Applied anatomy for the transposition of the periosteal flap pedicled with the lateral anterior malleolus vessel on the anterior external of tibia distally based
- VernacularTitle:以外踝前血管为蒂胫骨远端前外侧骨膜瓣移位术的应用解剖
- Author:
Fahui ZHANG
;
Zhenguang CHEN
;
Heping ZHENG
;
Yun XIE
- Publication Type:Journal Article
- Keywords:
Talus;
Lateral anterior malleolus artery;
Perforating descending branch of peroneal artery;
Tibia;
Periosteal flap
- From:
Chinese Journal of Microsurgery
1998;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide anatomical basis for transposition for the periosteal flap pedicled with the lateral anterior malleolus vessel on the anterior external of tibia distally based. Methods The origins, course, branches distribution, and anastomosis of lateral anterior malleous artery and periosteal vessels of the anterior external of tibia distally based were observed on 30 adult cadaveric feet. Results Lateral anterior malleolus arteies had 1～2 branches, whose diameters were(1.6?0.4)mm and the distances the above cusp of extrnal malleolys cusp were(1.1?0.4)cm, the arteries sent off the 1～3 pieces periosteum branches with diameter 0.4 to 0.8 mm, which distribute to the periostalr of anterior external of tibia distally based. To circulate anterior external of lateral malleouls of perforating descending branch of peroneal artery [the distances the above cusp of external malleolys cusp were (5.6?0.5)cm],the arteries sent off the 2～6 pieces periosteum branches with diameter 0.5 to 1.0 mm, which distributed to the periostealr of anterior external of tibia distally based and lateral malleolus. Both anastomosis site in the above cusp of external malleolys cusp were(1.7?0.6)cm, the distances the point of lateral anterior malleolus artery were(2.5?0.6)cm. The artery of anastomosis to undergo posterior of extensor digitorum brevis, along anterior border of tendon of short peroneal muscle, anastomosed with the lateral tarsal artery and the medial taesal atery. Conclusion It is an easy practical for repairing fracture of neck of talus fracture and ischemic necrosis of talus body to achieve the transposition of periosteal flap pedicled with the lateral anterior malleous vessel on the anterior external of tibia distally based.
