Habermeyer P, Kaiser E, Mandelkow H, Schweiberer L, Stock W
Handchir Mikrochir Plast Chir. 1987 Jan;19(1):21-2.
According to Mathes and Nahai (1982) the sartorius muscle is supplied in a segmental fashion (Type IV) from six to ten branches arising from the superficial femoral artery. They state that the use of this flap is limited because of the segmental blood supply. In contrast, dissecting 40 cadaver specimens at the Anatomy Department of Munich University a different vascular anatomy was revealed in which only two to four branches from the femoral artery supply the whole muscle. Based on this pattern of intramuscular vascular connections, the most proximal arterial branch provides the blood supply to the whole muscle. Elevated on the proximal vascular pedicle the muscle can cover defects of symphysis, fill the acetabulum following disarticulation of the septic hip joint and osteomyelitic defects of femur.
根据马西斯和纳海(1982年)的研究,缝匠肌由股浅动脉发出的6至10支分支以节段性方式供血(IV型)。他们指出,由于这种节段性血供,该皮瓣的应用受到限制。相比之下,慕尼黑大学解剖学系对40具尸体标本进行解剖后发现了不同的血管解剖结构,其中股动脉仅发出2至4支分支为整块肌肉供血。基于这种肌肉内血管连接模式,最近端的动脉分支为整块肌肉提供血供。以近端血管蒂为基础掀起该肌肉,可覆盖耻骨联合缺损,在感染性髋关节离断后填充髋臼以及股骨骨髓炎缺损。