带血管蒂髌骨移位修复胫骨外侧髁上关节面缺损的应用解剖  

Applied anatomy of the pedicled patella translocation for repairing the defect of superior articular surface of the tibial lateral condyle

作　　者：陈秀清[1,2] 窦忠新[1,2] 谢劲松 陈振光 余国荣[1,2] 王斌[1,2] 柳昊 

机构地区：[1]海军医学高等专科学校解剖学教研室 [2]湖北医科大学附属二院显微骨科

出　　处：《中国临床解剖学杂志》1998年第3期197-199,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：研究用带血管蒂髌骨移位的方法修复胫骨外侧髁上关节面缺损。方法：用３７侧成人下肢标本，经解剖、厚切片和铸型研究髌骨的血管。观测３０块髌骨和胫骨外侧髁上关节面的形态和面积。结果：①供应髌骨血液的各支动脉先在髌骨周围吻合成髂周动脉环，再由该环发支进入髌骨；②于髌尖外下方参与形成髌周动脉环的膝下外动脉蒂长、径粗、位置恒定；③髌骨关节面与胫骨外侧髁上关节面形态大小相似。结论：带血管蒂髌骨可移位至胫骨外侧髁，利用其关节面，修复上关节面缺损。Objective:To find a way to use pedicled patella translocation to repair the superior articular surface of tibial lateral condyleMethods:The patella blood supply was studied by dissection,thick section and cast on 37 sides of adult lower limbsAnd the morphology and area of 30 patella and tibial lateral condyle were observed and measuredResults:The arteries supplied to patella formed a ring,then the ring sends branches to the patellaThe lateral inferior genicular vessels have a long length and a big diameter,and its course was constantA similar form and area are found on the articular surface on both patella and tibial lateral condyleConclusions:Pedicled patella could be transposed to repair the defect of superior articular surface of tibial lateral condyle

关 键 词：胫骨 外侧髁上关节面 髌骨移植 应用解剖 

分 类 号：R687.34[医药卫生—骨科学] R323.72[医药卫生—外科学]