How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches.
Objective: Our objective is to review the anatomy and exposure of the posterior column and posterior tibial malleolus (the posterior tibial plafond) by defining the access corridors through 3 different approaches-posteromedial, posterolateral, and modified posteromedial. Methods: Cadaveric dissectio...
| Autores: | , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2017 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:2445/217536 |
| Acesso em linha: | https://hdl.handle.net/2445/217536 |
| Access Level: | acceso abierto |
| Palavra-chave: | Fractures Turmell Cadàvers Dissecció humana Ankle Cadavers Human dissection |
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How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches.Assal, MathieuDalmau-Pastor, MikiRay, AdrienStern, RichardFracturesTurmellCadàversDissecció humanaFracturesAnkleCadaversHuman dissectionObjective: Our objective is to review the anatomy and exposure of the posterior column and posterior tibial malleolus (the posterior tibial plafond) by defining the access corridors through 3 different approaches-posteromedial, posterolateral, and modified posteromedial. Methods: Cadaveric dissection with percentage of posterior tibial malleolus exposed, and strain gauge measurements to evaluate traction on the neurovascular bundle. Results: The 3 different approaches are applicable for exposure of different portions of the distal posterior tibial malleolus. Strain gauge measurements reveal the least traction on the flap containing the neurovascular bundle with the modified posteromedial approach (7.0 N) compared with the posteromedial (21.5 N) and posterolateral (16.8 N) approaches. Exposure of the posterior tibial malleolus was greater with the modified posteromedial approach (91%) compared with the other 2 approaches (posteromedial = 64%, posterolateral = 40%). Conclusions: Depending on the location of the principal fracture fragments, particularly in high energy ankle and pilon fractures, each of the posterior approaches has its indication, with the modified posteromedial approach revealing more of the posterior anatomy than the other 2 approaches. The latter approach places the least traction on the flap containing the neurovascular bundle.Lippincott, Williams & Wilkins. Wolters Kluwer Health2025202520172025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion6 p.application/pdfhttps://hdl.handle.net/2445/217536Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1097/BOT.0000000000000774Journal of Orthopaedic Trauma, 2017, vol. 31, num.4, p. 127-129https://doi.org/10.1097/BOT.0000000000000774(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2017info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2175362026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| title |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| spellingShingle |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. Assal, Mathieu Fractures Turmell Cadàvers Dissecció humana Fractures Ankle Cadavers Human dissection |
| title_short |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| title_full |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| title_fullStr |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| title_full_unstemmed |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| title_sort |
How to get to the distal posterior tibial malleolus? a cadaveric anatomic study defining the access corridors through 3 different approaches. |
| dc.creator.none.fl_str_mv |
Assal, Mathieu Dalmau-Pastor, Miki Ray, Adrien Stern, Richard |
| author |
Assal, Mathieu |
| author_facet |
Assal, Mathieu Dalmau-Pastor, Miki Ray, Adrien Stern, Richard |
| author_role |
author |
| author2 |
Dalmau-Pastor, Miki Ray, Adrien Stern, Richard |
| author2_role |
author author author |
| dc.subject.none.fl_str_mv |
Fractures Turmell Cadàvers Dissecció humana Fractures Ankle Cadavers Human dissection |
| topic |
Fractures Turmell Cadàvers Dissecció humana Fractures Ankle Cadavers Human dissection |
| description |
Objective: Our objective is to review the anatomy and exposure of the posterior column and posterior tibial malleolus (the posterior tibial plafond) by defining the access corridors through 3 different approaches-posteromedial, posterolateral, and modified posteromedial. Methods: Cadaveric dissection with percentage of posterior tibial malleolus exposed, and strain gauge measurements to evaluate traction on the neurovascular bundle. Results: The 3 different approaches are applicable for exposure of different portions of the distal posterior tibial malleolus. Strain gauge measurements reveal the least traction on the flap containing the neurovascular bundle with the modified posteromedial approach (7.0 N) compared with the posteromedial (21.5 N) and posterolateral (16.8 N) approaches. Exposure of the posterior tibial malleolus was greater with the modified posteromedial approach (91%) compared with the other 2 approaches (posteromedial = 64%, posterolateral = 40%). Conclusions: Depending on the location of the principal fracture fragments, particularly in high energy ankle and pilon fractures, each of the posterior approaches has its indication, with the modified posteromedial approach revealing more of the posterior anatomy than the other 2 approaches. The latter approach places the least traction on the flap containing the neurovascular bundle. |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017 2025 2025 2025 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
| format |
article |
| status_str |
acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/217536 |
| url |
https://hdl.handle.net/2445/217536 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Versió postprint del document publicat a: https://doi.org/10.1097/BOT.0000000000000774 Journal of Orthopaedic Trauma, 2017, vol. 31, num.4, p. 127-129 https://doi.org/10.1097/BOT.0000000000000774 |
| dc.rights.none.fl_str_mv |
(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2017 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2017 |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
6 p. application/pdf |
| dc.publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins. Wolters Kluwer Health |
| publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins. Wolters Kluwer Health |
| dc.source.none.fl_str_mv |
Articles publicats en revistes (Patologia i Terapèutica Experimental) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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| repository.mail.fl_str_mv |
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1869409586519212032 |
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15,811543 |