Vascular anatomy of the first metatarsal bone and surgical implications according to the severity of hallux valgus deformity: A cadaveric study
| Autor: | Filipe Medeiros, Xavier Martin Oliva, Gustavo Campos, Tiago Mota Gomes, João Bragança, Sérgio Soares |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Metatarsophalangeal Joint musculoskeletal diseases First metatarsal bone Vascular anatomy medicine.medical_treatment Avascular necrosis Osteotomy Severity of Illness Index 03 medical and health sciences Postoperative Complications 0302 clinical medicine Cadaver medicine Humans Orthopedics and Sports Medicine Hallux Valgus Metatarsal Bones Aged Valgus deformity Aged 80 and over 030222 orthopedics Plexus biology Foot business.industry 030229 sport sciences Anatomy Middle Aged Vascular System Injuries medicine.disease biology.organism_classification Valgus Treatment Outcome medicine.anatomical_structure Case-Control Studies Female Cadaveric spasm business |
| Zdroj: | Foot and Ankle Surgery. 27:567-576 |
| ISSN: | 1268-7731 |
| DOI: | 10.1016/j.fas.2020.07.012 |
| Popis: | Background Vascular injury after hallux valgus surgery is a rare condition but serious complications can ensue. Methods We performed an anatomical study using 26 cadaveric lower extremities. We enhanced first metatarsal bone’s (FMB) vascularization by injecting latex. Each specimen was classified according to the severity of hallux valgus deformity (HVD). Then we measured two distances: one between the first tarsometatarsal joint (FTMJ) to the first dorsal branch’s origin, the other between the first metatarsophalangeal joint (MTP) to the dorsal plexus’s origin. Results The distance between the FTMJ and the first dorsal branch to the FMB ranges from 10 mm in normal feet to 15 mm in severe deformed feet. The distance between the MTP and the dorsal plexus’ origin ranges from 20 mm in normal feet to 25 mm in severe deformed feet. Conclusions Understanding the foot’s vascular anatomy has allowed us to adapt surgical landmarks to the severity of the HVD and to avoid post-operative complications. |
| Databáze: | OpenAIRE |
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