Anatomical basis for design of the perforator-pedicled flap with nutritional vessels of the lateral dorsal cutaneous nerve and the lateral vein of the foot
LIANG Cheng, XIE Yun, ZHENG He-Beng, PENG Ti-Hong, XIE Zhi-Beng, TUN Ze-Dong, LI Lei, ZHANG Fa-Hui
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 377-380.
Anatomical basis for design of the perforator-pedicled flap with nutritional vessels of the lateral dorsal cutaneous nerve and the lateral vein of the foot
Objective To provide applied anatomical basis for design of perforator-pedicled flap with nutritional vessels of the lateral dorsal cutaneous nerve and the lateral vein of the foot to reconstruct the soft tissue defects of the forefoot. Methods 30 specimens of adult human feet perfused with red latex have been used. The following contents were observed under surgical magnifier: ①The course and distribution of lateral dorsal cutaneous nerve of the foot, and the lateral vein of foot; ②The anastomoses among the dorsal perforator of lateral plantar artery and the nutritional vessels of the lateral superficial vein and the lateral dorsal cutaneous nerve of the foot. Simulated operation was performed on another fresh specimen. Results ①The lateral dorsal cutaneous nerve of foot was the direct continuation of the trunk, and coursed along with the lateral vein of the foot, innervating lateral aspect of the dorsal foot and the lateral skin of the fifth toe; ②Nutritional vessels of the lateral dorsal cutaneous nerve of the foot and the lateral vein of the foot were of multiple segments and multiple origins. The perforator of the lateral plantar artery was relatively consistent in position, emerging superficially between the fifth metatarsal bone and lateral group of muscles of the fifth phalange. It gave off minute branches to anastomose with longitudinal nutritional vascular plexus of lateral dorsal superficial vein the foot. Conclusion The perforator-pedicled flap with nutritional vessels of the lateral dorsal cutaneous nerve and the lateral vein of the foot can be harvested to repair the defect of soft tissue on forefoot.
Lateral plantar artery / The fifth metatarsal bone / Lateral dorsal cutaneous nerve of foot / Lateral vein of foot / Neurocutaneous vascular flap
[1] Zhuang YH, Zheng HP, Lin SQ, et al. Vasculature at the Medial Aspect of the Foot and Clinical Application of Flaps Based on It for Forefoot Reconstruction
[J].Plast Reconstr Surg, 2011, 127(5):1967-1978.
[2] Fu D, Zhou L, Yang S, et al. Surgical technique: repair of forefoot skin and soft tissue defects using a lateral tarsal flap with a reverse dorsalis pedis artery pedicle: A retrospective study of 11 patients
[J].Clin Orthop Relat Res, 2013,471(1):317-23.
[3] 史增元,尹维刚,刘振新,等.小腿前外侧和足背外侧岛状皮瓣的应用解剖
[J].中国临床解剖学杂志, 2006, 24(5): 510-513.
[4] 谭为, 徐达传, 张伟,等.母展肌上缘动脉弓的分型及其临床意义
[J].中国临床解剖学杂志,2012,30(2): 141-144.
[5] Xu YQ, Zhu YL, Wu NX, et al. Distal foot coverage with reverse dorsal pedal neurocutaneous flaps
[J].J Plast Reconstr Aesthet Surg, 2010,63(1):164-169.
[6] 吴农欣, 徐永清, 覃励明, 等.足背外侧皮神经营养血管皮瓣的应用解剖学
[J].中国临床解剖学杂志, 2006, 24(2):142-144.
[7] 王鹏,赵丽,刘小伟,等.逆行足背外侧皮神经营养血管皮瓣修复足前端皮肤缺损
[J].中华整形外科杂志, 2007, 25(4):299-300.
[8] 张发惠,郑和平,宋一平,等. 腓肠神经—小隐静脉营养血管远端蒂复合瓣的解剖学研究
[J]. 中国临床解剖学杂志, 2005, 23(4):357-360.
[9] 张发惠, 郑和平, 宋一平, 等. 内踝区动脉网的显微解剖与隐神经营养血管远端蒂皮瓣的设计
[J]. 中国临床解剖学杂志, 2005, 23(2):122-125.
[10] 柴益民, 林崇正, 邱勋永, 等.带皮穿支血管的皮神经营养血管皮瓣的临床应用
[J].中华整形外科杂志, 2006, 22(1):34-37.
[11] 林加福, 郑和平,林润. 股内侧肌穿支蒂股中间皮神经营养血管皮瓣的应用解剖
[J].中国临床解剖学杂志, 2010, 28(5):614-617.
/
〈 |
|
〉 |