Vascularity of the proximal fibula and its implications in vascularized epiphyseal transfer: An anatomical and high-resolution computed tomographic angiography study

Basit Öğe Kaydı
dc.contributor.authorMorsy, Mohamed
dc.contributor.authorSur, Yoo Joon
dc.contributor.authorAkdağ, Osman
dc.contributor.authorSabbagh, M. Diya
dc.contributor.authorSuchyta, Marissa A.
dc.contributor.authorEl-Gammal, Tarek A.
dc.contributor.authorLachman, Nirusha.
dc.contributor.authorMoran, Steven L.
dc.date.accessioned2020-03-26T20:19:44Z
dc.date.available2020-03-26T20:19:44Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Various vascular pedicles have been used to supply the proximal fibula for vascularized epiphyseal transfer. The optimal pedicle has, however, not been agreed on. This study aimed to describe the detailed vascular anatomy of the proximal fibula to assist the surgeon in choosing the optimal pedicle. Methods: Twenty-eight lower extremities were injected with latex or a mixture of latex and barium sulfate. Vessels supplying the proximal fibula were identified and dissected, and the course, diameter, anatomical relations, length, and branches were documented. In the barium group, high-resolution computed tomographic scanning was conducted before dissection. In seven specimens, branches of the deep peroneal nerve to the tibialis anterior muscle were carefully preserved, and their relation to the proximal fibular vascularity was noted. Results: An anastomotic vascular network supplied the proximal fibula. This was formed superiorly by branches of the inferior lateral genicular artery, and inferiorly by branches of the anterior tibial artery, the most important of which were the first and second recurrent epiphyseal arteries. One or more deep peroneal nerve branches passed deep to the first recurrent epiphyseal artery in all specimens examined. In five specimens, all of the branches were superficial to the second recurrent epiphyseal artery, whereas two had branches deep to it. Conclusions: The proximal fibula can be transferred using the inferior lateral genicular or anterior tibial artery because of the existing anastomosis. Factors including length of pedicle, potential for nerve injury, and diaphyseal portion to be harvested should be considered in the pedicle choice.en_US
dc.identifier.citationMorsy, M., Sur, Y. J., Akdag, O., Sabbagh, M. D., Suchyta, M. A., El-Gammal, T. A., Lachman, N., Moran, S. L. (2019). Vascularity of the Proximal Fibula and Its Implications in Vascularized Epiphyseal Transfer: An Anatomical and High-Resolution Computed Tomographic Angiography Study. Plastic and Reconstructive Surgery, 143(1), 172e-183e.
dc.identifier.doi10.1097/PRS.0000000000005127en_US
dc.identifier.endpage183Een_US
dc.identifier.issn0032-1052en_US
dc.identifier.issn1529-4242en_US
dc.identifier.issue1en_US
dc.identifier.pmid30589807en_US
dc.identifier.startpage172Een_US
dc.identifier.urihttps://dx.doi.org/10.1097/PRS.0000000000005127
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38382
dc.identifier.volume143en_US
dc.identifier.wosWOS:000455067400017en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkdag, Osman.
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofPLASTIC AND RECONSTRUCTIVE SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectfibula
dc.subjectvascularized epiphyseal transfer
dc.subjectVascularity
dc.titleVascularity of the proximal fibula and its implications in vascularized epiphyseal transfer: An anatomical and high-resolution computed tomographic angiography studyen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Mohamed Morsy.pdf
Boyut:
1.27 MB
Biçim:
Adobe Portable Document Format
Açıklama:
Full Text Access
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Plastik, Rekonstrüktif ve Estetik Cerrahi/Makale Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu