带血管蒂的髂骨膜瓣移位修复股骨头关节软骨缺损的应用解剖

目的：研究用带臀上深上支血管蒂的髂骨膜瓣移位的方法，修复股骨头关节软骨缺损的可行性。方法：采用30例红色乳胶灌注标本，对臀上动脉进行观测。结果：发现有3种类型，（1）在梨状肌上缘，臀上动脉分浅、深支。（2）在臀中、小肌之间、深支可分为上、下支。（3）深上支。结论；带血管蒂的髂骨膜瓣移位，可用于修复股骨头关节软骨缺损。

Applied Anatomy of Pedicled Ilium Periosteal Flap Translocation for Repairing the Defect of Articular Cartilage of Femoral Head

Objective: To study the effect of pedicled ilium periosteal flap translocation on repairing the defect of articular cartilage of femoral head. Methods: The superior gluteal arteries were observed in 30 sides of adult dissection perfussed with red letax. Results: (1) The superior gluteal artery was divided into superficial and deep branches at the superior border of pyri-formis. (2) The deep branch was further divided into superior and inferior branches running between the gluteus medius and minimus. (3) The deep superior branch was divided into 3 models. Conclusion: The pedicled ilium periostea! flap could be transposed to repair the defect of articular cartilage of femoral head.