足趾关节移植重建手指关节的应用解剖  

Applied anatomy of the toe joint for digital joint reconstruction

作　　者：丁自海[1] 谢昌平 裴国献 刘文宽[1] 魏勇[1] 

机构地区：[1]解放军济南医学高等专科学校济南军区临床解剖中心,济南军区手外科中心

出　　处：《中国临床解剖学杂志》1995年第4期241-244,共4页Chinese Journal of Clinical Anatomy

摘　　要：在手术显微镜下解剖观察了２０侧成人第２、３跖趾关节和近侧趾间关节的结构、动脉供应和神经支配。根据关节的结构特点，提出了供体关节的解剖学方法，移植关节动力系统和稳定系统的建立方法。每个关节有关节囊支、髁支干骺支三种动脉分支分布。跖址关节移植时可采用足背动脉一第１跖背动脉、大隐静脉一第１跖背静脉作为血管带，近侧趾间关节移植则利用趾底动脉或趾底固有动脉、趾背静脉作血管蒂。神经蒂选用趾背神经或趾底神经。he structure,blood supply and innervation of the second and the third metatarsophalangealjoints and the proximal interphalangeal joints were observed through surgical microscope on 20sides of adult foot specimens. The joint was supplied by three arterial branches to joint capsule,condylar and metarphysial parts,The construction method for the motive and stable systems ofthe transplanted joint was analyzed.Key issues in blood and nerve pedicle selection of the donorjoints were presented.

关 键 词：跖趾关节 趾间关节 指间关节 关节移植 断指再植 

分 类 号：R658.1[医药卫生—外科学]