| 腿雕論文 (1)
題目: Selective Neurectomy of the Gastrocnemius and Soleus Muscles for Calf Hypertrophy: An Anatomical Study and 700 Clinical Cases
發表期刊: Plastic Reconstructive Surgery 122:178,2008
創新: 此論文乃我發明小腿神經切除術進階版的學術論文, 除了切除內側腓腸肌神經之外, 還切除比目魚肌神經, 如此可以減少代償效應, 得到最佳的結果.
白色部分-- LG: 外側腓腸肌神經; MG: 內側腓腸肌神經; SO: 比目魚肌神經; SEN: 感覺神經.
藍色部分-- V: 靜脈
棕色部分-- LG: 外側腓腸肌; MG: 內側腓腸肌
解剖研究-- G: 腓腸肌; 1&2: 比目魚肌分成內外分支; S: 比目魚肌
Background: Calf hypertrophy is of concern to Asians. Liposuction and muscle resection are used with reasonable results. A technique of selective neurectomy of the medial gastrocnemius and soleus muscles is used to improve results of calf reduction.
Methods: Between 1999 and 2006, 700 patients underwent neurectomy of the medial gastrocnemius and half of the soleus muscle without liposuction. Gait analysis was performed on six and electromyographic studies were performed on 20 patients. Preoperative circumference was 34.1 cm. An anatomical study was performed on seven cadaver limbs. All branches of the popliteal nerve were noted.
Results: Reduction in circumference was 2.67 cm at 14 months. Short-term disability was noted in 2.57 percent. Complications were noted in less than 5 percent. Dissatisfaction was noted in 4 percent (28 of 700 patients). Electromyography showed denervation of the medial gastrocnemius. Gait analysis revealed normal gait. Anatomical studies showed the nerve to the soleus had a medial and lateral branch (seven of seven). One twig of the medial branch of the soleus muscle pierced and innervated the medial gastrocnemius muscle
(three of seven).
Conclusion: Selective neurectomy can offer an effective method of reducing calf circumference and improving contour.