Angiosome study of the first digital feet space, for reconstruction of the digital tip

Authors

  • Banegas Ruiz Rodrigo Department of Hand Surgery and Microsurgery, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Espejel Blancas José Alejandro Angiology and Vascular Surgery Service, Hospital Angeles Metropolitano, CDMX, Mexico
  • Baca Domínguez Carlos Rubén Department of Hand Surgery and Microsurgery, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Campos Angulo Gerardo Department of Hand Surgery and Microsurgery, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Luis Jesús Alejo Fuentes Department of Hand Surgery, Hospital Angeles Centro Médico del Potosí, SLP, Mexico
  • Francisco Fabián Gómez Mendoza Department of Hand Surgery, Central Military Hospital, CDMX, Mexico
  • Juan Pablo Espinoza Torres Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX, Mexico
  • Luis Rodrigo Carazo Quiroz Department of Plastic and Reconstructive Surgery, CMNSXXI, IMSS, CDMX, Mexico
  • Víctor Manuel Ramos Lojero Department of Sanitary Jurisdiction, Health Services in Alvaro Obregon, CDMX, Mexico
  • Valderrama Treviño Alan Isaac Department of Experimental Immunotherapy and Tissue Engineering, Faculty of Medicine, UNAM, CDMX, Mexico
  • Barrera Mera Baltazar Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20192125

Keywords:

Angiosome, Digital tip injury, Hand surgery, Neurocutaneous transfer

Abstract

Background: The concept of angiosome explains the anatomical variations that exist between the vessels of different regions of the body and helps to understand the contributions of arterial blood supply to the skin and adjacent structures, dividing the human body into three-dimensional vascular blocks.

Methods: This was an observational and descriptive study. In both lower extremities of 5 corpses with adequate tissue preservation in the operating room attached to the teaching area of the National Institute of Forensic Sciences in Mexico City. Angiosome study of the medial neurocutaneous flap of the second toe of both feet was performed.

Results: The average, in centimeters, of the surface of the flaps was 1.57 cm x 2.47 cm, the average diameter of the inter-metatarsal digital artery was 1.1 millimeters and the average diameter of the veins draining the angiosome was 1.4 millimeters. The most constant anatomy was that of the nerve, which was present in all cases, with the digital nerve forming the neurosome of the flap.

Conclusions: To obtain optimal results in microsurgery transfers, it is necessary to have a technique that is quick for harvesting the flap and with adequate systematization so as not to injure the neurovascular bundle, this is achieved through complete anatomical knowledge, without forgetting the main variants.

References

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Published

2019-05-29

How to Cite

Ruiz Rodrigo, B., Alejandro, E. B. J., Carlos Rubén, B. D., Gerardo, C. A., Alejo Fuentes, L. J., Gómez Mendoza, F. F., Espinoza Torres, J. P., Carazo Quiroz, L. R., Ramos Lojero, V. M., Isaac, V. T. A., & Baltazar, B. M. (2019). Angiosome study of the first digital feet space, for reconstruction of the digital tip. International Journal of Research in Medical Sciences, 7(6), 2034–2036. https://doi.org/10.18203/2320-6012.ijrms20192125

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Section

Original Research Articles