末节指骨截骨延长相关解剖研究

发布时间：2018-03-03 13:40

本文选题：末节指骨　切入点：骨延长　出处：《中国矫形外科杂志》2017年04期 　论文类型：期刊论文

【摘要】：[目的]通过对末节指骨进行解剖、测量分析,探讨末节指骨延长的适宜截骨部位及末节指骨残端的外观重建方法。[方法]2013年10月~2015年1月,收集成人完整前臂标本30例,灌注红色乳胶并低温保存固定。经甲板、甲床、指腹依次分离暴露末节指骨及其支配血管,并进行测量,具体内容有:测量末节指骨全长,甲板长度,甲根长度;关节面距伸肌腱止点距离,伸肌腱止点距甲基质距离,甲基质长度,甲基质远端距指骨远端距离;远指间关节面距屈肌腱止点距离,关节面距滋养动脉入骨点的距离。采用SPSS 18.0软件包对测量数据进行统计学分析。[结果]拇指:全长为(26.58±1.13)mm,指间关节面距伸肌腱止点距离(6.34±1.15)mm,伸肌腱止点距甲基质距离(3.25±0.24)mm,甲基质长度(5.93±1.41)mm,甲基质远端距指骨远端距离(11.12±0.56)mm,甲根长度为(4.83±0.14)mm,甲板总长度(16.98±0.50)mm,关节面距屈肌腱止点距离(12.68±0.61)mm,关节面距滋养动脉入骨点的距离(16.51±2.64)mm。手指:全长为(18.63±1.32)mm,关节面距伸肌腱止点距离(1.94±0.25)mm,伸肌腱止点距甲基质距离(1.77±0.49)mm,甲基质长度(5.34±1.19)mm,甲基质远端距指骨远端距离(9.38±0.93)mm,甲根长度为(4.67±0.20)mm,甲板总长度(14.91±0.95)mm,关节面距屈肌腱止点距离(7.65±0.81)mm,关节面距滋养动脉入骨点的距离(11.24±1.56)mm。[结论]远节指骨基底是末节指骨延长的适宜部位。
[Abstract]:[objective] by dissecting and measuring the phalanx of the distal phalanx, to explore the method of reconstruction of the suitable osteotomy site and the stump of the phalanx. [methods] from October 2013 to January 2015, 30 adult cases of intact forearm specimens were collected. The distal phalanx and its innervation vessels were separated and measured through deck, nail bed and finger abdomen. The contents were as follows: the length of phalanx, the length of deck, the length of nail root; The distance from the articular surface to the extensor tendon, the extensor tendon to the nail matrix, the length of the nail matrix, the distance from the distal part of the nail matrix to the distal phalangeal bone, the distance from the distal interphalangeal articular surface to the flexor tendon, The distance from the articular surface to the osseous point of the trophoblastic artery. The measured data were statistically analyzed by SPSS 18.0 software package. [results] the total length of thumb was 26.58 卤1.13mm, the distance between the interphalangeal articular surface and extensor tendon was 6.34 卤1.15mm, the distance between extensor tendon and nail matrix was 6.34 卤1.15mm. The distance between distal nail matrix and distal phalanx was 11.12 卤0.56 mm, the length of nail root was 4.83 卤0.14 mm, the total deck length was 16.98 卤0.50 mm, the distance between articular surface and flexor tendon was 12.68 卤0.61mm, the distance between articular surface and trophoblastic artery was 16.51 卤2.64mmm. the total length of finger was 18.63 卤1.32mm. The distance between extensor tendon and distal phalanx is 1.94 卤0.25mm, the distance between extensor tendon and nail matrix is 1.77 卤0.49mm, the length of nail matrix is 5.34 卤1.19mm, the distance between distal nail matrix and phalanx is 9.38 卤0.93mm, the length of nail root is 4.67 卤0.20mm, the total deck length is 14.91 卤0.95mm, the distance from articular surface to flexor tendon is 7.65 卤0.81mm, and the distance between articular surface and flexor tendon is 7.65 卤0.81mm. The distance of the vein into the bone was 11.24 卤1.56 mm. [conclusion] the base of distal phalangeal bone is the suitable site for the extension of the distal phalangeal bone.
【作者单位】：河北省唐山市第二医院;北京市国家康复辅具中心附属康复医院;
【分类号】：R687.31

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