Torii S, Namiki Y, Mori R
Plast Reconstr Surg. 1987 Apr;79(4):600-9. doi: 10.1097/00006534-198704000-00015.
Twenty-two reverse-flow island flaps were transferred. These included peroneal, forearm, anterior tibial, and temporal flaps. Sixteen of 22 flaps survived completely. We encountered partial necrosis in 4 flaps and total necrosis in only 2 flaps. We credit this success to the reliability and availability of the peroneal, forearm, and temporal flaps; but we do not encourage use of the anterior tibial flap. The flaps that survived well did not show any signs of venous congestion. The advantage of the reverse-flow island flap is that it can be transferred from a proximal to a distal location. Using cadavers and fresh amputated limbs, studies on venous drainage of the reverse-flow island flap were performed. The venae comitantes had numerous venous valves and communicating branches, but more than sufficient reflux of the venous blood occurred through the valves at pressures of 90 to 105 cmH2O. We believe that the venous drainage of the reverse-flow island flap occurs as a result of reflux actions at the valve, communicating branches between the venae comitantes, and bypass vessels around the valves.
共转移了22个逆行岛状皮瓣。其中包括腓骨皮瓣、前臂皮瓣、胫前皮瓣和颞部皮瓣。22个皮瓣中有16个完全存活。我们遇到4个皮瓣部分坏死，仅2个皮瓣完全坏死。我们将这一成功归功于腓骨皮瓣、前臂皮瓣和颞部皮瓣的可靠性和可用性；但我们不鼓励使用胫前皮瓣。存活良好的皮瓣未出现任何静脉淤血迹象。逆行岛状皮瓣的优点是可以从近端转移到远端。利用尸体和新鲜截肢肢体，对逆行岛状皮瓣的静脉回流进行了研究。伴行静脉有许多静脉瓣和交通支，但在90至105 cmH2O的压力下，通过瓣膜发生的静脉血反流足够多。我们认为，逆行岛状皮瓣的静脉回流是瓣膜处的反流作用、伴行静脉之间的交通支以及瓣膜周围的旁路血管共同作用的结果。
