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目的为自体髌骨膜-髌韧带-骨瓣重建踝关节外侧韧带提供解剖学基础。方法在6侧经防腐固定的成人下肢标本及6侧新鲜标本上观测踝关节外侧韧带起止点及走行径路、髌韧带的解剖形态与起止点,在新鲜标本上摹拟重建手术。结果髌韧带位置恒定,解剖层次表浅,切取方便,髌骨膜-髌韧带-骨瓣的髌韧带长度(4.1±0.4)cm,距腓前韧带长度(2.4±0.5)cm,跟腓韧带长度(3.1±0.4)cm。结论 (1)髌骨膜-髌韧带-骨瓣的髌韧带具有足够的长度,可形成移植供体(;2)髌骨膜-髌韧带-骨瓣复合体两端分别与骨及软骨创面固定,容易成活和恢复功能(;3)采用自体髌骨膜-髌韧带-骨瓣重建踝外侧韧带具有可行性。
Objective To provide an anatomical basis for reconstructing the lateral ligament of the ankle with self-patellar-patellar ligament-bone flap. Methods The anatomical structures and starting and ending points of the anterolateral ankle ligament at the 6 sides and the 6 fresh specimens were observed, and the reconstruction operation was performed on fresh specimens. Results The patellar ligament was located at a constant level with superficial dissection and easy excision. The length of the patellar tendon of the patellar membrane-patellar tendon-bone flap (4.1 ± 0.4) cm, the length of the anterior fibular ligament (2.4 ± 0.5) cm, 3.1 ± 0.4) cm. Conclusions (1) The patellar ligament of the patellar membrane-patellar tendon-bone flap has enough length to form a donor for the donor (2). Both ends of the patellar membrane-patellar ligament- Survival and recovery (3) It is feasible to reconstruct the lateral malleolus using a self-patellar-patellar ligament-bone flap.