第二跖骨头缺血性坏死的显微外科治疗  

MICROSURGICAL TREATMENT OF ISCHEMIC NECROSIS OF THE HEAD OF THE 2nd METATARSAL BONE

作　　者：陈振光[1] 余国荣[1] 喻爱喜[1] 谭金海[1] 王斌[1] 

机构地区：[1]湖北医科大学附属第二医院显微骨科

出　　处：《中国修复重建外科杂志》1998年第5期283-284,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：为探索治疗成人第二跖骨头缺血性坏死的新术式，应用带血管蒂跖骨瓣逆行移位植骨治疗４例，效果满意。随访１年６个月以上者２例，Ｘ线片示第二跖骨头呈圆形，密度均匀，跖趾关节功能良好。认为，带血管蒂跖骨瓣逆行移位植骨可为缺血坏死跖骨头带入可靠的血供和各种成骨因素，并可达到清理关节腔，骨内减压和凿除骨赘。In order to explore a new method to treat the ischemic necrosis of the head of 2nd metatarsal bone in adult, transposition of reversed vascularized metatarsal bone graft was adopted in the treatment of 4 cases, 2 of which were followed up for one and a half years. The postoperative Xray showed the round head of the 2nd metatarsal bone became round and even density. The clinical observation showed that there was excellent function of metatarsophalangeal joint. It was concluded that the reversed vascularized metatarsal bone graft could provide a reliable blood supply and various osteogenic factors to the avascularized head of the metatarsal bone, and the operation could also debride the joint cavity and carry out decompression.

关 键 词：缺血性坏死 跖骨头 跖背动脉 显微外科手术 

分 类 号：R681.805[医药卫生—骨科学] R687.3[医药卫生—外科学]