IJCRR - 6(6), March, 2014
A STUDY OF FIBULAR PLANTAR MARGINAL ARTERY WITH ITS CLINICAL PERSPECTIVE
Author: Anupama K., Saraswathi G. , Jyothi K. C. , Shanmuganathan K.
Introduction: The plantar arterial arch is formed by anastomosis of the deep plantar branch of the dorsalis pedis artery and the deep transverse branch of the lateral plantar artery. The plantar arch gives off three perforating and four plantar metatarsal branches. An additional lateral digital branch to the fifth toe arises directly from the lateral plantar artery near the base of the fifth metatarsal bone and this artery is named as Fibular Plantar Marginal artery or Lateral Marginal Artery. The study was undertaken because of its varied origin and clinical importance in reconstructive surgery, vascular surgery and auto graft transplantation. Objectives: To study the incidence, origin and variations of Fibular Plantar Marginal Artery. Materials and methods: 50 feet of the formalin fixed adult human cadavers were dissected and studied, in the Department of anatomy, JSS Medical College, Mysore. Results: The presence of fibular plantar marginal artery was observed in 14 specimens (28%) and absent in 36 specimens. In 12 specimens it was originating from Lateral plantar artery, in 2 specimens the origin was from Dorsalis pedis artery. Conclusion: Knowledge of the variations in the anatomy of plantar arteries and the presence of fibular plantar marginal artery are important for vascular surgeons to carry out reconstructive surgeries and to obtain neurovascular flap for auto graft transplantation.
Keywords: Plantar Arch, Fibular Plantar Marginal Artery, Reconstructive Surgeries, Neurovascular flaps.
Anupama K., Saraswathi G. , Jyothi K. C. , Shanmuganathan K.. A STUDY OF FIBULAR PLANTAR MARGINAL ARTERY WITH ITS CLINICAL PERSPECTIVE International Journal of Current Research and Review. 6(6), March, 71-74
1. Pomposelli FB, Kansal N, Hamdan AD, Belfield A, Sheahan M, Campbell DR et al., A decade of experience with dorsalis pedis artery bypass. Analysis of outcome in more than 1000 cases. Journal of vascular surgery. 2003; 37: 307-315.
2. Mahadevan V. Pelvis and lower limb. Chapter 84 in Gray’s Anatomy 40th ed. Standring S. Churchill Livingston. Elsevier; 2008: 1455-1457.
3. Sarrafian SK. Anatomy of the foot and ankleDescriptive, topographic, functional. JB. Lippincott Company. Philadelphia; 1983: 281- 291.
4. Kitaoka HB, Holiday Jr AD, Metatarsal head resection for bunionette: Long term followup. Foot and ankle international, an official journal of AOFAS. 2004; 25: 521-525.
5. Gabrielli C, Olave E, Mandiola E, Rodrigues CFS, Prates JC. The deep plantar arch in humans. Constitution and topography. Surg radiol anat. 2001; 23(4): 253-258.
6. Strauch B, Sharzer LA, Brauman D. Innervated free flap for sensitivity and coverage, chapter 14 in Microsurgery for major limb reconstruction. Urbaniak JR. Mosby publication; 1990: 112- 116.
7. Ozer MA, Govsa F, Bilge O. Anatomic study of the deep plantar arch. Clinical anatomy. 2005; 18(6): 434-442.
8. Hughes K, Domenig CM, Hamdan AD, Schermerhorn M, Aulivola B, Blattman S et al., Bypass to plantar and tarsal arteries: An acceptable approach to limb salvage. Journal of vascular surgery. 2004; 40: 1149-1157.
9. Cobbett JB. Free digital transfer. Report of a case of transfer of a great toe to replace an amputated thumb. The journal of bone and joint surgery. 1969; 51: 677-679.
10. Papon X, Brillu C, Fournier HD, Hentati N, Mercier P. Anatomic study of the deep plantar artery: Potential bypass receptor site. Surg Radiol Anat. 1998; 20(4): 263-6.
11. Sebastien C, Douek P, Moulin P, Vaudoux M, Marchand B. Contrast-Enhanced MR Angiography of the Foot: Anatomy and Clinical Application in Patients with Diabetes. American Journal of Radiology. 2004; 182: 1435-1442.
12. Biemer E. Toe transfer for thumb and finger replacement in Textbook of Microsurgery. Lie TS. 3rdedition. International Congress Series 465 Excerpta Medica. Amsterdam; 1979: 17-19.
13. Foucher G, Merle M, Maneaud M, Michon J. Microsurgical free partial toe transfer in hand reconstruction: A report of 12 cases. Plastic and Reconstructive Surgery. May 1980; 65 (5): 616-626.