摘要
目的 探讨带血管蒂的骨膜瓣移位修复及预防胫骨折骨不连的应用价值。方法 通过对膝下内侧血管、胫后动脉肌间隙支、胫前动脉骨膜支、腓浅血管、腓血管的应用解剖学研究 ,创用了 5种以上述血管为蒂的骨膜瓣移位术 ,并总结临床应用情况。结果 临床施术 43例 ,效果满意。结论 根据骨折愈合的机制 ,肯定了带血管蒂的骨膜瓣移位术的临床应用价值。其适应证为①新鲜胫骨折 ,骨折线上、下的软组织及骨膜严重损伤超过 2cm ,估计已失活 ;②新鲜胫骨粉碎性骨折 ,粉碎部位超过周径 1 / 3 ;③陈旧性胫骨折骨不连 ;④陈旧性胫骨折畸形愈合矫形术。 5种骨膜瓣移位术各有其适用范围 ,也可联合应用。
Objective To investigate the clinical application of vascuiarize periosteum flap repair and tibia fracture's nonunion prevention. Methods Based on the applied anatomic reseachment of infragenicular artery, intermuscular branch of posterior tibia artery, periosteum branch of anterior tibial artery,superficial peroneal artery and peroneal artery,the author has first used the moved periosteum flap technique with the above vessels as pedicle to treat tibia fracture and summarized the clinical applied effects. The applications of the technique are:① Fresh fracture of tibia with sever damages scale of periosteum and soft tissues around the fracture line exceed to 2cm , which may be inactive.②Fresh tibia's crushing fracture with more than one third of circumference .③Stale nonunion of tibia fractures.④Stale tibia fractured malformation's healing corret technique. Results There were 43 cases treated with this technique and the effects were satisfactory. Conclusion According to the principle of fracture healing, the clinical applied value of moved vascularize periosteum transposition has been affirmed.
出处
《中国煤炭工业医学杂志》
2003年第1期7-8,共2页
Chinese Journal of Coal Industry Medicine
