小腿重建中的小隐动脉穿支皮瓣。
The Medial Sural Artery Perforator Flap in Lower Extremity Reconstruction.
机构信息
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University, 5, Fu-Hsing Street, Kuei-Shan, Taoyuan, Taiwan.
Department of Plastic and Reconstructive Surgery, Epworth Eastern Hospital, 1 Arnold Street, Box Hill, Victoria, Australia.
出版信息
Clin Plast Surg. 2021 Apr;48(2):249-257. doi: 10.1016/j.cps.2021.01.003. Epub 2021 Feb 5.
Medial sural artery perforator (MSAP) flap is a thin, pliable, and versatile flap. It is a fasciocutaneous flap with chimeric design capacity. The donor site permits the synchronous harvesting of nonvascularized tendons and nerves. Free MSAP flap is suitable for foot, ankle, and distal one-third of the leg reconstructions. Pedicled MSAP flap is an alternative flap for knee and proximal two-thirds of leg defects, covering classical lower limb reconstruction territories of soleus, medial, and lateral gastrocnemius muscle flap. Computed tomography angiography, indocyanine green, and endoscopic-assist dissection enhances MSAP flap surgical planning and reduces its technical adversities and complications.
腓肠内侧动脉穿支皮瓣（MSAP）是一种薄而柔韧、用途广泛的皮瓣。它是一种具有嵌合设计能力的筋膜皮瓣。供区允许同时采集非血管化的肌腱和神经。游离 MSAP 皮瓣适用于足、踝和小腿远端三分之一的重建。带蒂 MSAP 皮瓣是膝部和小腿近端三分之二缺损的替代皮瓣，可覆盖比目鱼肌、内侧和外侧腓肠肌皮瓣等经典的小腿重建区域。计算机断层血管造影、吲哚菁绿和内镜辅助解剖可增强 MSAP 皮瓣的手术规划，并降低其技术难度和并发症。
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