摘要
目的 探讨为股骨骨不连、骨缺损提供一种新的修复方法。 方法 在 30侧成人下肢标本上 ,对以旋股外侧动脉降支与膝上外侧动脉的吻合以及膝上外侧动脉的分支分布进行了解剖观察 ,并设计出以旋股外侧动脉降支为蒂的股骨外侧髁骨 (膜 )瓣。临床应用该骨 (膜 )瓣转位修复股骨中下段骨不连、骨缺损 13例。 结果 随访 14～ 30周 ,骨折全部愈合 ,愈合时间为 13～ 2 0周 ,效果良好。 结论 该骨 (膜 )瓣血管解剖位置恒定 ,手术简便 ,转位灵活 ,对供区影响小 ,可用于修复股骨干中下段骨不连、骨缺损。
Objective To provide a new method to repair nonunion or bone defect of femur Methods The descending branch of lateral circumflex femoral artery anastomosis with the lateral superior genicular artery and the branches distribution of the lateral genicular artery were obsereved on 30 sides of adult cadaveric lower limbs The bone (periosteal) flap of the lateral condyle of femur with the pedicle of the descending branch of lateral circumflex femoral artery was designed and appdied in clinical to repair nonunion or defect in the middle or inferior of femur of 13 patiens Results The follow up period was 14～20 weeks All fracture were unionized and union periods were 13～20 weeks, the results were excellent Conclusion The anatomical location of vessels of this bone (periosteal) flap is enduring, the surgery is simply, the transposition is simble, the influence of donor is very small This bone (periosteal) flap adapt to repair nonunion or bone defect in the middle or inferior of femur
出处
《中华显微外科杂志》
CSCD
北大核心
2000年第2期89-91,共3页
Chinese Journal of Microsurgery
关键词
旋股外侧动脉降支
股骨外侧髁
骨瓣
骨缺损
修正
Descending branch of lateral circumflex femoral artery
Lateral superior genicular artery
Lateral condyle of femur
Bone (periosteal) flap
