Complex Deformity Correction & Microsurgical Limb Reconstruction Fellowship, AMITA Health- St. Joseph Hospital, Attn: Podiatric Fellowship Office, 2900 North Lake Shore Drive, Chicago, IL 60657, USA.
Complex Deformity Correction & Microsurgical Limb Reconstruction Fellowship, AMITA Health- St. Joseph Hospital, Attn: Podiatric Fellowship Office, 2900 North Lake Shore Drive, Chicago, IL 60657, USA.
Clin Podiatr Med Surg. 2020 Oct;37(4):743-749. doi: 10.1016/j.cpm.2020.07.003. Epub 2020 Aug 13.
Respecting vascular territories is crucial for flap design and viability. There are 6 angiosomes in the foot and ankle originating from the posterior tibial, anterior tibial, and peroneal arteries. Reliable perforators from the 3 major source vessels of the lower extremity are found in 5-cm intervals within intermuscular septa. Computed tomography angiography, Doppler, and infrared cameras can be used preoperatively to help identify the perforators of the lower extremity.
尊重血管分布区域对于皮瓣设计和存活至关重要。足部和踝部有 6 个血管体,分别由胫后动脉、胫前动脉和腓动脉供应。在肌间隔内,下肢 3 大主要来源血管的可靠穿支每隔 5 厘米出现 1 支。术前可以使用计算机断层血管造影、多普勒和红外摄像机来帮助识别下肢的穿支。