Applied anatomy of medial plantar island flap pedicled with the medial foot arch artery
WANG Shou-Dao, SHI Ceng-Yuan, YIN Wei-Gang, LIN Rong, MAO Hai-Jiao
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 381-383.
Applied anatomy of medial plantar island flap pedicled with the medial foot arch artery
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.
Island flap / Medial tarsal artery / Anterior medial malleolus artery / Deep branch of medial plantar artery
[1] 史增元，陈茂林，郝国玉，等. 足内侧岛状皮瓣多向转位修复足部皮肤缺损
[J].中华骨科杂志，1997，17(9)：557-559.
[2] 陈茂林，史增元，姚乃忠，等. 足内侧皮瓣血供的应用解剖学
[J]. 中国临床解剖学杂志，1998，16 (2)：167-169.
[3] 张发惠，方祥源，郑和平，等. 足内侧皮瓣的应用解剖
[J]. 解剖学杂志，1995，18(2)：165-168.
[4] 马心赤，林崇正，柴益民，等. 逆行足底内侧动脉蒂足内侧岛状皮瓣修复足底皮肤缺损
[J]. 中华显微外科杂志，2001，24(1)：55-56.
[5] 刘方刚，邓建，唐迎九，等. 足内侧皮瓣逆行移植术
[J]. 中华显微外科科志，2001，24(2)：94-96.
[6] 毛海蛟，尹维刚，史增元，等. 足内侧逆行岛状皮瓣的应用解剖
[J]. 中国临床解剖学杂志，2009，27(3)：279-282.
[7] 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)：141-144,148.
[8] Siddiqi MA, Hafeez K, Cheema TA, et al. The medial plantar artery flap: a series of cases over 14 years
[J] . Foot Ankle Surg，2012，51(6)：790-794.
[9] 吴发科，史增元，尹维刚，等. 以足外缘动脉弓为蒂足背外侧岛状皮瓣的解剖学研究
[J].中国临床解剖学杂志，2013，31(3)：250-252.
[10]Bibbo C. Plantar heel reconstruction with a sensate plantar medial artery musculocutaneous pedicled island flap after wide excision of melanoma
[J]. Foot Ankle Surg，2012，51(4)： 504-508.
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