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目的:为治疗股骨干骨不连、骨缺损提供一种新的骨(膜)瓣供区。方法:在50侧成人下肢标本上,解剖观察了膝上外侧动脉的起始、走行、分支分布及其与旋股外侧动脉降支的吻合类型。结果:膝上外侧动脉于股骨外侧髁上方(2.5 ± 0.5)cm处起自于腘动脉外侧壁,分出升支、横支和降支。升支和/或横支与旋股外侧动脉降支有 3种类型的吻合,吻合率为 92%(46侧),吻合处外径为(1.3 ± 0.3)mm。结论:以旋股外侧动脉降支与膝上外侧动脉升支和/或横支串连为蒂可截取股骨外侧髁骨(膜)瓣用于修复股骨干骨不连及骨缺损。
Objective: To provide a new bone (membrane) flap for the treatment of nonunion of femur and bone defects. Methods: Fifty adult adult lower extremity specimens were dissected and the anterolateral, medial and lateral branches of the lateral knee were dissected and their anastomoses were observed. Results: The lateral knee artery originated from the lateral wall of the popliteal artery above the lateral femoral condyle (2.5 ± 0.5) cm, and the ascending branch, transverse branch and descending branch were separated. There were 3 types of anastomosis between ascending branch and / or lateral branch and descending branch of lateral femoral circumflex artery. The anastomosis rate was 92% (46 sides) and the anastomotic diameter was (1.3 ± 0.3) mm. CONCLUSION: The lateral femoral condyle (flap) can be used to repair the nonunion of femur and bone defect with the descending branch of lateral femoral artery and the ascending and / or descending branch of lateral knee.