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http://hdl.handle.net/2445/126076
Title: | Increasing the safety of minimally invasive hallux surgery: an anatomical study introducing the clock method |
Author: | Malagelada, Francesc Dalmau-Pastor, Miki Fargues Polo, Betlem Manzanares Céspedes, María Cristina Peña, Fernando Vega, Jordi |
Keywords: | Malformacions del peu Malalties del peu Cirurgia ortopèdica Cirurgia operatòria Artroscòpia Peu Foot abnormalities Foot diseases Orthopedic surgery Operative surgery Arthroscopy Foot |
Issue Date: | 1-Feb-2018 |
Publisher: | Elsevier |
Abstract: | Background: the purpose of this study is to describe a simple and reproducible method to localize the neurological structures at risk and to describe a safe zone for hallux minimally invasive surgery (MIS) procedures. Methods: ten fresh-frozen cadaveric feet were dissected to identify the dorsomedial digital nerve (DMDN) and the dorsolateral digital nerve (DLDN) of the first toe. Axial sections were performed at the sites of metatarsal osteotomies. We documented the position of the nerves with respect to the extensor hallucis longus (EHL) tendon using a clock method superimposed on the axial section. Results: the DMDN was found at an average of 26.2° medial to the medial border of the EHL tendon. (SD 11.26, range 14.5-45.5), whereas the average distance of the DLDN was 32.3° lateral to the medial border of the EHL tendon. (SD 6.29, range 13.5-40). Conclusions: using the clock method the DMDN and DLDN were found consistently between 10 o'clock and 2 o'clock in either right and left feet. The clock method may facilitate avoiding the area where these nerves are located serving as a valuable tool in minimally invasive foot surgery. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.fas.2016.11.004 |
It is part of: | Foot And Ankle Surgery, 2018, vol. 24, num. 1, p. 40-44 |
URI: | http://hdl.handle.net/2445/126076 |
Related resource: | https://doi.org/10.1016/j.fas.2016.11.004 |
ISSN: | 1268-7731 |
Appears in Collections: | Articles publicats en revistes (Patologia i Terapèutica Experimental) |
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