Abstract
Purpose
Vascularized pedicled bone-grafting from the cuboid to the talus provides low donor site morbidity and satisfactory outcomes in patients with early-stage talar avascular necrosis. We investigated the anatomy of the rotational vascularized pedicled bone graft from the cuboid.
Methods
15 embalmed cadaver specimens were perfused with red latex via the popliteal artery. The lateral malleolus was dissected. The course of the lateral tarsal artery and the vascular territory in the cuboid supplied by the lateral tarsal artery were observed. Vessel diameters were measured.
Results
The course of the lateral tarsal artery to the cuboid was consistent, and a vascularized pedicle of the lateral tarsal artery was present in all specimens. Mean diameter of the lateral tarsal artery was 1.40 ± 0.12 mm (range 1.67–1.25). Mean length of the vascularized pedicle was 67.15 ± 3.18 mm (range 62.43–74.36). The pedicle bone graft was long enough to reach the bony border of both the lateral and medial malleolus.
Conclusion
A vascularized pedicled cuboid bone graft based on the lateral tarsal artery has clinical utility for early-stage talar avascular necrosis.
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Data availability
The datasets generated and analyzed during the present study are available from the corresponding author on reasonable request.
Abbreviations
- CT:
-
Computed tomography
- EHL:
-
Extensor hallucis longus
- EHB:
-
Extensor hallucis brevis
- EDB:
-
Extensor digitorum brevis
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This study was supported by a grant from Researching and Developing Founding of People’s Hospital of Peking University (RDH2018-02), and Founding of Shenzhen Health and Family Planning Commission (SZXJ2018085). Founding of Shenzhen Science and Technology Project (JCYJ20180228175315535).
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LB and XZ designed the study and performed most of the investigation and wrote the manuscript; SL did data analysis. LB, YP, and XX did micro-anatomy and measurements. All of the authors have read and approved the manuscript.
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The experimental protocol for this study was approved by the Shenzhen medical and family plan commission. All methods were conducted in accordance with relevant guidelines and regulations of Ethics Committee.
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Bai, L., Peng, Yb., Liu, Sb. et al. Anatomical basis of a pedicled cuboid bone graft based on the lateral tarsal artery for talar avascular necrosis. Surg Radiol Anat 43, 1703–1709 (2021). https://doi.org/10.1007/s00276-021-02789-4
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DOI: https://doi.org/10.1007/s00276-021-02789-4