Giordano P A, Argenson C, Pequignot J P
Department of Orthopedic Surgery, Centre Hospitalier Regional de Nice, France.
Plast Reconstr Surg. 1989 Jan;83(1):100-9. doi: 10.1097/00006534-198901000-00019.
The extensor digitorum brevis island flap is a versatile and robust flap able to provide adequate bulk and coverage in soft-tissue defects of the lower limb. The donor-site deformity is limited to the necessary scar needed to approach and rotate the muscle. An anatomic study was performed in 10 fresh cadavers and consisted of two parts: study of the muscle flap itself, and examination of skin vascularization. Methylene blue and Salmon's mass (radiopaque) were injected through the three main arteries of the leg. Muscle and cutaneous staining were noted. Clinical applications of this flap are reported. These resulted in successful healing of the defect with good aesthetic and functional results on both recipient and donor sites. Long-term follow-up was maintained for up to 21 months.
趾短伸肌岛状皮瓣是一种多功能且可靠的皮瓣，能够为下肢软组织缺损提供足够的组织量和覆盖范围。供区畸形仅限于显露和旋转肌肉所需的必要瘢痕。对10具新鲜尸体进行了一项解剖学研究，该研究包括两个部分：皮瓣本身的研究以及皮肤血管化的检查。通过腿部的三条主要动脉注射亚甲蓝和萨尔蒙氏造影剂（不透射线）。记录肌肉和皮肤的染色情况。报告了该皮瓣的临床应用。这些应用使缺损成功愈合，受区和供区均取得了良好的美学和功能效果。进行了长达21个月的长期随访。
