| 带血管蒂跟骨瓣转位修复距骨骨折的应用解剖 |
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| 引用本文： | 张发惠,陈振光.带血管蒂跟骨瓣转位修复距骨骨折的应用解剖[J].中国临床解剖学杂志,1992,10(4):244-247. |
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| 作者姓名： | 张发惠 陈振光 |
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| 作者单位： | 南京部队卫生学校解剖学教研室，南京部队卫生学校解剖学教研室，南京部队卫生学校解剖学教研室，南京部队卫生学校解剖学教研室，南京部队卫生学校解剖学教研室，湖北医学院附属第二医院骨科，湖北医学院附属第二医院骨科，湖北医学院附属第二医院骨科，第一军医大学解剖学教研室 福州350003，福州350003，福州350003，福州350003，福州350003 |
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| 摘 要： | 在解剖观察30侧成人足标本时,观察到跟外侧动脉恒定地分支分布到跟骨体外侧,滋养动脉有7.5(6～12)支,外径为0.5mm。跗外侧动脉、腓动脉穿支的降支和外踝前动脉亦以肌骨支分布于跟骨前外侧端,上述动脉之间有恒定的吻合。根据跟骨外侧血管分布的解剖学规律性,设计了外侧骨瓣转位修复距骨颈骨折、关节植骨融合术,经临床应用证实,取踝后外侧入路,可任意选择上述血管之一为蒂的跟骨瓣。文中讨论了骨瓣设计,骨瓣截取的应用解剖要点。
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| 关 键 词： | 跟骨瓣 跟外侧动脉 跗外侧动脉 腓动脉穿支 外踝前动脉 距骨颈骨折 |
Applied anatomy of vascularized calcaneus flap transposition for the repair of talus fracture |
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| Zhang Fahui Fang Xiangyuan Chen Xiuqing Zheng Heping Li Fanghua.Applied anatomy of vascularized calcaneus flap transposition for the repair of talus fracture[J].Chinese Journal of Clinical Anatomy,1992,10(4):244-247. |
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| Authors: | Zhang Fahui Fang Xiangyuan Chen Xiuqing Zheng Heping Li Fanghua |
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| Institution: | Zhang Fahui Fang Xiangyuan Chen Xiuqing Zheng Heping Li Fanghua.Department of Anatomy,Medical School of Nanjing Military Region,Fuzhou 350003 |
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| Abstract: | By dissection on 30 feet of adultcadavers,the lateral calcaneal artery,which sends 6 to 12 branches with anaverage diameter of 0.5mm,was obs-erved being the main blood vessel tothe lateral side of calcaneus.It anas-tomoses with arterial branches fromthe lateral tarsal artery,the peronealartery and the lateral anterior malle-olus artery.Based on the anatomicalresults,transposition of vascularizedlateral calcaneal fiap was designed forthe treatment of talus neck fractureand arthrodesis.Clinical applicationsshowed that posterior incision at late-ral malleolus was a suitable operativeapproach for the taking and transferof the flap. |
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| Keywords: | calcaneus bone flap lateral calcaneual artery lateral tarsal artery perfroating branch of peroneal artery lateral anterior malleolus artery neck of talus fracture |
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