摘要
目的：为肘关节成形术提供一个新的带血供的筋膜瓣供区。方法：通过解剖学观察，设计了以桡侧副动脉背侧支或尺侧上、下副动脉背侧分支为蒂的上臂后侧筋膜瓣，该筋膜瓣向肘关节内移位，包绕肱骨远端、尺骨切迹及桡骨小头。结果：临床应用６例，筋膜瓣面积６～８ｃｍ×１０～１２ｃｍ，血运良好，术后经１～４．５年，平均２年随访，肘关节功能明显改善。结论：带血管蒂的上臂后侧筋膜瓣转位适合于肘关节成形术，该手术可明显改善肘关节功能。
Objective: To explore a new vascularized fascial flap donor for elbow arthroplasty.Methods: Based on the anatomy study, a vascularized posterior brachial fascial flap pedicled with dorsal branch of radial collateral artery or ulnaris inferior collateral artery was designed.This fascial flap could be transposed to the elbow joint and wrap the distal humerus, trochlear notch of ulnaris and head of radius. Results: Clinical application of this new fascial flap was carried out on six patients. The harvest area of this flap was 6～8 cm × 10～12 cm.Average 2 years (one five years) follow up survey showed satisfactory function recovery of arthroplastied elbow joint.Conclusions: The vascularized posterior brachial fascial flap was adapted to the elbow joint arthroplasty and could improve the function of joint significantly.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1999年第3期229-231,共3页
Chinese Journal of Clinical Anatomy
