带血管蒂的第一楔骨骨膜瓣移位治疗足舟状骨缺血性坏死

Treatment of ischemic necrosis of navicular by transposition of vascularized periosteal flat of first cuneiform bone

目的 为治疗足舟状骨缺血性坏死提供一种新术式。方法 在解剖学研究基础上 ,设计带血管的第一楔骨骨膜瓣植入舟状骨。结果 经采用该骨膜瓣治疗 2例 ,随访 2年以上 ,效果满意。结论 该术式治疗足舟状骨缺血性坏死 ,操作简便 ,创伤小 ,手术安全可靠。

Objective Provide a new operative method to treat ischemic necrosis of navicular.Methods Based on the anatomic study, the vascularized periosteal flat of the first cuneiform bone was designed to transplant into navicular.Results Two cases were treated by transposition of this periosteal flat , the time of follow-up was over 2 years, the results were satisfactory.Conclusions The operation is not only simple but also injury is little.It is secure and reliable. [