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带血供臂下内侧骨皮瓣移位术的临床应用
引用本文:钟桂午,张发惠,刘经南,陈日景. 带血供臂下内侧骨皮瓣移位术的临床应用[J]. 中国骨与关节损伤杂志, 1998, 0(3)
作者姓名:钟桂午  张发惠  刘经南  陈日景
作者单位:解放军第451医院骨科!西安市710054(钟桂午),解放军福州医学高等专科学校解剖学教研室(张发惠,刘经南),解放军第196医院骨科(陈日景)
摘    要:在40侧成人上肢标本上,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。通过解剖学研究,设计并应用带血供的臂下内侧骨皮瓣转位术8例。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,经短期换药愈合。随访1~1.5年,供受区外形及功能均恢复良好。以上述血管为蒂设计的臂下内侧骨皮瓣,血管解剖恒定,吻合丰富,适用于肘关节周围骨皮缺损的修复。

关 键 词:尺侧下副动脉  尺侧返运脉  骨皮瓣  临床应用  缺损

Clinical Application of the Transposition of Pedicled Lower Medial Bone-Skin Flap of Arm
Zhong Guiwu,Zhang Fahui,Liu Jingnan et al. Clinical Application of the Transposition of Pedicled Lower Medial Bone-Skin Flap of Arm[J]. Chinese Journal of Bone and Joint Injury, 1998, 0(3)
Authors:Zhong Guiwu  Zhang Fahui  Liu Jingnan et al
Affiliation:Zhong Guiwu,Zhang Fahui,Liu Jingnan et al. Department of Orthopedics,NO. 451 Hospital of PLA,Xian,710054.
Abstract:The origin, course, branches distribution and anastomoses of inferior ulnar collateral artery, ulnar recurrent artery were observed on 40 adult cadaver upper limbs. The transpositional of pedicled lower medial bone-skin flap of arm was designed and 8 cases were applied according to anatomical study. 6 cases were succeeded, 2 with partial necrosis infection on the edge of flap. Follow-up 1-1.5 years, both the appearance and the function were well. The bone-skin flap of lower medial of arm are: vessal anatomical region is consistantly, and rich in anastomosis. Our results showed that the bone- skin was suitabe for repair defect of bone- skin of the elbow joint.
Keywords:Inferior ulnar collateral artery  Ulnar recurrent artery  Bone-skin flap  Clinical application  Defect
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