胫骨前肌：带蒂骨移植治疗胫骨缺损
Tibialis Anterior Muscle: Pedicled Bone Graft for Defect of the Tibia.
作者信息
Pak Hyon, Kim Song Ho, Won Sung Gwon, Ri Song Gun, Jang Myong Guk, Ri Ji Song, Jong Hyon Chol
机构信息
Department of Microsurgery and Plastic Surgery, HyeSan Medical College, Hyesan, Democratic People's Republic of Korea.
Sam JiYon People's Hospital, Samjiyon, Democratic People's Republic of Korea.
出版信息
Indian J Orthop. 2022 Feb 10;56(5):862-866. doi: 10.1007/s43465-021-00588-y. eCollection 2022 May.
PURPOSE
To report the result of the bone graft retrograde pedicled with the tibialis anterior muscle belly for the treatment of bone defect of tibia.
METHODS
Between 2017 and 2020, the bone graft pedicled with the tibialis anterior muscle was applied for the treatment of 11 patients with a cortical defect and nonunion of the tibia due to trauma and one patient with segmental bone defect caused by tramatic osteomyelitis. The tibialis anterior has the largest muscle belly, but has not been commonly used due to functional disability following use as transposition muscle flap. New anatomic and clinical data confirm that the distal half of this group of muscles can be transposed with the tendon left intact with no noticeable loss of muscle function. Based on the vascular nutrition of this muscle, we performed a retrograde pedicled bone graft using the muscle belly, thus preserving the function of this muscle.
RESULT
The operation was relatively simple and early bone unions have been achieved without any complications.
CONCLUSION
The bone graft pedicled with the tibialis anterior muscle is useful for the treatment of bone defect of the tibia.
目的
报告以胫骨前肌肌腹为逆行带蒂骨移植治疗胫骨骨缺损的结果。
方法
2017年至2020年期间，应用以胫骨前肌为蒂的骨移植治疗11例因创伤导致胫骨皮质缺损和骨不连的患者，以及1例因创伤性骨髓炎导致节段性骨缺损的患者。胫骨前肌肌腹最大，但因其作为转位肌瓣使用后功能残疾而未被广泛应用。新的解剖学和临床数据证实，该组肌肉的远端一半可以在保留肌腱完整的情况下进行转位，且肌肉功能无明显丧失。基于该肌肉的血管营养，我们利用肌腹进行逆行带蒂骨移植，从而保留了该肌肉的功能。
结果
手术相对简单，已实现早期骨愈合，无任何并发症。
结论
以胫骨前肌为蒂的骨移植对治疗胫骨骨缺损有效。
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