摘要
目的 :为膝降血管髌下支蒂胫骨骨膜瓣移位治疗膝关节骨关节炎提供解剖学基础。方法 :在 30侧经动脉灌注红色乳胶的成人尸体下肢标本上对膝降动脉髌下支的起始、走行、分支和分布进行了解剖学观测。结果 :膝降动脉髌下支发自膝降动脉关节支 ,沿股内侧肌和大收肌腱板之间下行 ,跨过收肌结节 ,在内侧半月板水平转向外 ,向下发出 2～ 3个分支分布于胫骨内侧面上段骨膜 ,与膝下内侧动脉等动脉的终末支吻合。结论 :以膝降血管髌下支为蒂的胫骨骨膜瓣移位可用于修复膝关节骨关节炎受损的关节面。
Objective:To provide anatomic basis for treating knee osteoarthritis with tibial periosteal flap of inferior patellar branch pedicles in descending genicular vessel. Methods:The origin,direction, branches, and distribution of the inferior patellar branch of the descending genicular artery were observed on 30 sides of adult cadaver lower extremities perfused with red latex emulsion.Results: The inferior patellar branch of the descending genicular artery originates from the articular branch of the descending genicular artery. The vessel goes down between medial vastus muscle and adductor magnus and stretches across the adductor tubercle, and then turns outward at medial meniscus. Concurrently, 2 or 3 branches of it spread medial surfice of upper tibial periosteum and anastomose with the terminals of vessels such as medial inferior genicular artery. Conclusion:The tibial periosteal flap of inferior patellar branch pedicles in descending genicular artery can be applied to treatment of damaged articular surface of knee osteoarthritis. [
出处
《南京军医学院学报》
2001年第2期73-74,共2页
Journal of Nanjing Military Medical College
基金
南京军医学院批课题 (2 0 0 0 4)
关键词
胫骨骨膜瓣
膝关节
骨关节炎
关节软骨
治疗
flap,tibial periosteal
knee joint
osteoarthritis
cartilage,articular
