Atchabahian A, Masquelet A C
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Avicenne, Paris, France.
Plast Reconstr Surg. 1996 Dec;98(7):1253-7. doi: 10.1097/00006534-199612000-00021.
We describe a distally based flap of the medial head of the gastrocnemius, vascularized through a distal pedicle given off by the posterior tibial artery. A literature review showed that this flap and the distal pedicle had not been described previously as such, although several techniques have been used to cover a substance loss of the distal third of the leg using the medial gastrocnemius. The distal artery has a variable caliber, and it is not always possible to raise the flap. One patient has been operated on by this technique, and an anatomic study was performed showing that 9 of 30 legs had a distal pedicle larger than 1 mm, 14 had a pedicle smaller than 1 mm, and 7 had a microscopic pedicle too small to raise a flap.
我们描述了一种以腓肠肌内侧头肌远端为蒂的皮瓣，其血供通过胫后动脉发出的远端蒂实现。文献综述表明，此前尚未如此描述过这种皮瓣和远端蒂，尽管已有多种技术用于利用腓肠肌内侧头覆盖小腿远端三分之一的组织缺损。远端动脉管径不一，并非总能掀起皮瓣。我们对1例患者采用了该技术进行手术，并进行了一项解剖学研究，结果显示，在30条腿中，9条腿的远端蒂直径大于1mm，14条腿的蒂直径小于1mm，7条腿的显微蒂过小，无法掀起皮瓣。
