Clinical cognition of anterolateral femoral skin flap with high cutantous artery branches
10.3760/cma.j.issn.1001-2036.2017.05.011
- VernacularTitle:对高位皮动脉股前外侧皮瓣的临床认识
- Author:
Huiren LIU
1
;
Yanmao ZHANG
;
Tiepeng MA
;
Yan WANG
;
Zhanyong YU
;
Xueqiang WU
;
Rutao SUN
;
Li WANG
;
Shuo GAO
;
Jiayin JIANHUA
;
Liu LIU
Author Information
1. 唐山市第二医院手外科
- Keywords:
Anterolateral thigh flap;
Lateral femoral circumflex artery,descending branch;
High cutantous artery branches;
Perforators
- From:
Chinese Journal of Microsurgery
2017;40(5):456-459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To recognize the relationship between high cutantous artery branches and descending branch of lateral femoral circumflex artery artery,and to investigate the blood supply of anterolateral thigh flap in clinical.Methods Retrospective analysis 152 cases of anterolateral thigh flap from November,2003 to December,2016.It contains cutting with descending branchs in 99 cases,cutting with lateral branchs in 43 cases,the union of them in 8 cases and high cutantous artery branches in 2 cases.Results The flaps survival in 147 cases,cutting necrosis in 3 cases and partly necrosis in 2 cases.Descending and lateral branchs were both dominance neurovascular bundle of vastus lateralis muscle,independently or commonly dominate the skin of anterolateral thigh,occurrence rate was 33.5％.Conclusion The descending branch of lateral femoral circumflex artery include lateral branch,all of which are the neurovascular bundles,supply the anterolateral thigh muscle,and divid into some perforator branches crossing the musle to the anterolateral thigh skin subsequently,which constitute "the anatomical functional unit".High cutantous artery branche is the one of all of the branches,its origin lies hight and arise from lateral branch.
