收稿日期: 2014-02-22
网络出版日期: 2014-08-07
基金资助
宁波市社会发展科研项目（2011C50007）；宁波市医学科技计划项目（2010A08）
Applied anatomy of medial plantar island flap pedicled with the medial foot arch artery
Received date: 2014-02-22
Online published: 2014-08-07
目的 为足内侧岛状皮瓣修复足底外侧皮肤缺损提供解剖学依据。 方法 35侧成年尸体足标本，经动脉灌注红色乳胶，在手术显微镜下(×10)解剖观测母展肌上缘动脉弓与足底内侧动脉深支内侧支吻合的位置、外径及长度。 结果 母展肌上缘动脉弓与足底内侧动脉深支内侧支在内侧楔骨内侧有一较恒定的吻合，并把这一吻合支暂命名为足内缘动脉弓。形成足内缘动脉弓占82.8%（29侧），吻合处外径为(0.65±0.21)mm，长度为（2.63±0.71）mm；未发现吻合动脉弓占17.2%（6侧）。 结论 以足内缘动脉弓为蒂的足内侧岛状皮瓣可以修复足底外侧皮肤缺损。
王守道 , 史增元 , 尹维刚 , 林荣 , 毛海蛟 . 足内缘动脉弓为蒂的足内侧岛状皮瓣应用解剖[J]. 中国临床解剖学杂志, 2014 , 32(4) : 381 -383 . DOI: 10.13418/j.issn.1001-165x.2014.04.002
Objective To provide anatomical basis for repairing the skin defect about lateral plantar area. Methods The anatomic study was carried out on 35 sides of adult cadaveric foot which were perfused with red latex. With the help of surgical microscope (×10) , we observed the vessel which is the anastomosis of arterial arch at the superior border of hallucal abductor and the medial branch of deep branch of medial plantar artery , and then measured its location, diameter, length. Results The anastomosis of arterial arch at the superior border of hallucal abductor and deep branch of medial plantar artery at the medial border of the medial cuneiform bone, which we named the medial foot arcuate artery. The frequency of the medial foot arch artery was 82.8%（29 sides）.The external diameter was (0.65±0.21) mm. The length was （2.63±0.71）cm. The medial foot arcuacte artery was absent in six cases. The frequency was 17.2%(6 sides). Conclusion The medial plantar island flap pedicled with the medial foot arch artery can be used to repair the skin defect on the lateral plantar area.
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