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The muscular teritory of the posterior tibial artery angiozome at the level of the lower leg
Author(s) -
MATUSZ Petru L.,
PUSZTAI Agneta Maria,
MASTACANEANU Mihaela,
HORDOVAN EnikoChristine,
DAESCU Ecaterina,
HOGEA Bogdan
Publication year - 2008
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.22.1_supplement.768.16
Subject(s) - anatomy , medicine , posterior tibial artery , dissection (medical) , flexor digitorum longus , artery , surgery , ankle
The necessity to perform complex surgical reconstructions at calf level represented a booster for surgical anatomy studies. The term of angiozome includes all the anatomical structures vascularized by a source artery. We studied the muscular teritory of the posterior tibial artery angiozome on 60 anatomical dissection casts and also on 10 lower legs amputated for surgical diseases. For the anatomical casts we used the macroscopic and the mezoscopic dissection. The amputated lower legs were first injected with China ink of different colours (specific for each source artery), followed by injection with Technovit 7143 to underline the arterial trunks and to facilitate their dissection. Correlations between dissection and injecting of the anatomical structures of the calf showed the muscular territory of the posterior tibial artery angiozome at calf level, represented by: the medial part of gastrocnemius, the medial part of soleus, the medial part of popliteal muscle, the medial part of flexor digitorum longus, the distal part of flexor halucis longus and distally the medial part of tibialis posterior muscle. Knowing these anatomical aspects regarding the extension of the muscular territory of the posterior tibial artery is the base for evaluation of the skin territory of this angiozome, constituting the theoretical base for a safe surgical approach of the posterior aspect of the calf.