带血管蒂跗骨瓣移位术修复踝及足部骨病损  

Transposition of vascularized tarsal bone flaps to repair bone lesions in ankle and foot

作　　者：陈振光[1] 张发惠 余国荣[1] 郑和平 喻爱喜[1] 谭金海[1] 谢昀[1] 

机构地区：[1]武汉大学中南医院显微骨科,武汉市430071 [2]南京军区临床解剖学研究中心

出　　处：《中华显微外科杂志》2003年第3期164-166,共3页Chinese Journal of Microsurgery

摘　　要：目的　为治疗踝及足部骨质病损提供系列手术方式。　方法　在解剖学研究基础上 ,设计了带血管蒂的骰骨瓣、内侧楔骨瓣、舟骨瓣和跟骨前外侧骨瓣移位术 ,以修复踝及足骨质病损。临床应用 5 5例。　结果　术后经 1～ 10年随访 48例 ,平均为 4年 6个月 ,疗效满意。　结论　上述 4种跗骨瓣均具有血管蒂位置表浅、解剖容易和手术安全可靠等优点。Objective To provide a series of surgical approaches for treatment of bone lesions in ankle and foot. Methods Based on the anatomic investigations,vascularized cuboid bone,medial cuneiform bone,navicular bone and lateral part of calcaneum bone grafting were designed for repaired bone lesions in the area of ankle and foot,and applied to 55 clinic cases. Results Forty-eight cases among them were followed up from 1 year to 10 years,4 years and 6 month in average,the results were satisfactory. Conclusion The designed four types of vascularized tarsal bone flaps are easy and reliable for dissection because of their superficial pedicle.

关 键 词：带血管蒂跗骨瓣移位术 踝部骨病损 足部骨病损 骰骨瓣 内侧楔骨瓣 舟骨瓣 跟骨前外侧骨瓣 显微手术 

分 类 号：R687[医药卫生—骨科学]