摘要
随着显微外科技术的发展,临床采用带血管蒂的游离腓骨作自体移植,以修复各种长骨缺损、融合脊柱、矫正治疗先天性胫骨假关节等,应用日趋广泛。手术成败,常常取决于腓骨血供能否保证。关于腓骨的血液供应,多数作者认为:根据滋养孔位于腓骨中1/3上份[1-4].
Accoding to the requirements of the microvascular surgery,the blood supply of the fibula and the surrounding structures is extensively studied by using of 500 dry bone specimens and 35 lower extremities.Topographical dissections,casts of arteries with ABS as injection material and angiography were used to study the levels of the nutrient foramina and the morphology of the nutrient arteries as well as the arcuate arteries of the fibula.There are usually 1-2 nutrient arteries and 8-9 arcuate arteries supplying the fibula.The latter are segmentally arranged and winding around the shaft of the fibula,they supply the bone and the nearby muscles as well.Both of them are originated from the fibular artery.The middle-third of the shaft is more profusely supplied by these arteries.Therefore,it is better to take the fibular artery as the vascular-pedicle,and the middle1/3 of the shaft as the part for graft.
作者
陈遥良
沈宗文
鲍国正
汤式京
郑思竞(指导)
Chen Yaoliang;Shen Zhongwen;Bao Guozheng;Tang Shijing(Department of Anatomy,Shanghai First Medical College,Shanghai)
出处
《解剖学报》
CAS
1981年第1期13-19,114,共8页
Acta Anatomica Sinica
