Fayman M S, Orak F, Hugo B, Berson S D
Br J Plast Surg. 1987 Jan;40(1):20-6. doi: 10.1016/0007-1226(87)90005-1.
A refinement of the previously described distally based soleus muscle flap is proposed. The essential features of the flap are mobilisation of the tibial origin, splitting the muscle longitudinally, partially along a distinct anatomical plane, and preservation of anatomical continuity of the muscle. We suggest that improved blood supply to this flap derives from the intact major lateral proximal pedicles via the intact lateral portion into the flap. We also think that minimal damage to intramuscular vasculature integrity contributes to the improved circulation. The flap has been designed and studied using ten fresh cadaver leg dissections. Angiographic studies proved adequate blood supply to the flap. The flap has been tested eight times on seven patients with favourable results.
本文提出了一种对先前描述的以远侧为蒂的比目鱼肌肌瓣的改良方法。该肌瓣的主要特点是将胫骨起点进行游离，沿一个明确的解剖平面将肌肉纵向劈开，并保留肌肉的解剖连续性。我们认为，该肌瓣血供的改善源于完整的主要近端外侧蒂通过完整的外侧部分进入肌瓣。我们还认为，对肌内血管完整性的最小损伤有助于改善血液循环。我们使用十具新鲜尸体腿部标本对该肌瓣进行了设计和研究。血管造影研究证明该肌瓣血供充足。该肌瓣已在7例患者身上进行了8次试验，结果良好。
