Chen Zhenguang, Zhang Fahui, Xu Weihong
Department of Micro-orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei 430071, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Nov;25(11):1281-4.
To introduce the basic research and clinical applications of the vascularized epiphyseal transplantation.
The applied anatomy, experimental researches, and clinical application about the vascularized epiphyseal transplantation were summarized in the past two decades. The effectiveness of epiphyseal transplantation were discussed in the article.
The epiphysis flap of fibular head with inferior lateral genicular artery and the epiphysis flap of iliac with deep superior branch of superior gluteal artery can be used as the donor sites of epiphyseal transplantation. Animal experiments proved that the vascularized epiphysis survived and maintained growth after transplantation. In a typical case undergoing distal ulnar reconstruction by the graft of peroneal epiphyseal, the 18-year follow-up results showed that the repaired ulna was nearly as long as the contralateral side and the function of the forearm was good.
It is an effective way to repair epiphyseal defects of long bones in children with vascularized epiphyseal transplantation.
介绍带血管蒂骨骺移植的基础研究及临床应用。
总结近二十年来带血管蒂骨骺移植的应用解剖、实验研究及临床应用情况，并探讨骨骺移植的有效性。
以膝下外侧动脉为蒂的腓骨头骨骺瓣及以臀上动脉深上支为蒂的髂骨骨骺瓣可作为骨骺移植的供区。动物实验证实带血管蒂骨骺移植后能存活并保持生长。典型病例采用腓骨骨骺移植重建尺骨远端，18年随访结果显示修复后的尺骨长度与对侧相近，前臂功能良好。
带血管蒂骨骺移植是修复儿童长骨干骺端缺损的有效方法。
