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腓动脉穿支供血的筋膜皮瓣的解剖学基础

Anatomic basis of a fascio-cutaneous flap supplied by the perforating branch of the peroneal artery.

作者信息

Beveridge J, Masquelet A C, Romana M C, Vinh T S

机构信息

Department of Plastic Surgery, University of Saskatchewan, Saskatoon, Canada.

出版信息

Surg Radiol Anat. 1988;10(3):195-9. doi: 10.1007/BF02115236.

DOI:10.1007/BF02115236
PMID:3147532
Abstract

The length, caliber and course of the perforating branch of the peroneal artery are described following examination of both feet of 20 cadavers. This terminal branch of the peroneal artery has a constant, predictable course and may normally be sacrificed without any vascular compromise in the foot. It has great surgical potential at it is strategically situated so that it can act as a vascular pedicle for a large cutaneous flap situated on the lower lateral leg, with an axis of rotation centered at the midtarsal joint. This has been used by the senior author (AC Masquelet) as a pedicle flap and as an island flap for reconstruction of the foot and ankle with satisfying results.

摘要

在对20具尸体的双足进行检查后,描述了腓动脉穿支的长度、管径和走行。腓动脉的这一终末分支走行恒定、可预测,通常在不影响足部血供的情况下可予以牺牲。它具有巨大的手术潜力,因为其位置具有策略性,可作为位于小腿下外侧的大型皮瓣的血管蒂,旋转轴位于中跗关节中心。资深作者(AC Masquelet)已将其用作带蒂皮瓣和岛状皮瓣来重建足踝,效果令人满意。

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本文引用的文献

1
The lateral calcaneal artery skin flap (the lateral calcaneal artery, lesser saphenous vein, and sural nerve skin flap).跟外侧动脉皮瓣(跟外侧动脉、小隐静脉及腓肠神经皮瓣)。
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Reconstruction of the heel pad by flexor digitorum brevis musculocutaneous flap transfer.采用趾短屈肌肌皮瓣转移重建足跟垫。
[Lateral supramalleolar flaps for reconstruction in the ankle and foot].
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Surgical anatomy of the lateral supramalleolar flap in arteritic patients: an anatomic study of 24 amputation specimens.
Surg Radiol Anat. 2003 May;25(2):89-94. doi: 10.1007/s00276-003-0098-x. Epub 2003 Apr 25.
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The medial malleolar network: a constant vascular base of the distally based saphenous neurocutaneous island flap.内踝网络:远端蒂隐神经皮岛瓣恒定的血管基础。
Surg Radiol Anat. 1999;21(5):297-303. doi: 10.1007/BF01631327.
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Anatomical basis of a fascio-cutaneous pedicle flap based on the infero-lateral collateral artery of the leg.
Surg Radiol Anat. 1994;16(1):3-8; discussion 9. doi: 10.1007/BF01627913.
Plast Reconstr Surg. 1984 Jul;74(1):86-96. doi: 10.1097/00006534-198407000-00012.
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The instep of the foot as a fasciocutaneous island and as a free flap for heel defects.
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The management of chronic ulcers of the dorsum of the foot by muscle transposition and free skin grafting.
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