González del Pino J, Canosa R, Benito M, Gómez Castresana F
Department of Orthopaedic Surgery, Hospital La Paz, Autónoma University School of Medicine, Madrid, Spain.
J Reconstr Microsurg. 1991 Apr;7(2):121-6. doi: 10.1055/s-2007-1006771.
The caudal gluteal vascular bundle was analyzed in the dog to determine its suitability as a recipient area for free vascularized bone grafts in the femur. The anatomy of the caudal gluteal artery and vein, as well as the arterial blood flow, were studied. This bundle was also used to revascularize 50 free vascularized rib grafts for proximal and femoral shaft reconstruction. The pedicle was constant, long (6.12 +/- 1.85 cm), and easily accessible via a lateral approach. It was large enough (artery: 1.74 +/- 0.46 mm, vein: 2.27 +/- 0.69 mm) and had an adequate blood flow (99 +/- 8 ml/mn) for microvascular techniques. Due to the existence of three anastomotic vascular rings with both the superficial and deep femoral bundles, these vessels had a bidirectional blood flow. In all the free vascularized rib grafts the caudal gluteal vessels were distally based (reversed blood flow) and provided a sufficient blood supply to the grafted bone. These results suggest that the caudal gluteal vessels are excellent recipient vessels for research in the field of free vascularized bone grafts using the canine femur.
对犬的臀后血管束进行分析，以确定其作为股骨游离带血管骨移植受区的适用性。研究了臀后动静脉的解剖结构以及动脉血流情况。该血管束还用于为50例游离带血管肋骨移植进行血运重建，以用于近端和股骨干重建。血管蒂恒定、较长（6.12±1.85厘米），可通过外侧入路轻松到达。其尺寸足够大（动脉：1.74±0.46毫米，静脉：2.27±0.69毫米），且血流充足（99±8毫升/分钟），适用于微血管技术。由于与股浅和股深血管束存在三个吻合血管环，这些血管具有双向血流。在所有游离带血管肋骨移植中，臀后血管以远心端为蒂（血流反向），为移植骨提供了充足的血液供应。这些结果表明，臀后血管是利用犬股骨进行游离带血管骨移植领域研究的优良受区血管。
