Anatomical principles of ankle denervation - An update.

Humans Ankle / surgery Ankle Joint / surgery Lower Extremity Foot / innervation Denervation
Anatomy Ankle joint Arthrosis Denervation Therapy

Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 14 02 2023
revised: 30 06 2023
accepted: 13 07 2023
medline: 1 12 2023
pubmed: 28 7 2023
entrez: 27 7 2023
Statut: ppublish

Résumé

Denervation is a surgical option in ankle arthrosis when conservative therapy has failed. Sectioning all joint branches is essential for its success. The locations of the articular branches of the saphenous (Sa), tibial (Ti), sural (Su), superficial (Ps) and deep peroneal (Pp) nerves are specified. In 16 cryopreserved specimens, the courses of the nerves were prepared. Their articular branches were identified, and their respective locations documented by using a new reference system. The articular branches to the ankle ranged from 5 to 30 cm measured from the foot sole. The Sa should be transected at 22.5 cm, the Su at 20 cm, and the Pp at 15 cm. The Ti should be skeletonized up to 25 cm. Epifascial dissection of the Ps is to be performed below 15 cm. The study specifies the joint branches of the ankle in an intraoperatively reproducible reference system and thus minimizes the required skin incisions.

Sections du résumé

BACKGROUND BACKGROUND
Denervation is a surgical option in ankle arthrosis when conservative therapy has failed. Sectioning all joint branches is essential for its success. The locations of the articular branches of the saphenous (Sa), tibial (Ti), sural (Su), superficial (Ps) and deep peroneal (Pp) nerves are specified.
METHODS METHODS
In 16 cryopreserved specimens, the courses of the nerves were prepared. Their articular branches were identified, and their respective locations documented by using a new reference system.
RESULTS RESULTS
The articular branches to the ankle ranged from 5 to 30 cm measured from the foot sole. The Sa should be transected at 22.5 cm, the Su at 20 cm, and the Pp at 15 cm. The Ti should be skeletonized up to 25 cm. Epifascial dissection of the Ps is to be performed below 15 cm.
CONCLUSION CONCLUSIONS
The study specifies the joint branches of the ankle in an intraoperatively reproducible reference system and thus minimizes the required skin incisions.

Identifiants

DOI: 10.1016/j.fas.2023.07.005 PMID: 37500388
pubmed: 37500388
pii: S1268-7731(23)00134-0
doi: 10.1016/j.fas.2023.07.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

597-602

Informations de copyright

Copyright © 2023 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interest None.

Auteurs

Richard-Tobias Moeller (RT)

Department for Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany. Electronic address: dr.rtmoeller@gmail.com.

Martin Mentzel (M)

Department for Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.

Michael Gabel (M)

ATOS Klinik Stuttgart GmbH, Hohenheimer Straße 91, 70184 Stuttgart, Germany.

Daniel Vergote (D)

Department for Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.

Simon Bauknecht (S)

Department for Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Anatomical principles of ankle denervation - An update.
questionsmedicales.fr › Régions du corps › Membres › Membre inférieur › Cheville › Anatomical principles of ankle denervation - An update.
questionsmedicales.fr › Appareil locomoteur › Squelette › Articulations › Articulations du pied › Articulation talocrurale › Anatomical principles of ankle denervation - An update.
questionsmedicales.fr › Régions du corps › Membres › Membre inférieur › Anatomical principles of ankle denervation - An update.
questionsmedicales.fr › Régions du corps › Membres › Membre inférieur › Pied › Anatomical principles of ankle denervation - An update.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Dénervation › Anatomical principles of ankle denervation - An update.