Tobin G R
Plast Reconstr Surg. 1985 Jul;76(1):87-96. doi: 10.1097/00006534-198507000-00015.
This paper reports an anatomic study of the soleus muscle and clinical applications of the findings derived from the study. Soleus neurovascular anatomy was studied in 86 limbs by dissection and specimen angiography. A consistently present bipenniform muscle morphology was found with medial and lateral subunits that had independent distal neurovascular supplies. This anatomic feature allows surgically splitting the muscle for transfer of one-half the muscle as a flap (hemisoleus muscle flaps). A series of 33 patients using both medial and lateral hemisoleus flaps in both proximally and distally based transfer is analyzed and illustrative examples are presented. The primary value of this technique is the ability to retain one-half the innervated soleus muscle in situ to preserve foot plantar flexion power in ambulatory patients. In addition, hemisoleus flaps have an extended arc of rotation as compared with that of conventional soleus muscle flaps.
本文报道了比目鱼肌的解剖学研究以及该研究结果的临床应用。通过解剖和标本血管造影术对86条肢体的比目鱼肌神经血管解剖结构进行了研究。发现比目鱼肌始终呈现双羽状肌形态，其内侧和外侧亚单位具有独立的远端神经血管供应。这一解剖学特征使得在手术中能够将该肌肉劈开，转移其一半作为皮瓣（半比目鱼肌皮瓣）。分析了33例患者使用近端和远端蒂的内侧和外侧半比目鱼肌皮瓣的情况，并给出了示例。该技术的主要价值在于能够在原位保留一半有神经支配的比目鱼肌，以保留行走患者的足部跖屈力量。此外，与传统的比目鱼肌皮瓣相比，半比目鱼肌皮瓣具有更长的旋转弧。
