胫前动脉踝上支骨皮瓣移位术的解剖及临床应用

Anatomy and Clinical Application of Bone-Skin Flap with Supramalleolar Branch of Anterior Tibial Artery

作者在40例成人下肢标本上,解剖观测了胫前动脉发往胫骨下段外侧的骨膜支及皮支的走行,分支分布特点。在解剖学研究基础上,采用踝上支顺行、逆行骨皮瓣,转位修复胫骨中、下段骨皮缺损和内、外踝骨皮缺损7例。经10～18个月的随访,骨折及皮肤愈合良好,10～16个月恢复工作。以踝上支为蒂的骨皮瓣,手术操作简单,取骨膜及皮肤面积较大,是修复小腿中远段及踝足部骨皮缺损新的术式与供区。

This article provides an operative method for repairing nonunion, bone-skin defect in proximal or distal and the foot. The course , branch distribution on the tibial inferior later periosteal branch and skin branch of the anterior tibial artery were observed on 40 sides of adult cadaveric lower limbs. 7 cases of bone-skin defect (proximal or distal tibial, medial and lateral malleolar) were treated by transposition of with anterograde and reterograde bone skin flap and pplied according to anatomical study. During the follow-up period of 10-18 months, union and skin is very well. 10-16 months return work. The bone-skin flap is a new donor is simply; with supramalleolar branch and its surgery work periosteal and flap area biger were cutted. The new operation is adapt to repair bone-skin defect in distal tibial and foot malleolar.