Anatomic study of the deep plantar artery: potential by-pass receptor site

Papon, X.; Brillu, C.; Fournier, Henri-Dominique; Hentati, N.; Mercier, Ph.

doi:10.1007/s00276-998-0263-3

Cited by 4 publications

(4 citation statements)

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“…The perimalleolar grafts included bypass to the PT (74) and dorsalis pedis arteries (59). Inflow origin for the PBA bypasses included the common femoral artery (2), the superficial femoral/above-knee (AK) popliteal artery (11), the below-knee (BK) popliteal artery (4), the PT artery (5), and the anterior tibial artery (2). By comparison, inflow arteries for the perimalleolar tibial artery bypasses included the common femoral artery (82), the superficial femoral/above-knee popliteal artery (32), the below-knee popliteal artery (13), the anterior tibial artery (3), and the PT artery (3).…”

Section: Resultsmentioning

confidence: 99%

Pedal branch artery bypass: A viable limb salvage option

Connors

Walsh

Nelson

et al. 2000

Journal of Vascular Surgery

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Section: Resultsmentioning

confidence: 99%

Pedal branch artery bypass: A viable limb salvage option

Connors

Walsh

Nelson

et al. 2000

Journal of Vascular Surgery

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“…Depending on which is the predominant artery of the deep plantar arch, it was suggested that either the dorsalis pedis artery or the deep plantar artery should be considered as the first option as the receptor vessel in autogenous reconstructions (Papon et al, 1998). The short-term and long-term patency rates for dorsalis pedis grafting are high and revascularization of the foot is readily accomplished (Luther and Lepantalo, 1997).…”

Section: Discussionmentioning

confidence: 97%

Anatomic study of the deep plantar arch

Özer¹,

Gövsa²,

Bilge³

2005

Clin. Anat.

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A thorough knowledge of the topography and relations of the plantar arteries is necessary for further advances in arterial reconstruction in the foot. Such reconstruction often avoids amputation in cases of arterial trauma in industrial and automobile accidents, as well as in patients with diabetes and severe ischemia of the lower limbs. Although several studies have addressed the anatomy of the arteries of the foot, there is a shortage of recent studies on surgical vascular anatomy. The deep plantar arch was studied in 50 adult cadaveric feet. It was present in all feet and formed from the anastomosis between the deep plantar artery and the deep branch of the lateral plantar artery. The deep plantar artery was predominant in 48% of the specimens (Type I arches) and the deep branch of the lateral plantar artery in 38% (Type II) with the contribution of each being approximately equal in 14% (Type III). The location of the deep plantar arch can be estimated. The distance between the deep plantar arch and each interdigital commissure was relatively consistent between the subjects, averaging 29% of total foot length. The deep plantar arch was located in the middle third of the foot in all specimens, being in the middle II part of this third in 62%. The mean external diameter of the deep branch of lateral plantar artery was 1.7 mm +/- 0.4 mm. The mean external diameter of the deep plantar artery was also 1.7 mm +/- 0.4 mm. We observed a complete superficial plantar arch in only one specimen (2%). Our findings should assist vascular surgeons in estimating the location of the deep plantar arch from the patient's foot length and in providing other data.

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“…The majority of the cadaver studies focused on the deep plantar arch, its branches, and variations but did not mention where these branches go and did not try to document the arterial branches to the plantar muscles. 1,3,5,6 There are some reports on the vascular pedicles of isolated plantar muscles such as abductor hallucis, abductor digiti minimi, and flexor digitorum brevis, 13,14 but in this study, we have dissected the arterial branches of all plantar muscles to make a preliminary study for designing new flaps. The deep plantar arch is formed by the union of the LPA and the deep branch of the dorsalis pedis artery, but the major contributing artery is the latter one.…”

Section: Discussionmentioning

confidence: 98%

“…4 The anatomy of the medial and LPA and the deep plantar arch was studied in detail to document the course, location, and the variations of these arterial structures. 1,3,5,6 Dubreuil-Chambardel, 7 Adachi, 8 Huber, 9 and Murakami 10 are the pioneers of studies on vascular anatomy of the foot, and many others followed them but did not perform detailed dissections to show the muscular branches of the lateral and MPA and the deep plantar arch. 3 Previous reports specifically focused on the location and variations of the plantar arteries and deep plantar arch; however, anatomic studies on the vascular pedicles of isolated muscles such as abductor hallucis, abductor digiti minimi, and flexor digitorum brevis exist.…”

mentioning

confidence: 98%

Vascular Anatomy of Plantar Muscles

Orbay

Kerem²,

Ünlü³

et al. 2007

Annals of Plastic Surgery

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Many reports on the plantar arteries and the deep plantar arch exist, but none of them focus on the arterial pedicles of the plantar muscles. They mainly discuss the deep plantar arch, its variations, and location. This study plans to determine the location and origin of arterial pedicles of all the plantar muscles as a preliminary study for designing new flaps. The study was carried out on 20 feet from 10 cadavers aged from 35 to 67 years. After an injection of latex via popliteal arteries, dissection of the arteries was carried out under a microscope. Abductor hallucis and flexor hallucis brevis muscles receive their main blood supply from the medial plantar artery; abductor digiti minimi and flexor digiti minimi brevis muscles receive their main blood supply from the lateral plantar artery. The flexor digitorum brevis muscle receives branches from both arteries. Adductor hallucis and plantar interosseous muscles receive branches from plantar metatarsal arteries. Quadratus plantae is directly nourished from a branch of the posterior tibial artery. No distal anastomoses between the medial and lateral plantar arteries were identified, except 1 specimen in which the medial plantar artery made anastomosis with the deep plantar arch. As a result, the arterial pedicles of all the plantar muscles were defined, and based on these findings, new flaps can be planned or existing flaps can be modified.

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Anatomic study of the deep plantar artery: potential by-pass receptor site

Cited by 4 publications

References 0 publications

Pedal branch artery bypass: A viable limb salvage option

Pedal branch artery bypass: A viable limb salvage option

Anatomic study of the deep plantar arch

Vascular Anatomy of Plantar Muscles

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