Teot L, Bosse J P, Tassin X
Service des Brûlés, Hôpital Lapeyronie, Montpellier.
Ann Chir Plast Esthet. 1993 Feb;38(1):100-6.
The value of the scapular crest pedicle bone graft has been clearly established by clinical cases over the ten last years. The crest is compared to cortico-diaphyseal bone because of its properties, which are different from those of other parts of the scapula. The centromedullary space is vascularized by its own vascular system which penetrates the bone at the site of emergence of the cutaneous vessels of the scapular flap. The inferior portion is covered, in children by a voluminous apophysis which remains cartilaginous for a long time. Harvesting difficulties due to vascular and muscular characteristics are described in this paper.
在过去十年中,临床病例已明确证实了肩胛冈带蒂骨移植的价值。由于肩胛冈的特性与肩胛骨其他部位不同,故将其与皮质骨干骨相比较。中央髓腔由其自身的血管系统供血,该血管系统在肩胛皮瓣皮肤血管穿出部位穿入骨骼。在儿童中,肩胛冈下部被一块体积较大的骨突覆盖,该骨突在很长一段时间内保持软骨状态。本文描述了由于血管和肌肉特征导致的取材困难。