Chinese Journal of Clinical Anatomy >
Applied anatomy of anterolateral intermuscular approach for intertrochanteric fracture
Received date: 2013-08-02
Online published: 2014-04-21
Objective To provide anatomic basis for treating intertrochanteric fracture through anterolateral intermuscular approach to hip joint. Methods 12 adult cadaveric lower extremities were dissected to observe anatomical structures of relative nerves and vascularure according to the operational process. Results The distance from the intermuscular septum between gluteus medius and tensor fasciae latae to the anterior superior iliac spine was(5.13±0.52) cm(4.25~6.30 cm). the most inferior branch of the superior gluteal nerve and the gluteus medius branches of the lateral femoral circumflex artery often traveled across the intermuscular septum. The distance from the most inferior branch of superior gluteal nerve in the spatium intermuscular to the lateral protrusive point of greater trochanter was (8.15±0.67)cm (7.13~9.56 cm); and the distance from the gluteus medius branches of the lateral femoral circumflex artery in the intermuscular septum to the lateral protrusive point of the greater trochanter was (5.57±0.39)cm (5.05~6.62 cm). Conclusions The anterolateral intermuscular approach to the hip joint, which is safe, creates full exposure and imposes less damage, provides a new thinking and method for surgical treatment of the intertrochanteric fracture.
LI Bin-Hua , DAI Min , DING Zhi-Hui , ZHANG Bin , ZHOU Chu-Jian . Applied anatomy of anterolateral intermuscular approach for intertrochanteric fracture[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(2) : 125 -128 . DOI: 10.13418/j.issn.1001-165x.2014
[1] Sadowski C,Lubbeke A,Saudan M,et al. Treatment of reverse oblique and transverse intertrochanteric fractures with use of an interamedullary nail or a 95°screw-plate:a prospective,randomized study
[J]. J Bone Joint Surg Am, 2002,84(3):372-381.
[2] Evans EM. The treatment of trochanteric fractures of the femur
[J]. J Bone Joint Surg Br, 1949,31(2):190-203.
[3] Jensen JS, Tondevold E, Sonne-Holm S. Stable trochanteric fractures,a comparative analysis of four methods of internal fixation
[J]. Acta Orthop Scand, 1980, 51(5):811-816.
[4] 于德富，王栋，许东伟．股骨粗隆间骨折手术治疗比较( 附173例报告［J］．中国骨与关节损伤杂志, 2007, 22( 6): 514-515．
[5] 戴闽,邹帆, 张斌, 等. 改良髋前外侧入路与髋外侧入路治疗老年股骨粗隆间骨折疗效比较
[J]. 中国修复重建外科杂志, 2012, 26(8): 910-914.
[6] 吴炳华, 邹帆, 李斌华, 等. 改良前外侧肌间隙入路联合动力髋螺钉治疗股骨粗隆间骨折的疗效
[J]. 广东医学, 2013, 34(8): 1186-1189.
[7] Bertin KC, Rottinger H. Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach
[J]. Clin Orthop Relat Res, 2004,(429):248-255.
[8] 陈玲珑, 兰金宝. 臀上神经最下支的解剖定位及在全髋关节外侧入路中意义
[J]. 中国临床解剖学杂志, 1995, 13(4): 255-257.
[9] 秦啸龙, 张先龙, 周国民. 前外侧肌间隙手术入路微创全髋关节置换术应用解剖学研究
[J]. 中国临床解剖学杂志, 2008, 26(3): 255-258.
[10] Lavigne P, Loriot de Rouvray TH. The superior gluteal nerve. Anatomical study of its extrapelvic portion and surgical resolution by trans-gluteal approach
[J]. Rev Chir Orthop Reparatrice Appar Mot,1994, 80(3):188-195.
[11] 赵德伟, 徐达传, 马岩, 等. 旋股外侧血管升支臀中肌支大转子骨瓣转移的应用解剖
[J]. 中华显微外科杂志, 2004, 27(2): 129-131.
[12] 赵德伟, 张耀,徐 达传, 等. 旋股外侧动脉横支联合臀中肌支大转子骨膜瓣的应用解剖
[J]. 中国临床解剖学杂志, 2005, 23(3):234-236.
[13] Wang B, Zhao D, Liu B, Wang W. Treatment of osteonecrosis of the femoral head by using the greater trochanteric bone flap with double vascular pedicles
[J]. Microsurgery, 2013,33:593-599.
[14] 陈振光, 张发惠, 徐达传, 等. 旋股外侧血管升支臀中肌支的解剖学观测及其临床应用
[J]. 中国临床解剖学杂志, 2002, 20(6): 408-409.
[15] 陈振光, 徐达传. 旋股外侧血管升支髂骨瓣的解剖与临床研究
[J]. 中国临床解剖学杂志, 2003, 21(6): 543-544.
[16] Harris B, Owen JR, Wayne JS, et al. Does femoral component loosening poredispose to femoral fracture? an in vitro comparison of cemented hips
[J]. Clin Orthop Relat Res, 2010,468(2):497-503.
[17] 邹帆, 戴闽. 早期运动康复对下肢骨折治疗的临床意义
[J]. 中国矫形外科杂志, 2011, 19(24): 2065-2068.
[18] Kijowski R, Gold GE. Routine 3D magnetic resonance imaging of joints
[J]. J Magn Reson Imaging, 2011,33(4):758-771.
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