DISTALLY BASED VASTUS LATERALIS MUSCLE FLAP FOR COVERAGE OF WOUNDS ABOUT THE KNEE
DISTALLY BASED VASTUS LATERALIS MUSCLE FLAP FOR COVERAGE OF WOUNDS ABOUT THE KNEE
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DOI：
10.1097/00006534-198708000-00016
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发表时间：
1987-08-01
影响因子：
3.6
通讯作者：
NOONAN, JD
中科院分区：
文献类型：
--
作者：
SWARTZ, WM;RAMASASTRY, SS;NOONAN, JD
在新鲜尸体解剖中，通过染料注射技术评价股外侧肌的血供。旋股外侧动脉的降分支是主要的血供来源。来自股浅动脉（上级膝状体动脉）远端穿支的血管以逆行方式填充主血管蒂。在肌肉近端三分之一处始终观察到乳胶染色。本文报告五位以远端为蒂的股外侧肌皮瓣成功地应用于膝盖以上的缺损。浅表肌肉坏死是这种手术的并发症，但并不妨碍其有效性。预计这种皮瓣将是有用的医疗设备的重建外科医生治疗这样的问题患者。
The blood supply to the vastus lateralis muscle has been evaluated by dye injection techniques in fresh cadaver dissections. The main dominant blood supply is the descending branch of the lateral femoral circumflex artery. Vascular contributions from distal perforators of the superficial femoral artery, the superior geniculate artery, fill the main vascular pedicle in a retrograde fashion. Latex staining is observed consistently in the proximal third of the muscle. Five patients are presented in whom the distally based vastus lateralis muscle flap was successfully used to cover defects above the knee. Superficial muscle necrosis is a complication of this operation but has not precluded its usefulness. It is anticipated that this flap will be useful in the armamentarium of reconstructive surgeons treating such problematic patients.