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目的：研究应用髂结节处髂骨瓣修复第１跖趾关节和第２、３跖趾关节缺损的可行性。方法：测量了 ４４例成人干燥髂骨的髂骨结节内收角，髂骨结节前方２ ｃｍ和后方 １．５ ｃｍ处髂骨板的厚度。 ４４例成人干燥足骨第 １、２、３跖骨和 １、２、３趾的近节趾骨长度，测量距跖趾关节２ ｃｍ，上述跖骨的宽度和厚度；距跖趾关节１．５ ｃｍ上述趾骨的宽度和厚度。结果：髂结节的内收角平均为 １９．６°，９７．７％的髂结节内收角在１５°～２５°，髂结节前方２ｃｍ和后方１．５ｃｍ的厚度平均为１．５ｃｍ和１．１ｃｍ，分别与第１跖骨厚度１．４ｃｍ以及第１趾的近节趾骨厚度 １．１ｃｍ相近似。结论：髂结节处髂骨瓣移植修复第 １跖趾关节缺损，或修复第２、３跖趾关节的同时缺损具有可行性。
Objective: To study the feasibility of using the iliac bone graft to repair the first metatarsophalangeal joint and the second and third metatarsophalangeal joints. METHODS: Twenty-four adult iliac creases of the iliac crest were measured, the thickness of the ilium plate at the anterior 2 cm and posterior 1.5 cm of the iliac nodule was measured. The length of proximal phalanges of the first, second and third metatarsals of the adult dry lumbar vertebrae 1, 2 and 3 were measured. The metatarsophalangeal joint was measured 2 cm from the metatarsophalangeal joint. The width and thickness of the metatarsal bone were measured. The width and thickness of the phalanges. Results: The mean adduction angle of iliac nodules was 19.6 °. The mean adduction angle of iliac nodules was 97 °. The thickness of iliac nodules was 15 ° ~ 25 °. The average thickness of iliac nodules was 2 cm and 1.5 cm posteriorly. 5cm and 1.1cm, respectively, with the first metatarsal thickness of 1.4cm and the first toe proximal phalanx thickness 1.1cm similar. Conclusion: It is feasible to repair the first metatarsophalangeal joint defect at the iliac nodules or repair the second and third metatarsophalangeal joints simultaneously.