方面有很大变异。皮动脉与腓肠神经或腓肠外侧皮神经紧密相连。它可能沿腓肠神经走行，也可能沿腓肠外侧皮神经走行。我们在10例尸体解剖中对该血管进行了检查，并将其应用于17例带蒂、岛状和游离皮瓣的临床病例。岛状腓肠筋膜皮瓣在膝关节周围软组织缺损的重建中特别通用。描述了涉及岛状筋膜皮瓣的手术操作以及该腓肠筋膜皮瓣的特点。
