Hallock G G
Division of Plastic Surgery, The Lehigh Valley Hospital, Allentown, PA, USA.
Ann Plast Surg. 1996 Feb;36(2):139-46. doi: 10.1097/00000637-199602000-00006.
The bipennate soleus muscle has properly become entrenched as the muscle flap of choice for coverage of the middle third of the leg. Yet its potential versatility in fulfilling many other indications has been understated. With minor alterations in the methodology for transfer, often the reach of the muscle can be extended to more proximal or even distal defects in lieu of more complex solutions. Function preservation with hemisoleus flaps, the possibility of a cutaneous version, and use as a dynamic muscle demonstrate the diversity of additional alternatives. The merit of several techniques for augmenting circulation to the unreliable "reversed" soleus flap further prove the limitations of this option. Recognizing that we can often "get more" from the soleus muscle than traditionally considered deserves reemphasis.
羽状比目鱼肌已理所当然地成为覆盖小腿中三分之一的首选肌瓣。然而，它在满足许多其他适应证方面的潜在多功能性却未得到充分重视。通过对转移方法进行微小改变，通常可以将该肌瓣的覆盖范围扩展到更靠近近端甚至远端的缺损处，而无需采用更复杂的解决方案。半比目鱼肌瓣保留功能、制成皮瓣的可能性以及用作动力肌，都展示了其他更多选择的多样性。几种增加不可靠的“逆行”比目鱼肌瓣血运技术的优点，进一步证明了这种选择的局限性。认识到我们通常可以从比目鱼肌中获得比传统认知更多的功能，这一点值得再次强调。
