IJCRR - 5(8), April, 2013
ANALYSIS OF NUTRIENT FORAMEN OF TIBIA-SOUTH INDIAN POPULATION STUDY
Author: K.Udhaya, K.V.Sarala Devi, J.Sridhar
Objectives: The aim of the present study was to analyse the morphology and morphometry of nutrient foramen of tibia, knowledge of which becomes precise during bone surgeries for orthopaedic surgeons. Methods: The study included 135 tibia (70 right and 65 left) irrespective of age and sex. Number, direction, location were studied by direct observation. Size was analysed by using 24 size hypodermic needle. Position of nutrient foramen of tibia was studied by calculating foramen index. For this length and distance of the tibia were measured by using osteometric board.
Results: In our present study, out of 135 tibia (70 right and 65 left) studied,130 showed single foramen in the upper third of tibia and 5 tibia in addition to single foramen showed another foramen in the middle third. On both sides, we commonly observed that majority of nutrient foramen was positioned lateral to vertical line, on the right being (74.28%), and on left side (72.30%). Similarly the most common size of nutrient foramen observed were primary or dominant type on both the sides, right as (87.14%) and left as (89.23%). The direction of nutrient foramen were also found to be similar on both sides, majority directed vertically downwards, on right (95.71%) and on left (96.92%). The mean length of tibia on right was 35.23 with SD 2.401 and on left it was observed as 35.91 with SD 2.110. The mean foramen index of tibia on right was 30.60 with SD 3.804, and on left 31.45 with SD 2.906.
Conclusion: The present study provides a wide knowledge for orthopaedic surgeons about the morphology of nutrient foramen while performing microvascular bone surgeries to preserve microcirculation.
Keywords: Foramen index, morphology, morphometry, nutrient artery.
K.Udhaya, K.V.Sarala Devi, J.Sridhar. ANALYSIS OF NUTRIENT FORAMEN OF TIBIA-SOUTH INDIAN POPULATION STUDY International Journal of Current Research and Review. 5(8), April, 91-98
1. Lewis OJ. The blood supply of developing long bones with special reference to the metaphyses. J Bone Jt Surg 1956; 38: 928- 933.
2. Trueta J. Blood supply and the rate of healing of tibial fractures. Clin Orthop Rel Res 1953; 105: 11-26.
3. Mysorekar VR, Nandedkar AN. Diaphysial nutrient foramina in human phalanges. J Anat 1979; 128: 315-322.
4. Patake SM, Mysorekar VR. Diaphysial nutrient foramina in human metacarpals and metatarsals. J Anat 1977; 124: 299-304.
5. Mysorekar VR. Diaphysial nutrient foramina in human long bones. J Anat 1967; 101: 813- 822.
6. Taylor GI. Fibular transplantation. In: Sefarin D, Burke HJ, editors. Microsurgical composite tissue transplantation. St Louis: Mosby 1979; pp 418- 423.
7. McKee NH, Haw P, Vettese T. Anatomic study of the nutrient foramen in the shaft of the fibula. Clin Orthop Rel Res 1984; 184: 141-144.
8. Sendemir E, Cimen A. Nutrient foramina in the shafts of lower limb long bones: situation and number. Surg Radiol Anat 1991; 13: 105-8.
9. Guo F. Observations of the blood supply to the fibula. Arch Orthop Traumat Surg 1981; 98: 147-51.
10. Kirschner MH, Menck J, Hennerbichler A, Gaber O and Hofmann GO. Importance of arterial blood supply to the femur and tibia transplantation of vascularised femoral diaphyseal and knee joints. World J Surg 1998; 22: 845-52.
11. Wavreille G, Dos Remedios C, Chantelot C, Limousin M and Fontaine C. Anatomic bases of vascularised elbow joint harvesting to achieve vascularised allograft. Surg Radiol Anat 2006; 28: 498-510.
12. Nagel A. The clinical significance of the nutrient artery. Orthop Rev 1993; 22:557-61.
13. Ciszek B and Glinkowski W. Nutrient foramina in the diaphyses of long bones. Orthop Traumatol Rehabil 2000; 2: 97-9.
14. Lee JH, Ehara S, Tamakawa Y and Horiguchi M. Nutrient canal of the fibula. Skeletal Radiol 2000; 29:22-6.
15. Dyankova S. Vascular anatomy of the radius and ulna diaphyses in their reconstructive surgery. Acta Chir Plast 2004; 46:105-9.
16. Chen B, Pei GX, Jin D, Wei KH, Qin Y and Liu QS. Distribution and property of nerve fibers in human long bone tissue. Chin J Traumatol 2007; 10:3-9.
17. Kizilkanat E, Boyan N, Ozsahin ET, Soames R and Oguz O. Location, number and clinical significance of nutrient foramina in human long bones. Ann Anat 2007; 189:87-95.
18. Carroll SE. A study of the nutrient foramina of the humeral diaphysis. J. Bone Joint Surg Br 1963; 45-B: 176-81.
19. Hughes H. The factors determining the direction of the canal for the nutrient artery in the long bones of mammals and birds. Acta Anat (Basel) 1952; 15:261-280.
20. Longia GS, Ajmani ML, Saxena SK and Thomas R. J Study of diaphyseal nutrient foramina in human long bones. Acta anal. 1980; 107:399-406.
21. Forriol Campos F, Gomez Pellico L, Gianonatti Alias M, Fernandez Valencia R. A study of the nutrient foramina in human long bones. Surg Radiol Anat. 1987; 9:251- 255.
22. Gumusburun E, Adiguzel E, Erdil H, Ozkan Y, Gulec E. A study of the nutrient foramina in the shaft of the fibula. Okajimas Folia Anat. Jpn. 1996; 73 (2-3):125-128.
23. Collipal E, Vargas R, Parra X, Silva H, Sol M. Diaphyseal nutrient foramina in the femur, tibia and fibula bones. Int. J Morphol. 2007; 25 (2):305-308.
24. Joshi H, Doshi B, Malukar O. A study of the nutrient foramina of the humeral diaphysis. NJIRM. 2011; 2:14-17.
25. Henderson RG. The position of the nutrient foramen in the growing tibia and femur of the rat. J Anat 1978; 125:593-599.
26. Erika Collipal, Ramiro Vargas, Ximena Parra, Hector Silva and Mariano d