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带蒂肘前内侧骨皮瓣的解剖与临床应用
引用本文:钟桂午 张发惠 刘经南 陈日景. 带蒂肘前内侧骨皮瓣的解剖与临床应用[J]. 解剖与临床, 1997, 2(2): 67-69
作者姓名:钟桂午 张发惠 刘经南 陈日景
作者单位:[1]解放军第451医院骨科,西安710054 [2]解放军福州医学高等专科学校解剖学教研室 [3]解放军第196医院骨科
摘    要:
中对成人上肢标本40例解剖观测了尺侧下副动脉、尺侧返动脉的起始、走行、分布和吻合特点;并设计应用带血供的肘前内侧骨皮瓣转位术修复肘关节周围骨皮缺损8例。其中6例骨皮瓣全部成活,2例骨皮瓣的皮瓣边缘少许坏死感染,经短期换药而愈合。随访1.0~1.5年,供受区外形及功能均恢复良好。以上述血管为蒂的肘前内侧骨皮瓣,血管解剖恒定,血供丰富。

关 键 词:骨皮瓣 临床应用 血供 动脉 血管解剖 吻合 缺损 坏死 换药 愈合

Anatomy and Clinical Application of Pedicled Elbow Anterior Medial Boneskin Flap
Zhang Guiwu,Zhang Fahui,Liu Jingnan,et al. Anatomy and Clinical Application of Pedicled Elbow Anterior Medial Boneskin Flap[J]. Anatomy and Clinics, 1997, 2(2): 67-69
Authors:Zhang Guiwu  Zhang Fahui  Liu Jingnan  et al
Abstract:
The origin, course, branches distribution and anastomoses of inferior ulnal collateral artery, ulnal recurrend artery were observed on 40 adult cadaver upper limbs. The transpositition of pedicled elbow anterior medial bone-skin flap was designed and applied to cases according to anatomical study. 6 cases were successful: 2 with partial mecrosis infection on the edge of flap. 1 - 1. Syears, follow-up revealed that both the appearance and function were good. The vessels of bone-skin flap of elbow anterior medial are consistant, and rich in blood-supply. Our results showed that the bone-skin flap adapts to repairing defective bone-skin of the elbow joint.
Keywords:bone-skin flap  inferior ulnal collateral artery  ulnal recurrenl artery  defect
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