胫骨骨膜瓣治疗胫骨骨不连及骨缺损的应用进展  

Tibial periosteal flap for the treatment of tibial nonunion and osseous defect: a literature review

作　　者：倪玉龙[1] 高顺红[1] 

机构地区：[1]河北省唐山市第二医院,唐山市063000

出　　处：《中国矫形外科杂志》2015年第18期1683-1686,共4页Orthopedic Journal of China

基　　金：河北省科学技术研究与发展计划项目(编号:12277743)

摘　　要：[目的]对胫骨骨膜瓣治疗胫骨骨不连、骨缺损的应用现状进行综述。[方法]以"骨不连""骨缺损""胫骨骨膜瓣"为关键词检索国内数据库和Pub Med,对搜集的文献进行分析归纳总结。[结果]胫骨骨膜由隐动脉、膝下内动脉、胫前动脉、胫后动脉和腓动脉供养,利用这些血管骨膜支为蒂切取相应骨膜瓣覆盖骨折处,可促进骨折愈合。[结论]胫骨骨膜瓣的修复部位遍及胫骨上、中、下各段,为临床治疗胫骨骨不连、骨缺损提供诸多选择。The progress in the application of tibial periosteal flap for the treatment of tibial nonunion and osseous defect was reviewed in this paper. Key words of ＂nonunion, osseous defect, periosteal flap＂ were used for searching in domestic database and PubMed and the retrieved articles were analyzed and summarized. Through the review of these literatures ,we found that tibi- al periosteum was supplied by saphenous artery, medial inferior genicular artery, anterior tibial artery, posterior tibial artery and peroneal artery. Covering fracture with tibial periosteal flap pedicled with these vascular can promote fracture healing. Therefore, repairing area from help of tibial periosteal flap locate almost throughout the tibia, which provide many options for the clinical treatment of nonunion and osseous defect.

关 键 词：胫骨 骨膜瓣 骨不连 骨缺损 

分 类 号：R687.3[医药卫生—骨科学]