浙江医学2017，Vol.39Issue(8)：601-605,5.DOI:10.12056/j.issn.1006-2785.2017.39.8.2016-1531
髋关节直接前入路切口远端延长相关应用解剖学研究
Applied anatomy of distal extension of direct anterior approach incision in the hip
摘要
Abstract
Objective To provide an anatomical basis for the distal extension of direct anterior approach and its surrounding vulnerable structures in the hip.Methods Ten adult cadaveric lower extremities were dissected to observe anatomical structures of significant nerves and vascularities according to the operational process.Results The distances from the lateral branch of the lateral femoral cutaneous nerve to the incision on X1,X2,X3 plane were 0.61 ± 0.39,-0.65 ± 0.39,-0.10 ± 0.32cm,respectivley,the distances from the medial branch of the lateral femoral cutaneous nerve to the incision on X1,X2,X3 plane were 1.53 ± 0.52,0.67 ± 0.56,1.28 ± 0.56cm,respectively.The distances from the intersections of the branches of the lateral femoral circumflex artery (ascending,transverse and descending) with the incision to ASIS were 7.77 ± 0.79,11.01 ± 1.48,14.91 ± 1.48cm,respectively,the distances from the intersections of the branches of the lateral femoral circumflex artery (ascending,transverse and descending) with the incision to X1 plane were 0.48 ± 0.58,4.99 ± 1.18,7.35 ± 1.07cm,respectively.The distances from the entrance points of nerve branches of the vastus lateralis(the proximal one and the distal one) to ASIS were 11.26 ± 0.96,15.09 ± 1.74cm,respectivley,the distances from the entrance points of nerve branches of the vastus lateralis (the proximal one and the distal one) to X1 plane were 4.70 ± 2.09,7.71 ± 1.45cm,respectively.Conclusion The area distal to the intertrochanteric line is a common entry point for several nerve branches.The distal extension of the direct anterior approach should not exceed 1.1cm under the plane of the great trochanter.关键词
髋关节/直接前入路/远端延长/应用解剖学Key words
Hip joint/Direct anterior approach/Distal extension/Applied anatomy引用本文复制引用
李斌,蔡宁宇,史旭超,潘天龙,潘骏..髋关节直接前入路切口远端延长相关应用解剖学研究[J].浙江医学,2017,39(8):601-605,5.基金项目
浙江省医药卫生平台计划(骨干人才)(2014RCA017) （骨干人才）
