带旋股外侧血管升支或横支骨瓣转移治疗股骨干中下段骨不愈合  

TREATMENT OF MIDDLE AND INFERIOR FEMORAL BONE FRACTURE NONUNION BY THE TRASPLANTATION OF BONE FLAP WITH ASCENDING AND TRANSVERS BRANCH OF THE LATERAL FEMORAL CIRCUMFLEX VESSLES

作　　者：赵德伟 孙强 于晓光 谷翔宇 王德仁 张朝阳 范志伟 吕平 毛瑞军[3] 

机构地区：[1]大连铁路医院骨科,116001 [2]瓦房店铁路医院 [3]吉林市中医院

出　　处：《中华显微外科杂志》1998年第1期12-14,共3页Chinese Journal of Microsurgery

摘　　要：目的:探讨应用带旋股外侧血管骨瓣治疗股骨干中下段骨不愈合的可行性。方法:经解剖学研究,设计了带旋股外侧血管升支或横支的骨瓣,以降支为蒂转移到股骨干中下段的手术方法。结果:l临床应用8例,经1年5个月～4年6个月随访,取得满意疗效。结论:带旋股外侧血管升支或横支骨瓣转移治疗股骨干中下段骨不愈合,有方便、易行和可靠的优点。Objective:For further exploring the feasibility,we have treated the middle and infe- rior femoral bone fracture nonunion by the transplantation of bone flap with ascending and transvers branch of the lateral femoral circumflex vessels.Method:The technique,on the basis of anatomical study have been designed to treat the femoral bone fracture nonunion by the transplantation of bone flap with ascending and transvers branch which pedicle was descendant branch of the lateral femoral circumflex vessel.Results:8 cases of middle and inferior femoral fracture nonunion had been treated by this method.At follow-up of 1 year 5 months to 4 years 6 months,the results have been satisfacto- ry.Conclusions:The method of the transplantation of the bone flap with ascending and transvers branch of the lateral femoral circumflex vessel for the treatment of middle and inferior femoral fracture nonunion has the adventages of simplicity,easiness,reliability.

关 键 词：旋股外侧血管 骨瓣转移 骨不愈合 股骨干 

分 类 号：R683.420.5[医药卫生—骨科学]