部分腓骨短肌腱转位修复下胫腓联合分离的解剖学基础

Applied anatomy of peronaeus brevis tendon diverted partly to repair the seperation of tibiofibular syndesmosis

目的:为部分腓骨短肌腱转位修复下胫腓联合分离术提供解剖学基础。方法:30侧成人下肢标本,对腓骨短肌腱进行形态学观测。结果:在踝关节平面上1cm处,腓骨短肌腱上长（12.5±2.2）cm,下长（9.5±1.0）cm,腓骨前后径为（2.1±0.5）cm,胫骨前后径为（3.4±0.4）cm,胫、腓骨前缘之间距离为（2.8±0.4）cm,腓骨短肌腱距腓骨外缘（1.3±0.3）cm,胫骨内缘距离腓骨外缘（5.3±0.4）cm。结论:部分腓骨短肌腱转位修复下胫腓联合分离具有可行性。

Objective: To provide anatomic basis for peroneus brevis tendon diverted partly to repair the seperation of tibiofibular syndesmosis. Methods: The morphological types of peroneus brevis tendon and the sizes of tibia and fibula were observed and measured on 30 sides of adult lower limb specimens, and two specimens were tested according to the operational need. Result: If we make the site of 1.0cm above ankle joint as standard, the length of peronaeus brevis above it was 12.5 ± 2.2 cm and bellow it was 9.5 ± 1.0 cm. The anteroposterior diameter of fibula was 2.1 ± 0.5 cm; the anteroposterior diameter of tibia was 3.4 ± 0.4 cm; the distance between the anterior margins of tibia and fibula was -2.8±0.4 cm, 1.3 ± 0.3 cm between the posterior margins of tibia and fibula and 5.3 ± 0.4 cm between the medial margin of tibia and lateral margin of fibula. Conlusion: Peroneus brevis tendon diverted partly to repair the separation of tibiofibular syndesmosis is feasible.