Brancati A, Granier P, Téot L
Unité médicochirurgicale des plaies et cicatrisations, hôpital La Peyronie, 191 avenue du Doyen-Gaston-Giraud, Montpellier, France.
Chir Main. 2010 Dec;29 Suppl 1:S193-8. doi: 10.1016/j.main.2010.10.006. Epub 2010 Oct 21.
The vascularized bone transfer of the scapular apophysis was described for the first time by Gilbert and Téot (1982) [1]. The growing pattern of this specific apophysis has large capacity and the plasticity during remodeling is unique. Primarily used for mandibular reconstruction, the scapular crest is also suitable for humeral or femoral reconstruction as well as for carpal stabilization in radial hand malformation, which is considered to be the main clinical indication. The radial hand malformation is characterized by an insufficient ulnar carpal stabilization which leads to luxation and radial deviation of the carpus. Using the vascularized scapular transfer in volar apposition to the ulnar, it enables enlarging the contact surface area with the carpus, thus stabilizing the wrist. Due to the preserved epiphyseal vascularization, good remodeling and integration of the scapular crest is achieved until consolidation takes place.
1982年，吉尔伯特（Gilbert）和泰奥（Téot）首次描述了肩胛骨突的带血管骨移植[1]。这种特定骨突的生长模式具有很大的容量，并且在重塑过程中的可塑性是独特的。肩胛嵴主要用于下颌骨重建，也适用于肱骨或股骨重建以及桡侧手部畸形时腕骨的稳定，这被认为是主要的临床适应证。桡侧手部畸形的特征是尺侧腕骨稳定不足，导致腕骨脱位和桡偏。通过将带血管的肩胛移植置于掌侧与尺骨并列，可扩大与腕骨的接触表面积，从而稳定腕关节。由于保留了骨骺血管化，在骨愈合之前，肩胛嵴可实现良好的重塑和整合。
