AN APPLIED ANATOMICAL STUDY ON VASA CIRCUMFLEXA FEMORIS LATERALIS, MUSCULUS RECTUS FEMORIS AND MUSCULUS TENSOR FASCIAE LATAE
- VernacularTitle:旋股外侧血管、股直肌和阔筋膜张肌的应用解剖学研究
- Author:
Yongsong TAO
;
Shizhen ZHONG
- Publication Type:Journal Article
- From:
Acta Anatomica Sinica
1953;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
40 pairs of lower limbs of adult cadavers were dissected, vasa circumflexa femoris lateralis were measured and observation was made on their anatomical relation to musculus rectus femoris and musculus tensor fasciae latae. The important points of the surgical anatomy were described.In most cases the arteria circumflexa femoris lateralis were found to arise from arteria femoris profunda (89.7%). The average length of the arterial trunks was 16 mm and the diameter at their bases was 5.5 mm. The branching of this artery may be divided into three types: ascending-descending type (77.5%), ascending-transversedescending type and transverse-descending type.The average length of the ascending branches was 87 mm and the diameter at their bases was 3.5 mm. This branch was accompanied by one or two veins. The ascending branch may be utilized together with M. tensor fascia latae flap for grafting. The distal end of the vessel could be freely brought to the head and neck of the femur, thus rendering a possibility of utilizing it for the treatment of ischemic necrosis and non-union due to fracture of the neck of the femur.The average length of the descending branches was 200 mm and with a diameter of 3.5 mm, the veins that accompanied them were slightly larger in diametes. At the area in front of the femur, the descending branch could be used both as receptor as well as donor for transplantation. As a donor, the distal end of the descending branch could be transferred to the shaft or lower portion of the femur for the treatment of non-union fracture.There were two neuro-vascular bundles in M. rectus femoris. One of which was not suitable for vascular anastomosis due to its shortness and small caliber, the other one was the main neuro-vascular bundle of M. rectus femoris.The artery pedicle that supplied the M. tensor fascia latae averaged 50 mm in length and 3.0 mm in diameter and was accompanied with one or two larger veins. M. tensor fascia latae may provide a relatively large dermo-vascular flap, its distal part and ilio-tibial tract could also be sutured to the superior margin of the patella to re-enforce the tracting strength and to correct the pulling direction of the patella, and the extension function of the knee joint would be reasonably restored.
