Lambert F, Cariou J L, Couturaud B, Bellavoir A
Service de Chirurgie Plastique, Chirurgie Maxillo-Faciale et Stomatologie, Höpital d'instruction des Armées Begin, Saint-Mande.
Ann Chir Plast Esthet. 1996 Apr;41(2):145-54.
In the light of previous studies, the authors conducted an anatomical study on 21 cadaveric dissections with injection in order to define the characteristics of the distally based fasciocutaneous flap of the posterior surface of the thigh, described for the first time in 1988 by Maruyama. This leaf-shaped flap extends from the popliteal region to the gluteal sulcus. It possesses an axial arterial network derived from the popliteal artery, reinforced by the perforating arteries derived from the vessel or the profunda femoris artery. The venous return is ensured by venae comitantes and the communicating saphenous vein. The flap raising technique is described. From 1991 to 1994, 3 patients were operated in order to cover a defect of the knee (1 case) and amputation stumps (2 cases). The postoperative course was uneventful and the results were considered to be stable and of excellent quality with a follow-up of 2 to 4 years.
根据先前的研究，作者对21具注射后的尸体进行了解剖学研究，以确定1988年由丸山首次描述的大腿后表面远端蒂筋膜皮瓣的特征。这种叶状皮瓣从腘窝区域延伸至臀沟。它拥有一个源自腘动脉的轴型动脉网，并由源自该血管或股深动脉的穿支动脉加强。静脉回流由伴行静脉和交通隐静脉保证。描述了皮瓣切取技术。1991年至1994年，对3例患者进行了手术，以覆盖膝关节缺损（1例）和截肢残端（2例）。术后过程顺利，随访2至4年，结果被认为稳定且质量优良。
