Jones N F, Swartz W M, Mears D C, Jupiter J B, Grossman A
University of Pittsburgh School of Medicine, Pa.
Plast Reconstr Surg. 1988 Mar;81(3):378-85. doi: 10.1097/00006534-198803000-00011.
A further modification of the free vascularized fibular bone graft is described in which a transverse osteotomy is made from the anterolateral aspect of the fibular shaft just distal to the entry of the nutrient artery. This produces two vascularized bone struts that may be folded parallel to each other but that remain connected by the periosteum and muscle cuff surrounding the peroneal artery and vein. The proximal strut is vascularized by both a periosteal and an endosteal blood supply, whereas the distal strut is vascularized by a periosteal blood supply alone. This so-called "double barrel" free vascularized fibular graft has been employed in three patients with segmental bone defects of the distal femur and in one patient with adjacent bony defects of the radius and ulna.
本文描述了游离带血管腓骨骨移植的进一步改良方法，即在腓骨干前外侧，恰好在滋养动脉进入处的远侧做一横形截骨。这样可产生两个带血管的骨支柱，它们可彼此平行折叠，但仍通过围绕腓动静脉的骨膜和肌袖相连。近端支柱由骨膜血供和髓内血供两者供血，而远端支柱仅由骨膜血供供血。这种所谓的“双筒”游离带血管腓骨移植已应用于3例股骨远端节段性骨缺损患者和1例桡骨及尺骨相邻骨缺损患者。
