摘要
目的 探索采用吻合膝下外侧动脉的腓骨头移植重建桡腕关节 ,治疗桡骨远端骨缺损的可行性。 方法 对 1999年 10月～ 2 0 0 1年 12月收治的 3例男性桡骨远端骨巨细胞瘤行瘤体切除术 ,其中骨巨细胞瘤 期 2例 , ～ 期 1例。瘤段切除长度为 7～ 8cm。采用吻合膝下外侧动脉的腓骨头移植 ,重建远端桡腕关节。 结果 3例术后获随访 6～ 18个月 ,4个月内均达骨性愈合 ,肿瘤无复发 ,腕关节功能良好 ,旋前 35～ 70°,旋后 4 5～ 6 0°,掌屈及背伸 35～6 0°。 结论 吻合膝下外侧动脉的腓骨头移植替代缺失的桡骨 ,可根据桡骨肿瘤范围切取其长度 ,是一种损伤小、操作简便、疗效可靠的方法。
Objective To investigate a new operative method to reconstruct wrist joint for treating the defect of the distal radius after excision of tumor. Methods From October 1999 to December 2001, 3 cases of giant cell tumor in the distal radius were resected and the wrist joint was reconstructed by transplanting the fibular head pedicled with the lateral inferior genicular artery. Results After followed up for 6 to 18 months, all patients achieved the bony healing within 4 months without tumor relapse and had good function of the wrist joint. Conclusion This operation is simple and reliable. The fibular head can be cut according to the tumor size of the radius.
出处
《中国修复重建外科杂志》
CAS
CSCD
2003年第3期195-197,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
吻合膝下外侧动脉
腓骨头移植
桡腕关节重建
治疗
Lateral inferior genicular artery Fibular head transplant Reconstruction Wrist joint
