Anatomical study of the distal course of the posterior tibial artery: A cadaver study.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-05-01 DOI:10.5152/j.aott.2023.22158
Burak Karip, Ahmet Ertaş, Hüseyin Avni Balcıoğlu
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Abstract

Objective: This study aimed to describe the course, branches, and variances of the posterior tibial artery, which provides the arterial supply of the plantar surface of the foot, starting from the tarsal tunnel level to provide descriptive information for all surgical interventions, diagnostic radiological procedures, and promising endovascular therapies in the tarsal region.

Methods: In this study, a dissection of 48 feet was performed on 25 formalin-fixed cadavers (19 males and 6 females). Surgical instruments and a digital caliper were used for dissection and measurements, and the critical structures were recorded by a Canon 250D camera to be illustrated later.

Results: All parameters were significantly longer in male cadavers compared to females. According to the correlation analysis, while there was a significant and robust correlation between the axial line and pternion-deep plantar arch (R=.830, P .05), a moderate correlation was found between the axial line and sphyrion-bifurcation (R=.575; P < .05), axial line and deep plantar arch-2nd interdigital commissure (R=.457; P < .05), and sphyrion-bifurcation and pternion-deep plantar arch (R=.480; P < .05). Variation in any branch of the posterior tibial artery was observed in 27 of the 48 studied sides.

Conclusion: In our study, the branching and variability of posterior tibial artery on the plantar surface of the foot were described in detail with the determined parameters. In conditions that cause tissue and function loss and require reconstruction, such as diabetes mellitus and atherosclerosis, the most critical factor in increasing treatment success is a better understanding of the region's anatomy.

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胫骨后动脉远端路线的解剖学研究:尸体研究。
目的:本研究旨在描述从跗骨隧道水平开始提供足部足底表面动脉供应的胫骨后动脉的路线、分支和变异,为跗骨区域的所有外科干预、诊断性放射学程序和有前景的血管内治疗提供描述性信息。方法:在25具福尔马林固定尸体(男19具,女6具)上解剖48只足。手术器械和数字卡尺用于解剖和测量,关键结构由佳能250D相机记录,稍后将进行说明。结果:与女性相比,男性尸体的所有参数都明显更长。根据相关性分析,虽然轴线与翼骨深足底弓之间存在显著而稳健的相关性(R=.830,P。05),但轴线与蝶窦分叉之间存在中度相关性(R=.755;P<0.05),轴线与深足底弓第2指叉连合之间存在中度相关(R=.457;P<.05),以及蝶足分叉和翼足深足底弓(R=.480;P<.05)。在48个研究侧中的27个侧观察到胫骨后动脉的任何分支的变化。结论:在我们的研究中,用确定的参数详细描述了足底表面胫骨后动脉的分支和变异性。在导致组织和功能丧失并需要重建的情况下,如糖尿病和动脉粥样硬化,提高治疗成功率的最关键因素是更好地了解该区域的解剖结构。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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