Vascular anatomic variations in second toe transfers
Autor: | De Song Chen, Huan Wang, Gu Yd, Gao Meng Zhang, Xiao Min Cheng, Jian Guang Xu |
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Rok vydání: | 2000 |
Předmět: |
Adult
Graft Rejection Male medicine.medical_specialty Adolescent Vascularity Finger Injuries First dorsal metatarsal artery medicine Humans Orthopedics and Sports Medicine Prospective Studies Child Second toe business.industry Graft Survival Anatomy Middle Aged Toes Trunk Surgery Transplantation Treatment Outcome medicine.anatomical_structure Digital Vein Regional Blood Flow Child Preschool Tissue Transplantation Orthopedic surgery Female medicine.symptom business Follow-Up Studies Artery |
Zdroj: | The Journal of Hand Surgery. 25:277-281 |
ISSN: | 0363-5023 |
DOI: | 10.1053/jhsu.2000.jh25a0277 |
Popis: | To devise a new classification of vascular variations in second toe transfer we analyzed the anatomic details of the first dorsal metatarsal artery in 304 cases of second toe transplantation and the venous structure in 200 cases. According to location, the arterial vascularity was classified as superficial (18% of cases), intramuscular (54%), inframuscular (23%), and absent (5%). According to diameter, it was classified into large (16%), medium (64%), and small (20%). Based on branching pattern, the artery was classified into ramifying type (88%), main trunk (4%), and fine branch type (8%). The venous drainage of the second toe was categorized as greater saphenous vein main trunk type, greater saphenous vein fine branch type, dorsal digital vein main trunk type, and dorsal digital vein fine branch type. Variations of the first dorsal metatarsal artery are common. Classification should be done according to its location, diameter, and branching pattern at the toe web. Regardless of location, big vessels entering the second toe are the most important attribute for successful outcome. (J Hand Surg 2000;25A: 277–281. Copyright © 2000 by the American Society for Surgery of the Hand.) |
Databáze: | OpenAIRE |
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