Origin of cutaneous branch of lateral supramalleolar flap: anatomy and clinical significance
RONG Kai, CHEN Chao, HOU Zhi-Dian, CHEN Gang, WANG Ceng-Chao
Chinese Journal of Clinical Anatomy ›› 2012, Vol. 30 ›› Issue (2) : 145-147.
Origin of cutaneous branch of lateral supramalleolar flap: anatomy and clinical significance
Objective To study the origin of the cutaneous branch of lateral supramalleolar flap, and provide anatomic basis for the related clinical applications. Methods 30 fresh cadaver legs injected with red latex were dissected, and 8 patients receiving repair of the lateral supramalleolar flap were observed. Anatomic data, including the origin of the cutaneous branches and the outer diameter of related arteries were collected and analyzed. Results 22 out of 30 cadaver legs (73.3%) and 5 out of 8 patients were found that the cutaneous branch of lateral supramalleolar flap arose from the arterial arch between the anterior tibial artery and the peroneal artery, which was proximal to the inferior tibiofibular syndesmosis. The cutaneous branch of the another 8 specimens (26.7%) and 3 patients arose from the perforating branch of the peroneal artery or from the peroneal artery directly. Conclusions The cutaneous branch of the lateral supramalleolar flap mainly arises from the arterial arch between the anterior tibial artery and the peroneal artery, and the origin of the cutaneous branch should be identified during the surgery treating.
Lateral supramalleolar flap / Applied anatomy / Anterior tibial artery / Peroneal artery / Arterial arch
[1] Masquelet AC, Beveridge J, Romana C, et al. The lateral supramalleolar flap
[J]. Plast Reconstr Surg, 1988, 81(1): 74-81.
[2] 徐胜. 以腓动脉终末穿支为蒂的皮瓣应用解剖
[J]. 中国临床解剖学杂志, 1990, 8(2): 88-91.
[3] 谭鸿, 汪红, 曾端, 等. 外踝上动脉腓浅神经血管蒂皮瓣修复小腿足踝部软组织缺损
[J]. 中华创伤骨科杂志, 2004, 6(11): 1313-1314.
[4] 路来金, 彭维海, 张舵, 等. 逆行外踝上筋膜皮瓣修复前足缺损的解剖学基础
[J]. 中华显微外科杂志, 2004, 27(3): 200-202.
[5] 侯春林. 皮瓣外科学
[M]. 上海:上海科学技术出版社, 2006:655-657.
[6] Sham E, Choi WT and Flood SJ. Lateral supramalleolar flap in reconstruction of pressure ulcers in patients with spinal cord injury
[J]. ANZ J Surg, 2008, 78(3): 167-171.
[7] Lee JH and Chung DW. Reverse lateral supramalleolar adipofascial flap and skin grafting for one-stage soft tissue reconstruction of foot and ankle joint
[J]. Microsurgery, 2010, 30(6): 423-429.
[8] 张发惠, 方祥源, 陈振光, 等. 小腿主干动脉间的吻合及其临床意义
[J]. 中国临床解剖学杂志, 1993, 11(2): 110-113.
[9] 颜玲, 徐达传，高建华. 足背皮瓣与足外侧或外踝上哑铃状联合皮瓣设计的解剖基础
[J]. 中国临床解剖学杂志, 2005, 23(2): 126-128.
[10] 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.
[11] Le Nen D, Beal D, Person H, et al. Anatomical basis of a fascio- cutaneous pedicle flap based on the infero-lateral collateral artery of the leg
[J]. Surg Radiol Anat, 1994, 16(1): 3-8.
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