股动脉直接骨膜支为蒂的股骨下段骨膜瓣的应用解剖  

Applied anatomy on the preiosteal flap of the inferior femur pedicled with the direct preiosteal branches of femoral artery

作　　者：陈振光[1,2] 余国荣[1,2] 喻爱喜 陈秀清[1,2] 谭金海 王斌[1,2] 

机构地区：[1]湖北医科大学附属第二医院显微骨科 [2]南京海军医学高等专科学校解剖学教研室

出　　处：《中国临床解剖学杂志》1998年第3期266-267,共2页Chinese Journal of Clinical Anatomy

摘　　要：目的：为治疗股骨中段骨不连、骨缺损提供一种新的骨膜瓣供区。方法：在４１侧经动脉灌注红色乳胶的成人下肢标本上，解剖观测了股动脉直接骨膜支的起始、走行、分支分布和吻合。结果：股动脉直接骨膜支在距股骨内收肌结节上方９．４１±１．９ｃｍ处发自股动脉外侧壁，其起始部外径为１．１１±０．３５ｍｍ。直接骨膜支在股骨下段前面距内收肌结节上方３．１±１．２ｃｍ处与膝降动脉关节支的横支构成恒定吻合，并发分支分布于股骨下段前、内侧面与股骨内髁。结论：以股动脉直接骨膜支为蒂的股骨下段前。Objective:To provide a new donor of periosteal flap to repair nonunion or bone defect in the middle of femurMethods:The origin,course,branches,distribution and anatomosis of the direct periosteal branches of the femoral artery were observed on 41 sides lower limbs of adult cadavers perfused with red emulsion:Results:The direct periosteal branches of femoral artery originate from lateral wall of femoral artery on 94 cm±19 cm above femoral adductor tubercleThe outer diameter of its origin is 11 mm±03 mmThe direct branches constantly anastomose with the transverse branches of articular branches of the desecnding genus artery on 31 cm±12 cm above adductor tubercle and the anterior part of the inferior femurConclusions:The transposition of the preiosteal flap of the anterior and medial parts of inferior femur pedicled with the direct periosteal branches of femoral artery may be applied to repair nonunion or bone defect of small limits in the middle of femur

关 键 词：股动脉 直接骨膜支 股骨 骨不连 应用解剖 

分 类 号：R683.42[医药卫生—骨科学] R323.72[医药卫生—外科学]