Anatomical study of the dorsal medial arterial network of foot and its clinical significance

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  • Department of Hand-foot & Microsurgery, Nanshan District People's Hospital of Shenzhen; Shenzhen 518052, China

Received date: 2019-02-10

  Online published: 2019-09-25

Abstract

Objective To understand the blood supply foundation in the dorsal medial artery network of foot, and provide anatomical basis for the rational design of the dorsal medial flap of foot. Methods The origin, course, branch and anastomosis of the blood supply of the dorsal medial artery network of foot were observed by dissecting 20 adult cadaveric foot specimens perfused with red latex. Results There were four main sources of blood supply in the dorsal medial artery network of foot, including the cutaneous branches from medial anterior malleolus artery in the medial dorsal foot, the cutaneous branches from the medial tarsal artery in the medial dorsal foot, the cutaneous branches came from the superficial branches and deep branches of the medial plantar artery that were distributed in the medial aspect of the dorsum of foot, and the cutaneous branches from the great toe tibial arteries that were distributed on the edge of the abductor hallucis muscle.  Conclusion According to the anatomical characteristics of the medial dorsal artery network, two types of pedicled flaps can be designed: medial cutaneous neurocutaneous vascular flap of foot and medial fasciocutaneous flap based on the cutaneous vascular chain.

Cite this article

YAO Hai-bo, LI Wen-qing, ZHU Xiao-di, LI Chu-yan, ZHANG Guo-lei . Anatomical study of the dorsal medial arterial network of foot and its clinical significance[J]. Chinese Journal of Clinical Anatomy, 2019 , 37(5) : 491 -493 . DOI: 10.13418/j.issn.1001-165x.2019.05.002

References

[1]  朱跃良,徐永清,李军,等. 一期原位修薄的游离股前外侧穿支皮瓣修复足末端创面[J]. 中国临床解剖学杂志,2011,29(5):572-574.
[2]  张发惠,郑和平,刘经南,等. 足内侧逆行皮瓣的解剖及其临床应用[J].中国临床解剖学杂志,1998,16(2):120-122.
[3]  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.
[4]  王志浩,丁英杰,余志平,等. 前足严重损伤修复重建的临床研究[J].中国修复重建外科杂志,2016,30(2):169-172.
[5]  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.
[6]  张世民,徐达传,顾玉东,等. 链型皮瓣的血管基础及临床意义[J]. 中国临床解剖学杂志,2004,22(1):13-16.
[7]  Din ZH, Hou ZD. Minimal invasive anatomy of the cutaneous branches chain flap pedicled with cutaneous branches[J]. Anat Res, 2009, 30(1):65-66.
[8]  秦向征, 李良昌, 李光昭,等. 小腿后外侧穿支皮支链的解剖学研究[J]. 中国临床解剖学杂志, 2015, 33(2): 138-140.
[9]  刘鹏,郑有卯,李宏亮,等. 尺动脉腕上皮支下行支皮支链岛状皮瓣的应用解剖[J]. 中国临床解剖学杂志,2014,32(2):137-140. 
[10]孙超,徐聪,张伟,等. 桡动脉肌间隙远、近段皮支链皮瓣的解剖学基础[J]. 中国临床解剖学杂志, 2012,30(3): 260-263.
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