髂胫束

方法教学用尸体30具（48侧）及完整下肢5侧，对阔筋膜张肌的血供、神经、肌形及髂胫束进行观察并记录。

Methods The teaching 30 specimen ( 48 lower limbs ) and 5 uncut lower limbs were used . Shape , innervation , and blood vessel of tensor fasciae latae and iliotibial tract were observed and noted .

髂胫束的切取长度7~13cm，宽度3~5cm。

The iliotibial tract was 7-13 cm in length and 3-5 cm in width .

目的探讨自体髂胫束修复外伤性前交叉韧带（ACL）断裂疗效。

Objective To investigate the effect of iliotibial tract transposition for repairing of anterior cruciate ligament ( ACL ) traumatic rupture .

方法切取股薄肌腱、远段髂胫束瓣，胫骨止点保留，以髂胫束瓣包裹股薄肌腱重建ACL。

Methods The iliotibial tract autograft of about one third length was dissected with the tibial attachment kept . Then the trimmed gracilis tendon was wrapped in the iliotibial tract to reconstruct ACL .

升支起始外径1.2±0.4mm，发出肌支和髂胫束穿支；

The originated external diameter of ascending branch is 1.2 ± 0.4 mm and it gave off muscular branch and perforating rami of iliotibial band .

髂胫束综合症（ITBS）是人体两侧髋关节附近的筋腱，髂胫束发炎引起的。

Iliotibial band syndrome ( ITBS ) is caused by an inflammation of the iliotibial band , the tendon that runs around the outside of the hips on both sides of the body .

肌腱转位联合髂胫束移植修复大段跟腱缺损

Repairment of Long Achilles Tendon Defect with Tendon Transposition and Iliotibial Band Transplantation

髂胫束可分为浅层、深层和被膜骨性层。

The iliotibial tract is divided into superficial layer , deep layer and capsule-bone layer .

结果术中见挛缩范围广泛，臀大、中、小肌及髂胫束均有变性纤维化，甚至在梨状肌等一些小的肌肉也有挛缩。

Results The contracture affected the gluteus maximus , gluteus medius , and even the piriform muscles .

髌韧带和髂胫束联合重建治疗膝前后交叉韧带同时损伤

Treatment of rupture of anterior and posterior cruciate ligaments with reconstruction using patellar tendon and iliotibial tract

髂胫束的应用解剖

Applied anatomy of iliotibial tract

目的：为带血供髂胫束移植修复跟腱缺损新术式提供解剖学基础。

Objective : To provide anatomic basis for Achilles tendon defect repair by transplantation of iliotibial band .

髂胫束及其邻近肌腱修复腓侧副韧带的生物力学实验研究

Biomechanical studies on tibial collateral ligament and its Repair of the fibular collateral ligament with the iliotibial tract

步态不正的人群，比如O型腿，也可能发生髂胫束综合症。

It can also occur in those who have an awkward gait , such as in people who are bow-legged .

低冲击力交叉训练，有利于增强肌肉的力量，避免髂胫束综合症的复发。

Low-impact cross-training can also be useful in strengthening the muscles which will help to prevent a recurrence of ITBS .

股四头肌虚弱和髂胫束太紧可以导致膝盖骨位置不正，加剧磨损和拉伤。

Weak quads or a tight IT band can pull the kneecaps out of alignment and exacerbate the wear and tear .

目的：为膝上外侧血管髂胫束骨瓣移植提供解剖学基础。

Objective : To provide anatomic basis for the transplantation of iliotibial band-bone flap pedcaled with the lateral superior genicular artery .

髂胫束的作用是结合数块大腿肌肉，提供膝关节外侧的稳定性。

Together with several of the thigh muscles , the iliotibial band acts to provide stability to the outside of the knee joint .

结论：根据膝上外侧血管的分支、分布特点，设计吻合血管髂胫束游离移植修复跟腱缺损的术式具有可行性。

Conclusion : It is feasible to repair Achilles tendon defect by free transplantation of iliotibial band with anastomosis of lateral superior genicular artery .

目的探讨带血管的髂胫束游离移植修复跟腱缺损的术式及疗效。

Objective To discuss a new operative procedure and the results of transplantation of iliotibial band with vascular anastomoses to repair Achilles tendon defect .

那里，有一个可以方便髂胫束滑动和腿部动作的滑囊。

There should be a bursa here , which makes it easy for the iliotibial band to slide and the leg to move easily .

结论：以膝上外侧血管为蒂设计多种不同类型髂胫束骨瓣，用于移植修复组织缺损。

Conclusions : The lateral superior genicular artery can be used as a base vessel to the iliotibial band-bone flaps for transplantation in different designed types .

一旦您“治愈”损伤，记住，您应该更多地变化您的训练配速，预防髂胫束综合症的复发。

Once you are " healed " from the injury , remember to do more variation in your training paces to prevent this injury to re-occur .

结论：肌腱转位联合髂胫束移植修补术治疗大段跟腱缺损效果理想，可操作性强。

Conclusion : Repair of long Achilles tendon defects with tendon transposition and iliotibial band transplantation is an satisfactory method , and could be carried out without difficulties .

通常，有疼痛感，位于在膝关节处，大腿骨下端附近，髂胫束穿过这根骨头和肌肉的的地方。

The pain is usually felt at the knee , around the end of the thigh bone where the iliotibial band crosses over the bone and the muscle .

目的探讨膝前后交叉韧带同时损伤手术重建方法及时机，评估髌韧带和髂胫束联合重建的临床疗效。

Objective To explore the methods and opportunity of reconstruction of anterior and posterior cruciate ligaments and evaluate the clinical effects of reconstruction using patellar tendon and iliotibial tract .

临床应用阔筋膜张肌和髂胫束作为覆盖物治疗缺损是可行的，而用该肌作肌移植则其肌力难以匹配。

The tensor fascia iata and ilio-tibial band were considered to be feasible in clinical use , but could not be used to replace a paralyzed muscle as a transplant .

我院从1982年～1992年应用髂胫束包裹碳纤维作膝交叉韧带重建18例，术后观察半年～9年，平均3.4年。

From 1982 ~ 1992,18 cases of ruptured cruciate ligaments of knee were reconstructed with iliotibial bands covering carbon-fibre . Follow-up for 6 months to 9 years with a average of 3 . 4 years .