摘要
目的：为跟腱缺损修复新术式的设计提供应用解剖学基础。方法：在４０侧动脉灌注红色乳胶的成人下肢标本上，对腓骨长肌腱外踝上段和足外侧段的血供进行了解剖学观测，并在标本上进行模拟术式设计，结果：跟外侧动脉恒定发３．７（２～５）支外径为０．５±０．２ｍｍ骨肌腱支，腓动脉穿支降支发２．７（２～４）支外径为０．５±０．２ｍｍ肌腱支，分别自腱前、后缘进入腱周组织，营养腱足外侧段；外踝上段肌腱血供自外踝尖上８．２±１．８ｃｍ，由腓动脉发出的肌间隔支营养，外径０．９±０．２ｍｍ、长度２．７±０．９ｃｍ。结论：可以上述血管之一为蒂设计腓骨长肌腱转位修复跟腱缺损的术式，临床成功应用１例，证实术式具有可行性。
Objective:The design of the new operation for repair of achilles tendon defect provides the applied anatomic basis.Methods:The blood supply to the superior segment of malleolus and lateral segment of feet of the long peroneal muscle tendon was observed in 40 adult cadavers lower extremities;Results:The results showed that the main blood supply is from the lateral calcaneal artery and perforating branch of peroneal artery,which send off 2～5branches to the lateral segment of feet of long peroneal muscle tendon with an average diameter of 0.5 mm.The blood supply of superior segment of malleolus originates from the cutaneous branch of the peroneal artery 8.2±1. 8 cm proximal to the lateral malleolus,with an external diameter of 0.9±0.2 mm and length of 2.7±0.9 cm.Conclusions:Transposition of vascularized long peroneal muscle tendon was designed for the treatment of achilles tendon defect.Clinical applications showed that is an easy and effective surgical method.
出处
《中华显微外科杂志》
CSCD
北大核心
1996年第3期206-208,共3页
Chinese Journal of Microsurgery
关键词
跟外侧动脉
腓骨长肌腱
跟腱缺损
移位
解剖学
Lateral calcaneal artery,Long peroneal muscle tendon,Achilles tendon defect Translocation
