带血管蒂的趾短伸肌瓣的临床应用解剖研究

The Clinic and Anatomic study on the pedicled Digitorum Breviextensor Flap

作者对130例小腿标本进行了趾短伸肌瓣及相应血供的应用解剖研究,发现下列血管是恒定的:足背动脉(管经2.95mm±0.32);腓动脉穿支(0.87mm±0.34);外踝前动脉(1.02mm±0.28);支配趾短伸肌瓣的外侧动脉弓(0.97mm±1.9);跗外侧动脉(1.50mm±0.22);外侧动脉弓(0.97mm±1.9)和跗外侧动脉(1.50mm+1.22)形成的血管网,设计了带血管蒂的趾短伸肌瓣,并于1995年应用于临床,修复足部软组织缺损。本研究提示:该肌瓣具有知名血管,解剖位置恒定,血运丰富,技术操作简便,成活率高,是修复足部软组织缺损的一种理想方法。

The clinic and anatomic Study on the Pedicled digitorum breviextensor flap was made on 130 leg specimens.On the base of this study, it was found the following arteries were formed constantly: the dorsal pedal A. (2.95mm± 0.32); the perforating peroneal A (0.87mm±0.34); the anterior lateral malleolar A, (1.02mm±0.28); the anasto-mosis with lateral plantar A (0.97mm± 1.9); the lateral talsal A. (1.50mm±0.22) . the vascularized pedicled digitorum breviextensor muscle flap had been used for restoration of the soft tissue defect in the ankles and foot from 1995. The digitorum breviextensor flap has a named vesselrich blood supply and fixed anatomical structure.The flap does not interfer with the blood supply and function of the foot. It is easy to be done and has a high sucessful rate. So this is an ideal method for the restoration of the soft tissue defect in the foot.