Preview

Humans and their health

Advanced search

Anatomic substantiation for formation and shift of non-vascularized bone grafts on clavicle

https://doi.org/10.21626/vestnik/2016-2/10

Abstract

On the basis of studying the morphometric characteristics of a clavicle of an adult, the muscles attached to it, and the feeding vessels we developed the anatomic substantiation for the possibility of non-vascularized bone graft formation on a musculovascular pedicle in the chest and acromial parts of a clavicle and its shift to the middle part. The minimum, maximum, and average values of key parameters of a clavicle and musculovascular pedicle in adult men and women were studied. The sizes of non-vascularized bone grafts of a clavicle which were formed on the basis of chest or deltoid branches of thoracoacromial artery were established. They made 3 cm long and 0.4 cm thick. The possibility of shifting these grafts to the middle part of a clavicle body up to 5 cm is experimentally proved. The use of non-vascularized bone grafts of a clavicle for treatment of non-unions and bone defects of the middle part of a clavicle body is recommended.

About the Authors

I. V. Gaivoronsky
S.M. Kirov Military Medical Academy; St. Petersburg State University
Russian Federation


A. A. Rodionov
St. Petersburg State University
Russian Federation


S. M. Mikityuk
S.M. Kirov Military Medical Academy
Russian Federation


I. A. Goryacheva
S.M. Kirov Military Medical Academy; St. Petersburg State University
Russian Federation


G. I. Nichiporuk
S.M. Kirov Military Medical Academy; St. Petersburg State University
Russian Federation


References

1. Белоусов А.Е. Пластическая, реконструктивная и эстетическая хирургия. - СПб. : Гиппократ, 1998. - 743 с.

2. Гайворонский И.В. Нормальная анатомия человека. Учебник для мед. вузов. - СПб. : СпецЛит, 2011. - Т. 2. - С. 205.

3. Гайворонский И.В., Микитюк С.И., Губочкин Н.Г. Анатомическое обоснование формирования несвободных костных трансплантатов на верхней конечности // Морфология. - 2014. - Т. 146, № 3. - С. 69-74.

4. Гайдуков В.М. Ложные суставы. - СПб. : Наука, 1995. - 204 с.

5. Кованов В.В. Оперативная хирургия и топографическая анатомия. - М. : Медицина, 2003. - 400 с.

6. Кованов В.В., Аникина Т.И. Хирургическая анатомия артерий человека. - М. : Медицина, 1974. - 360 с.

7. Кованов В.В., Травин А.А. Хирургическая анатомия верхних конечностей. - М. : Медицина, 1965. - 559 с.

8. Родоманова Л.A. Первичная реконструкция первого пальца кисти // Травматология и ортопедия России. - 2005. - № 3. - С. 11-20.

9. Родоманова Л.А., Кочиш А.Ю. Реконструктивные микрохирургические операции при травмах конечностей. - СПб. : РНИИТО, 2012. - 116 с.

10. Шведовченко И.В., Голяна С.И., Орешков А.Б. Преимущества пластики дефектов костей кровоснабжаемыми аутотрансплантатами // Травматология и ортопедия России. - 2006. - № 2. - С. 80-81.

11. Han C.S., Wood M.B., Bishop A.T. Vascularized bone transfer // J. Bone Joint Surg. Am. - 1992. - Vol. 74, N 10. - P. 1441-1449.

12. Hernandez-Cortes P., Elizondo-Esposito D., Pena-Rodrigues C. Acromial vascularised graft pedicled on the acromial branch of the thoracoacromial trunk for treatment of clavicular pseudoarthrosis // J. Shoulder Elbow Surg. - 2012. - Vol. 21, N 10. - P. 9-13.

13. Weiland A.G., Phillips T.W., Randolph M.A. Bone grafts: a radiologic, histologic and biomechanical model comparing autografts, allografts and free vascularised bone grafts // Plast. Reconstr. Surg. - 1984. - Vol. 74, N 3. - P. 368-379.

14. Wood M.B. Upper extremity reconstruction by vascularized bone transfers: results and complications // J. Hand Surg. Am. - 1987. - Vol. 12, N 3. - P. 422-427.


Review

For citations:


Gaivoronsky I.V., Rodionov A.A., Mikityuk S.M., Goryacheva I.A., Nichiporuk G.I. Anatomic substantiation for formation and shift of non-vascularized bone grafts on clavicle. Kursk Scientific and Practical Bulletin "Man and His Health". 2016;(2):55-60. (In Russ.) https://doi.org/10.21626/vestnik/2016-2/10

Views: 670


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1998-5746 (Print)
ISSN 1998-5754 (Online)