摘要
目的为自体髌骨膜-髌韧带-骨瓣重建踝关节外侧韧带提供解剖学基础。方法在6侧经防腐固定的成人下肢标本及6侧新鲜标本上观测踝关节外侧韧带起止点及走行径路、髌韧带的解剖形态与起止点,在新鲜标本上摹拟重建手术。结果髌韧带位置恒定,解剖层次表浅,切取方便,髌骨膜-髌韧带-骨瓣的髌韧带长度(4.1±0.4)cm,距腓前韧带长度(2.4±0.5)cm,跟腓韧带长度(3.1±0.4)cm。结论 (1)髌骨膜-髌韧带-骨瓣的髌韧带具有足够的长度,可形成移植供体(;2)髌骨膜-髌韧带-骨瓣复合体两端分别与骨及软骨创面固定,容易成活和恢复功能(;3)采用自体髌骨膜-髌韧带-骨瓣重建踝外侧韧带具有可行性。
Objectve To provide anatomic basis for free autogenous periostumpatellar tendon-bone grafts to reconstruct the lateral ankle ligament. Methods The anatomic properties of lateral ankle and patellar ligaments were observed and measured on 12 adult cadavers, and the reconstruction of the lateral ankle ligament were simulated on 6 fresh specimens. Results The constant locations of the patellar ligament were easy to be incised; The lengths of the patellar ligaments and the calacaneoftbular and anterior talofibular ligaments were (41.0±4.0)mm, (24.3±4.6)mm and (31.3±4.2)mm, respectively. Conclusions The anatomic properties of periostum-patellar tendon-bone was similar to that of lateral ankle ligaments, There were periostum-pateUar tendon-bone ligament tissue with enough length for the lateral ankle joint ligaments reconstruction. The grafted periostum-patellar tendon-bone easily can survive on recipient site . Autogenous periostum-patellar tendon-bone Grafts could to be used to reconstruct the lateral ankle joint ligaments.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2011年第1期28-30,共3页
Chinese Journal of Clinical Anatomy
关键词
踝关节
外侧韧带
髌骨膜-髌韧带-骨瓣
髌韧带
重建
应用解剖
Ankle joint
Lateral ankle ligaments
Periostum-patellar tendon-bone
Patellar ligament
Reconstruction
Anatomy