腓动脉穿支皮瓣的应用解剖

Abstract

Abstract:

Objective　To provide anatomic basis for the application of the peroneal artery perforator flap.　Methods　Fifteen fresh adult leg specimens injected with red latex were dissected. The number, distribution, and the courses of the peroneal artery perforators were explored, as well, the pedicle length and external diameter of the artery used for the flap were measured and analyzed.　Results　68 perforators were identified in 15 leg specimens (averagely 4.5 perforators for each leg). The perforators in the proximally lateral leg originated from different arteries. Peroneal artery perforator gathered in the region under the fibular head about 10 to 15 cm, with the longest perforator of (5.23±0.75)cm. Under the fibular head about 5 to 20 cm, the larger perforator could be identified. The perforators in the proximal lateral leg were mainly soleus perforators, and the most septocutaneous perforators and the flexor hallucis longus muscle perforators gathered in the lateral mid-distal region.　Conclusions　With the stable course, enough size and length, peroneal artery perforators originated from the region under the fibular head about 10 to 15cm are ideal nutrient vessel for supplying free peroneal perforator flap.

Key words: Perforator flap, Peroneal artery, Leg, Applied anatomy

CLC Number:

LI Kuang-Wen, TANG Ju-Yu, LIU Chang-Xiong, XIE Song-Lin, LIU Ming-Jiang, DAO Ke-Ai. Applied anatomy of peroneal artery perforator flap[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(4): 382-385.

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Applied anatomy of peroneal artery perforator flap

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