Microarterial anatomy of the lesser toe proximal interphalangeal joints

Y. G. Chen, P. A. Cook, M. A. McClinton, R. A. Espinosa, E. F.S. Wilgis

Research output: Contribution to journalArticlepeer-review

Abstract

Successful free tissue transfer requires detailed knowledge of the pertinent microvascular anatomy of the donor site. The lesser toe proximal interphalangeal joints are a source of vascularized autologous tissue. In 20 adult cadaver feet, the arterial anatomy of the second, third, and fourth toes was studied using colored latex and India ink injection. The second, third, and fourth dorsal metatarsal arteries produced small or absent dorsal digital arteries in 72.5% of distal dissections. The proper digital arteries were 0.93 to 1.37 cm in length. An additional 2.3 to 2.83 cm of length can be gained by use of the plantar metatarsal arteries if the dorsal metatarsal or dorsal digital arteries are inadequate. The diameter of the medial proper digital arteries (range, 1.2-1.26 mm) was larger than the lateral proper digital arteries (range, 0.66-0.99 mm). The proper digital arteries of the lesser toes provide the predominant arterial supply of the proximal interphalangeal joints through a system of transverse and longitudinal arches.

Original languageEnglish (US)
Pages (from-to)256-260
Number of pages5
JournalJournal of Hand Surgery
Volume23
Issue number2
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Microarterial anatomy of the lesser toe proximal interphalangeal joints'. Together they form a unique fingerprint.

Cite this