Quaba A A, Chapman R, Hackett M E
North East Thames Plastic Surgery Centre, London, England.
Plast Reconstr Surg. 1988 Jan;81(1):94-105. doi: 10.1097/00006534-198801000-00017.
Since its description in 1977, the use of the biceps femoris musculocutaneous flap has been largely limited to reconstructions around the hip and perineum in paraplegic patients. The safety with which this flap can be transposed has been questioned owing to the segmental nature of its blood supply. Cadaver dissections in 10 fresh lower limbs showed that anterolateral transposition could be achieved without the need to sacrifice any of the major vascular pedicles (numbering two to three) which penetrate the long head of the muscle within 10 to 14 cm of the ischial tuberosity. We report on the use of this flap to resurface the anterolateral aspect of the lower thigh and restore stability and extension to the knee joint following extensive damage to the quadriceps mechanism.
自1977年首次描述以来，股二头肌肌皮瓣的应用主要局限于截瘫患者髋部和会阴周围的重建。由于其血供的节段性特点，该皮瓣转移的安全性受到质疑。对10条新鲜下肢进行的尸体解剖显示，在坐骨结节10至14厘米范围内，股二头肌长头内有两到三根主要血管蒂，前外侧转移可在不牺牲这些血管蒂的情况下实现。我们报告了使用该皮瓣修复大腿前外侧表面，并在股四头肌机制广泛受损后恢复膝关节稳定性和伸展功能的情况。
