The research of fascia perforating vessels in the anterior-lateral approach of the hip joint

doi:10.3969/j.issn.1674-3806.2015.08.04

Abstract：Objectiv e To observe the relationship between fascia perforating vessels with muscle gap and neural interface in the anterior-lateral approach of the hip join .Methods 33 hips of dead bodies with formaldehyde solution embalmed , and without limb deformity and operation history were anatomised .The fascia vessel near point in the anterior superior iliac spine to the lateral trochanter at the most convex line was explored , and the relationships between the vessels with muscle gap and neural interface were recorded .The numbers of fascia perforating vessels and the position of the muscle gap in 87 hip operations were observed in our department from June 2011 to June 2013 .Re-sults The fascia vascular had constant position in the muscle gap of the gluteus medius muscle and the tensor fascia was found in 30 cases(about 91%)of the specimens.The perforating vessels were found and they came from the deep surface of muscle celearance .The perforating vessels were found in79 cases(90.8%) who were performed the opera-tion and the peforating vessels came from the deep surface of muscle celearance .The shortest distance from the supe-rior gluteal nerve entry point to fascia latal perforator was (5.62 ±1.18)cm.There were correlations between the safe range with femur length , the iliac crest and the rotor outside the convex distance ( r=0.84,0.61 ) .Conclusion There is a constant relationship between the postion of the fascial lata perforator vessel with the muscle gap of the glu -teus medius muscle and the tensor fascia. The fascial perforating vessels can provide accurate and safe positioning for the OCM approach of the hip join .