[Applied anatomy of the pedicled patella transposition for repair of the superior articular surface of the medial tibial condyle].
To investigate the feasibility of using the pedicled patella for repaire of the superior articular surface of the medial tibial condyle, 37 lower limbs were studied by perfusion. In this series, there were 34 obsolete specimens and 3 fresh specimens of lower legs. Firstly, the vessels which supply to patella were observed by the methods of anatomy, section and casting mould. Then, the form and area of the patellar and tibial medial conylar articular surface were measured in 30 cases. The results showed: (1) the arteries supplied to patella formed a prepatellar arterial ring around patella, and the ring gave branches to patella; (2) medial inferior genicular artery and inferior patellar branches of the descending genicular arterial articular branch merge and acceed++ to prepatellar ring at inferior medial part of patella; (3) the articular surface of patella is similar to the superior articular surface of the tibial medial condyle on shape and area. It was concluded that the pedicled patella can be transposed to medial tibial condyle for repaire of the defect of the superior articular surface. The function of the knee can be reserved by this method.
Chen
X
X
Department of Anatomy, Naval Medical College, Nanjing, P.R. China.
Chen
Z
Z
Wang
B
B
D000328:Adult; D001158:Arteries / Q000033:anatomy & histology; D006801:Humans; D010329:Patella / Q000098:blood supply* / Q000637:transplantation; D013977:Tibia / Q000033:anatomy & histology* / Q000293:injuries / Q000601:surgery