Guyuron B, Dinner M I, Dowden R V, Labandter H P
Ann Plast Surg. 1982 Feb;8(2):132-40. doi: 10.1097/00000637-198202000-00006.
We present a concept in muscle and myocutaneous flap transfer whereby distally based flaps can, under very special circumstances, be transferred with an augmented arc of rotation and more reliable circulation. The concept is the inclusion of adjacent longitudinal vessels in the elevation, within which vessels the flow is reversed. To our knowledge this concept has not been previously described. The soleus muscle and eight other muscles have been found to be potentially useful in this regard. We report here our experience with 3 clinical cases of the distally-based soleus flap with a reversed pedicle, exemplifying the vascular detour principle. Our limited experience indicates no impairment of blood supply to the limb in short-term follow-up. Until further studies confirm the safety of major vessel sacrifice in a limb, we recommend only judicious use of this flap in highly selected situations.
我们提出了一种肌肉和肌皮瓣转移的概念，即在非常特殊的情况下，基于远端的皮瓣可以通过增加旋转弧和更可靠的血液循环进行转移。这个概念是在掀起过程中纳入相邻的纵向血管，其中血管的血流是反向的。据我们所知，这个概念以前尚未被描述过。比目鱼肌和其他八块肌肉在这方面已被发现可能有用。我们在此报告3例以远端为蒂的比目鱼肌瓣逆行转位的临床经验，例证血管绕道原则。我们有限的经验表明，在短期随访中肢体的血液供应没有受损。在进一步的研究证实肢体主要血管牺牲的安全性之前，我们建议仅在高度选择的情况下谨慎使用这种皮瓣。
