腓肠肌内侧头肌腱前移重建髌韧带的解剖及临床应用

目的 报道腓肠肌内侧头肌腱前移重建髌韧带缺损新的修复方法 . 方法 通过对30侧下肢标本解剖观测腓肠肌内侧头肌腱的形态和血供来源,设计了以腓肠内侧头血管供血带肌蒂的腓肠肌内侧头肌腱前移重建髌腱缺损的术式.临床应用4例. 结果 全部病例随访2～8个月.膝关节伸直功能恢复满意,无再断裂并发症.1例因膝关节骨缺损伸直170°,屈曲120°,有轻度跛行. 结论 带肌蒂的腓肠肌内侧头肌腱前移重建髌腱缺损有术式简单、再造髌腱外形结构接近正常、受区损伤小等优点.腓肠肌内侧头肌腱前移为髌腱缺损修复提供了一种良好的方法 .

Anatomical and clinical study of reconstruction of the pateller ligament with vascularized medial tenden of gastrocnemius muscle

Objective To provide a clinical method in the treatment of patellar ligament defect. Methods Based on morphologic observation and blood supply of the medial tenden of gastrocnemius muscle on 30 adult cadaverous lower limp specimens. Then transferring of sural arteries medial tendon of gastrocnemins muscle was designed and used in 4 patients clinically. Results The period of follow-up in all cases was 2-8 months. The knee joint recovered well with satisfactory function. Conclusion The operation is a simple and ideal procedure. The vascularizod adductor magnus tendon is a good donor in the reconstruction of patellar ligament defect. Microsurgical repair of patellar ligament defect is a effective method.