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caput humerus
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     国人肱骨的测量(肱骨研究之一)
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Objective: To study the treatment of caput humeral big bone-defect and the reconstruction of shoulder joint by the caput fibular grafts with monitoring-flap by microvascular anastomosis. Methods: Thirteen cases of caput humeral big bone-defect with bone tumors or trauma were treated and the shoulder joints were reconstructed by the caput fibular grafts with monitoring-flap by microvascular anastomosis. Results: During 3 to 10-year follow-up, all the monitoring-flaps of the caput fibular grafts were alive. The...

Objective: To study the treatment of caput humeral big bone-defect and the reconstruction of shoulder joint by the caput fibular grafts with monitoring-flap by microvascular anastomosis. Methods: Thirteen cases of caput humeral big bone-defect with bone tumors or trauma were treated and the shoulder joints were reconstructed by the caput fibular grafts with monitoring-flap by microvascular anastomosis. Results: During 3 to 10-year follow-up, all the monitoring-flaps of the caput fibular grafts were alive. The graft fibula and the caput fibula had an increase in the diameter and itself-plastic and looked like caput humerus. The movement angle of shoulder joint were as follows: anterior flexion 64.6°±8.3° degrees, posterior extension 27.7°±5.3° degrees, exterior abduction 72.3°±7.8° degrees, interior shrink 17.3°±4.4° degrees, superior raise 138.8°±12.8° degrees. Conclusions: It is reliable to treat caput humeral big bone-defect and reconstruct the shoulder joint by the caput fibular grafts with monitoring-flap by microvascular anastomosis.

目的 :探讨带监测皮岛的腓骨头移植修复肱骨头缺损重建肩关节的可行性与临床价值。方法 :对 13例因肿瘤或创伤致肱骨头缺损病例 ,用带监测皮岛的腓骨头移植修复肱骨头缺损并重建肩关节。结果 :3~ 10年随访 ,13例监测皮岛存活 ,移植腓骨头增大塑形 ,形似受区肱骨头 ,移植腓骨与肱骨的口径相当 ,肩关节活动度 :前屈 64 .6°± 8.3° ,后伸 2 7.7°± 5 .3° ,外展 72 .3°± 7.8° ,内收 17.3°± 4.4° ,上举 13 8.8°± 12 .8°。结论 :带监测皮岛腓骨头移植修复肱骨缺损重建肩关节疗效可靠。

 
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