Orgill D P, Pribaz J J
Division of Plastic Surgery, Brigham and Women's Hospital, Boston, MA 02115-6195.
Ann Plast Surg. 1994 Jul;33(1):17-22. doi: 10.1097/00000637-199407000-00004.
The peroneal vascular pedicle supplies the posterolateral aspect of the lower limb and can be used in a reverse-flow manner to reliably cover wounds of the lower third of the leg and ankle. Two surgical approaches may be used, medial and lateral, to treat a variety of soft-tissue deficits. For the medial approach, the patient is positioned supine and the flexor hallucis longus muscle along with the peroneal vascular pedicle is raised. This easily covers medial malleolar or distal anterior tibial defects. For the lateral approach, the patient is positioned prone and a fasciocutaneous flap is dissected and can be used to cover soft-tissue defects down to the proximal foot and ankle. A total of 13 patients underwent reverse peroneal flaps with a follow-up of 6 months to 3 years. All patients healed their wounds, but there were minor wound complications in 4 patients. When used in a reverse-flow manner, the peroneal vascular system can allow for a wide variety of flap designs to treat selected patients.
腓血管蒂为下肢后外侧提供血供，可采用反流方式可靠地覆盖小腿下1/3及踝部的创面。可采用两种手术入路，即内侧入路和外侧入路，以治疗各种软组织缺损。内侧入路时，患者取仰卧位，掀起长屈肌及腓血管蒂。这可轻松覆盖内踝或胫骨远端前方的缺损。外侧入路时，患者取俯卧位，切开并掀起一个筋膜皮瓣，可用于覆盖直至足近端和踝部的软组织缺损。共有13例患者接受了逆行腓骨皮瓣手术，随访时间为6个月至3年。所有患者的创面均愈合，但4例患者出现了轻微的伤口并发症。以反流方式应用时，腓血管系统可采用多种皮瓣设计来治疗特定患者。
