[Vascular anatomy and clinical application of type â ¢ perforator flap based on the oblique branch of lateral circumflex femoral artery].

OBJECTIVE: To investigate the vascular anatomy and the clinical application of type Ⅲ perforator flap based on the oblique branch of lateral circumflex femoral artery on skin soft tissue defect at the limbs. METHODS: Vascular anatomy of anterolateral thigh flap was performed on a 43-year-old male cadaver perfused with red latex, and the travel and perforating distribution of the oblique branches of lateral circumflex femoral artery were observed. A retrospective case series study was used to analyze the clinical data of 12 patients with skin soft tissue defects of the extremities admitted between January 2018 and September 2019, including 9 males and 3 females; aged from 18 to 65 years, with a median age of 32 years. The injury site included 7 cases of foot and ankle, 3 cases of calf, and 2 cases of hand. The wound size was ranged from 9 cm×7 cm to 28 cm×10 cm. The time from injury to operation was 1-2 weeks, with an average of 10 days. All patients were repaired with type Ⅲ perforator flap based on the oblique branch of lateral circumflex femoral artery, including 3 cases of single-leaf flap, 6 cases of double-leaf flaps, and 3 cases of tri-leaf flaps. The flap ranged from 15 cm×5 cm to 28 cm×10 cm. The donor site was directly sutured or repaired with local flap. The flap survival and complications were observed after operation. RESULTS: The results of vascular anatomy showed that the lateral femoral circumflex artery sent out transverse branches, oblique branches, and descending branches. The oblique branches sent out multiple muscle perforating branches along the way, the perforating branches passed through the anterolateral femoral muscle, and the blood supply scope was the skin of the anterolateral femoral region. The clinical results showed that all flaps survived completely and the incisions healed by first intension. There was no complication such as vascular crisis. All 12 patients were followed up 3-12 months, with an average of 7 months. The appearance and texture of the flap were good. At last follow-up, according to the British Medical Research Council (BMRC) Society for neurological trauma standard, the sensory of the flap reached S 2 in 9 cases and S 3 in 3 cases. Linear scar remained in the donor area, without pain, pruritus, tactile allergy, and other discomfort. The patients and their families were satisfied. CONCLUSION: Type Ⅲ perforator flap based on the oblique branch of lateral circumflex femoral artery is a reliable method for repairing the soft tissue defect of the limbs, with reliable blood supply, large cutting area, various types of perforator flaps.

Thin-film and bulk investigations of LiCoBO3 as a Li-ion battery cathode.

The compound LiCoBO3 is an appealing candidate for next-generation Li-ion batteries based on its high theoretical specific capacity of 215 mAh/g and high expected discharge voltage (more than 4 V vs Li(+)/Li). However, this level of performance has not yet been realized in experimental cells, even with nanosized particles. Reactive magnetron sputtering was therefore used to prepare thin films of LiCoBO3, allowing the influence of the particle thickness on the electrochemical performance to be explicitly tested. Even when ultrathin films (∼15 nm) were prepared, there was a negligible electrochemical response from LiCoBO3. Impedance spectroscopy measurements suggest that the conductivity of LiCoBO3 is many orders of magnitude worse than that of LiFeBO3 and may severely limit the performance. The unusual blue color of LiCoBO3 was investigated by spectroscopic techniques, which allowed the determination of a charge-transfer optical gap of 4.2 eV and the attribution of the visible light absorption peak at 2.2 eV to spin-allowed d → d transitions (assigned as overlapping (4)A2' to (4)A2″ and (4)E″ final states based on ligand-field modeling).

Ga(OTf)3-promoted sequential reactions via sulfur-assisted propargyl-allenyl isomerizations and intramolecular [4 + 2] cycloaddition for the synthesis of 1,3-dihydrobenzo[c]thiophenes.

A Ga(OTf)(3)-promoted sequential reactions via sulfur-assisted propargyl-allenyl isomerizations and intramolecular [4 + 2] cycloaddition for the synthesis of 1,3-dihydrobenzo[c]thiophenes. As a result of the ready availability of materials and the simple and convenient operation, the type of reaction presented here has potential utility in organic synthesis.