The clinical importance of the relationship between the deep peroneal nerve and the dorsalis pedis artery on the dorsum of the foot.

Abstract:

BACKGROUND:The aim of this study was to describe the relationship between the deep peroneal nerve and the dorsalis pedis artery to help ensure a safer surgical approach in flap surgery. METHODS:The dissection of 36 cadaver lower limbs was undertaken to describe the relationship of the deep peroneal nerve to the dorsalis pedis artery in the anterior tarsal tunnel and on the dorsum of the foot. RESULTS:Four distinct relationships of the deep peroneal nerve to the dorsalis pedis artery were determined. In type 1 (36.1 percent), the artery was medial to the deep peroneal nerve in the tunnel and medial to the medial terminal branch below the tunnel on the dorsum of the foot. In type 2 (25.0 percent), the artery was medial to the deep peroneal nerve in the tunnel and lateral to the medial terminal branch below the tunnel on the dorsum of the foot. In type 3 (30.6 percent), the deep peroneal nerve and the artery were crossing over each other at multiple levels. In type 4 (8.3 percent), no medial terminal branch was observed. The artery was medial to the lateral terminal branch. CONCLUSIONS:The dorsalis pedis neurovascular island flap contains both the dorsalis pedis artery and the deep peroneal nerve. Because the design of a neurovascular free flap requires detailed knowledge of the nerve and vascular supply, the data presented here will help surgeons during the surgical approaches to the foot and ankle.

journal_name

Plast Reconstr Surg

authors

İkiz ZAA,Üçerler H,Uygur M

doi

10.1097/01.prs.0000270310.39084.2d

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

690-696

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-200709010-00014

journal_volume

120

pub_type

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