带旋前方肌蒂肌骨瓣的临床应用

The clinical application of pronator quadratus pedicle bone grafting

尸体解剖２０只上肢，发现旋前方肌平均长４．４２ｃｍ，宽４．１７ｃｍ，附着于挠骨与尺骨远端，主要为骨间掌侧动脉供应，有３～５个穿支经骨间膜穿向背侧，肌肉远端血管呈丛状，极为丰富。从１９８７年４月到１９９２年１２月我院应用带旋前方肌蒂的肌骨瓣转移治疗月骨无菌坏死６例，舟骨骨不连５例，舟骨无菌坏死１例，桡骨下端骨不连１例，术后３个月骨性愈合。本文详细介绍了手术方法及临床应用适应证。

AbstractCadaveric dissection was perfermed on 20 upPer extremities. The pronator quadratus is found 4.42 cm in length and4.17cm in width from distal of radius to distal of ulna in aver.age,supplied by anterior interosseous artery with 3 to 5 perforating branches. These vessels are from the anterior interossedus yessels and pierce the intetosseous membrance.From April 1987 to December 1992,the pronator quadratus pedicle bone grafting was used for the treatment ofKeinbock's disease in 6 cases, Periser’s disease in 1 case,scaphoid nonunion in 5 casds and distal radius nonunion in 1 case.The X Ray follow-up showedbone union in 3 months,the result was satisfied.The srugical technique was describein the articie.