摘要
目的 :为以逆行岛状V型腓骨肌皮瓣修复跟骨及后足大面积软组织缺失提供解剖学资料。方法 :在 5 0侧下肢标本、40块跟骨上对腓骨肌皮瓣的血供、血管蒂旋转点的设定及跟骨内骨小梁的分布情况等进行了观测。结果 :①腓动脉沿途发出 7.6支肌皮支 ,分布到腓骨及其邻近软组织 ,该动脉下端与胫前、胫后动脉有丰富而粗大的吻合 ,完全可提供逆流供血 ;②跟骨内骨小梁的分布在不同的矢状切面上有明显的差异 ,这与其负重时的应力分布有关。结论 :以腓血管为蒂截取的腓骨肌皮瓣经塑形成V型复合瓣 ,可用于后足大面积缺损的再造。临床成功 1例 ,证实术式具有可行性。
Objective:To provide anatomical basis for repairing calcaneus and serious tissue defect in backoot by reversed island V shaped fibular bone myocutaneous flap pedicled with peroneal vessels.Methods:The blood supply of fibular bone-myocutaneous flap was observed and the reversed point of pedicle were designed on 50 sides of low limb specimens.The trabecular distribution of calcaneus was observed on 40 calcaneus.Results:Peroneal artery gave off 7.6 branches to fibula and neighborhood soft tissue.It has plenty of anastomosis with anterior and posterior tibial artery,and the large co-mmunication branches could provide reversed blood supply completely.The trabecular distribution changed significantly with different sagittal planes.It related with the stress distribution of body wight.Conclusions:The V shaped fibular bone myocutaneous flap pedicled with peroneal vessels could be used for repairing serious tissue defect in the backfoot.A good result has been obtained in clinic.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2000年第2期110-112,共3页
Chinese Journal of Clinical Anatomy
关键词
后足缺损
应用解剖
岛状Ⅴ型腓骨肌皮瓣
Backfoot Calcaneus Peroneal vessels Fibular bonemyocutaneous flap Reverse transposition
