摘要
腓动脉主干在小腿下段走行在骨间膜深面，达外踝上５．６±０．９ｃｍ发出穿支，穿骨间膜后分升、降两支。降支在下降过程中发出骨膜支分布到烃腓骨下段前侧骨膜，并发出２～３条分支进入胫骨下段外侧，因此可利用穿支为帝形成胫腓骨下段骨膜骨瓣。骨膜瓣大小为６．５ｃｍ×５．５ｃｍ，同时可携带４．５ｃｍ×ｌ．８ｃｍ×ｌ．５ｃｍ的胫骨下段外缘骨瓣，向上转位治疗胫骨中下段骨折不愈合及骨缺损。当血管蒂不够长时，可剪歼骨间膜，从前侧游离腓动脉下段，向上转位可达外踝尖上１８ｃｍ。临床应用５例，全部取得成功。文中对于手术方法，适应症及手术要点进行了介绍和讨论。
The perforating branch of peroneal artery
perforates the interosseous membrane at the point5.6±0.9 cm above
the lateral malleolus and divides into ascending and descending
branches. Thedescending branch nourishes the anterior periostetim of
both tibial and fibular distal parts andsends 2～3 branches to the
lateral distal parts of tibia,Based on the perforating branch of the
per-oneal artery,a periosteal flap(6.5 cm×5.5cm)with a bone flap of
distal tibia(4.5 cm×l.8cm×1. 5 cm)could be transposed in repairiiig
tibial Lintinion and defects.The vascuiar pedicle couldbe enlongated
to a maximum reaching distance of l8 cm above the lateral malleolus
by cutting theinterosseous membrane and dissecting the distal part of
perenneal,Satisfactory rcsults wereachieved in clinical application
of 5 patients.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1995年第3期230-231,共2页
Chinese Journal of Clinical Anatomy
