带骨骺的儿童腓骨移植应用解剖学

Applied Anatomy of Fibular Transplantation with the Proximal Epiphysis in Young Child

解剖观察了70侧的儿童腓骨上骨骺的动脉来源、分布和吻合情况。其血供来源共见7种,胫前返动脉和腓浅动脉的腓骨头支是营养骨骺的重要血管。带骨骺儿童腓骨移植应以胫前动脉为血管蒂,腓骨体移植仍以腓血管为蒂。

In the present study,the origins,distributions and anastomoses of the blood vessels supplying the proximal fibular epiphysis were observed on 70 legs of young child cadavers.Seven sources of blood supply to the epiphysis were found.The main nutrient epiphyseal arteries were the anterior tibial recurrent artery and the branches of superficial peroneal artery.The latter could act as a vascular pedicle for the transplantation of fibula.However,in transplantation of fibula with its proximal epiphysis in child,the anterior tibial recurrent artery was preferable.