许亚军 寿奎水 邱扬 高建军 姚群 214062 江苏， 无锡市手外科医院 中华手外科杂志 1999 0 15 2


    关键词：外科皮瓣；桡骨；桡动脉；临床研究 期刊 zhswkzz 0 论著 fur -->


    

【摘要】 目的 为临床提供一种新的骨皮瓣移位术式。 方法 10侧成人上肢标本经肱动脉灌注乳胶后,对其骨间前动脉背侧支的起始部位、口径、长度及其皮支、骨膜支的分布进行显微解剖观察。 临床设计以骨间前动脉背侧支为蒂的桡骨皮瓣逆行移位，骨皮瓣中桡骨瓣支撑于第一、二掌骨间或修复掌骨缺损，皮瓣修复虎口、手背尺桡侧的皮肤缺损。 结果 临床应用6例，皮瓣全部成活。 术后随访4 ～ 12个月，受区移植骨已骨性愈合。 结论 骨间前动脉背侧支为蒂的逆行桡骨皮瓣，适用于修复掌部软组织合并掌骨缺损及重度虎口挛缩的病例。

Radial bone island flap pedicled with dorsal branch of anterior interosseous artery

XU Yajun, SHOU Kuishui, QIU Yang,et al. Wuxi Hand Surgery Hospital, Wuxi, Jiangsu 214062

【Abstract】 Objective To supply a kind of new operative method of bone flap for clinic. Methods 10 adult arms were pured latex into artery microanatomized and observed the dorsal branch of anterior interosseous artery's originate、 diameter、 length and distribution of skin branch and periosteum branch. On the basis,design retrograde radial bone island flap pedicled with anterior interosseous artery. Results Clinical applied 6 cases,all were sucessed. Conclusions Radial bone flap pedicled with dorsal branch of anterior interosseous artery, applicable to repair deficient of palmate soft tissue combined palm bone and serious contracture of the 1st web space.

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