摘要
目的为临床提供一种新的骨皮瓣移位术式。方法１０侧成人上肢标本经肱动脉灌注乳胶后，对其骨间前动脉背侧支的起始部位、口径、长度及其皮支、骨膜支的分布进行显微解剖观察。临床设计以骨间前动脉背侧支为蒂的桡骨皮瓣逆行移位，骨皮瓣中桡骨瓣支撑于第一、二掌骨间或修复掌骨缺损，皮瓣修复虎口、手背尺桡侧的皮肤缺损。结果临床应用６例，皮瓣全部成活。术后随访４～１２个月，受区移植骨已骨性愈合。结论骨间前动脉背侧支为蒂的逆行桡骨皮瓣，适用于修复掌部软组织合并掌骨缺损及重度虎口挛缩的病例。
Objective To supply a kind of new operative method of bone flap for clinic. Methods
10 adult arms were pured latex into artery microanatomized and observed the dorsal branch of
anterior interosseous artery's originatediameterlength and distribution of skin branch and
periosteum branch. On the basis,design retrograde radial bone island flap pedicled with
anterior interosseous artery. Results Clinical applied 6 cases,all were sucessed. Conclusions
Radial bone flap pedicled with dorsal branch of anterior interosseous artery, applicable to
repair deficient of palmate soft tissue combined palm bone and serious contracture of the 1st
web space.
出处
《中华手外科杂志》
CSCD
1999年第2期97-98,共2页
Chinese Journal of Hand Surgery
关键词
外科皮瓣
桡骨
桡动脉
临床研究
Surgical flapsRadiusRadial arteryClinical studies
