Anatomy and clinical application of external malleolus periosteum bone flap pedicled with fascia and external malleolus anterior artery
- VernacularTitle:带筋膜外踝前动脉蒂外踝骨膜骨瓣的解剖及临床应用
- Author:
Yanxiang ZHANG
;
Guoqing YU
;
Yongjun ZHOU
- Publication Type:Journal Article
- Keywords:
Bone flap;
Tissue flap;
External malleolus;
Transplantation
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the anatomical character and clinical application value of external malleolus periosteum bone flap pedicled with facia and external malleolus anterior artery. Methods Applied anatomy was studied with 10 adult corpse specimen after artery perfusion,observed the origin.trackway,and measured the external diameter and major vessel's length of external malleolus anterior artery,observed the composition of external malleolus artery net,and completed the performance in clinic in 10 patients and followed up for 6 months～6 years. Resultes The bone flap had abundant blood-supply,its pedicle was long enough for transfer,little injury to donor,the surgical procedure was easy to manipulate,and was used in clinic to treat talus fracture in 9 cases (fresh 5 and old 4) and old tibia fracture in 1 case,10 cases were involved with satisfactory outcome. Conclusion External malleolus periosteum bone flap pedicled with fascia and external malleolus anterior artery is a good new donor for the patients with fracture of talus or lower tibia,especially ununited case or osteonecrosis.
