Prevalence and surgical significance of a high-origin anterior tibial artery.

Abstract:

PURPOSE:To assess the prevalence of proximal high-origin anterior tibial artery and its surgical significance. METHODS:100 knees were prospectively studied using colour Doppler ultrasonography. No patient had a history of lower-limb arterial pathology or previous knee surgery. All ultrasound images were assessed by a single experienced vascular technician to eliminate inter-observer variability. RESULTS:The mean age of the patients was 56 years (range, 21-96 years). Prevalence of the high-origin anterior tibial arterial pattern was 6%, greater than that reported by previous angiographic or cadaveric studies. In all patients with high-origin anterior tibial artery, the artery was in direct contact with the posterior cortex of the tibia. CONCLUSION:This highlights the danger of using sharp instruments in knee procedures that involve extension of osteotomy to the posterior tibial cortex, particularly high-tibial osteotomy and total knee replacement. Knowledge of the anatomical variations in the branching of the popliteal artery is important because damage to its branches can be limb- or life-threatening.

authors

Tindall AJ,Shetty AA,James KD,Middleton A,Fernando KW

doi

10.1177/230949900601400104

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

13-6

issue

1

eissn

1022-5536

issn

2309-4990

journal_volume

14

pub_type

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