摘要
目的 为治疗距骨颈骨折、距骨体缺血性坏死和踝、足部其它骨质病损提供系列术式。方法 在30侧经动脉灌注红色乳胶的成人下肢标本上观测了供养骰骨、内侧楔骨和舟骨的主要血管 ,设计了上述三种带血管蒂的跗骨瓣移位术 ,以修复踝、足部骨质病损。并在临床应用了 49例。结果 有 43例经 1～ 9年随访 ,平均为 4年3个月 ,40例病损部 期愈合 ,3例经二期手术治愈 ,踝、足功能得到极大改善。结论 上述三种跗骨瓣均具有血管蒂位置表浅 ,解剖容易和手术安全可靠等优点 ,可根据病损不同性质与部位选用。
Objective To provide a series of surgical approaches for treatment of talus neck fracture, ischemic necrosis of talus body, and other bone lesions in ankle and foot. Methods The major blood supply to cuboid bone, medial cuneiform bone and navicular bone was observed in 30 adult cadavers, by infiltration of red emulsion via major arteries of the lower limbs. Based on these anatomical investigations, 3 types of vascularized tarsal bone grafting were designed for repair of bone lesions in the area of ankle and foot, and applied in 49 clinical cases, ranging from 10 to 58 years in age, and 43 cases of which were followed up for 4 years and 3 months in average. Results Primary healing was achieved in 40 cases, and secondary healing achieved after further surgical intervention in other 3 cases. The function of all ankle joints recovered satisfactorily. Conclusion The designed three types of vascularized tarsal bone flaps are easy and reliable for dissection because of their superficial pedicles, and they are available for different clinical cases with various bone lesions in ankle and foot.
出处
《中国修复重建外科杂志》
CAS
CSCD
2001年第2期89-91,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
跗骨瓣
内踝前动脉
跗外侧动脉
跗内侧动脉
移位术
解剖学
Tarsal bone flap Medial anterior malleolar artery Lateral tarsal artery Medial tarsal artery Transposition
