An anatomical study of nerves at risk during minimally invasive hallux valgus surgery

The growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional orientation and localization of structures that are not directly visible to the surgeon. This is especially critical for structures at risk like ne...

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Authors: Dalmau-Pastor, Miki, Vega, Jordi, Malagelada, Francesc, Peña, Fernando, Manzanares Céspedes, María Cristina
Format: article
Status:Published version
Publication Date:2018
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/196935
Online Access:https://hdl.handle.net/2445/196935
Access Level:Open access
Keyword:Malformacions del peu
Cirurgia ortopèdica
Nervis
Foot abnormalities
Orthopedic surgery
Nerves
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spelling An anatomical study of nerves at risk during minimally invasive hallux valgus surgeryDalmau-Pastor, MikiVega, JordiMalagelada, FrancescPeña, FernandoManzanares Céspedes, María CristinaMalformacions del peuCirurgia ortopèdicaNervisFoot abnormalitiesOrthopedic surgeryNervesThe growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional orientation and localization of structures that are not directly visible to the surgeon. This is especially critical for structures at risk like nerves or blood vessels. Optimization of the handling of cadaveric material and the combination of multiple techniques compensate for the limited availability of adequate specimens. The described protocol combines anatomical plane-by-plane dissection and sectional anatomy of fresh-frozen specimens to help localize relevant structures, such as nerves, arteries, veins and to correctly position the portals during MIS procedures. Depiction of these structures in anatomy textbooks can differ from what is encountered in the surgical field; and for this reason, new anatomical studies with a surgical orientation are needed. However, this is a complex, time-consuming technique requiring specific training. The anatomical references described with the so-called 'clock method' provide the surgeon with an easy and reproducible system to locate the path of the nerves at risk in Hallux Valgus MIS procedures. This model can be extrapolated to many other minimally invasive surgical procedures.JoVE2023202320182023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion5 p.application/pdfhttps://hdl.handle.net/2445/196935Articles 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)InglésReproducció del document publicat a: https://doi.org/10.3791/56232JoVE. Journal of Visualized Experiments, 2018, vol. 132, p. e56232https://doi.org/10.3791/56232(c) JoVE, 2018info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1969352026-05-29T05:05:01Z
dc.title.none.fl_str_mv An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
title An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
spellingShingle An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
Dalmau-Pastor, Miki
Malformacions del peu
Cirurgia ortopèdica
Nervis
Foot abnormalities
Orthopedic surgery
Nerves
title_short An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
title_full An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
title_fullStr An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
title_full_unstemmed An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
title_sort An anatomical study of nerves at risk during minimally invasive hallux valgus surgery
dc.creator.none.fl_str_mv Dalmau-Pastor, Miki
Vega, Jordi
Malagelada, Francesc
Peña, Fernando
Manzanares Céspedes, María Cristina
author Dalmau-Pastor, Miki
author_facet Dalmau-Pastor, Miki
Vega, Jordi
Malagelada, Francesc
Peña, Fernando
Manzanares Céspedes, María Cristina
author_role author
author2 Vega, Jordi
Malagelada, Francesc
Peña, Fernando
Manzanares Céspedes, María Cristina
author2_role author
author
author
author
dc.subject.none.fl_str_mv Malformacions del peu
Cirurgia ortopèdica
Nervis
Foot abnormalities
Orthopedic surgery
Nerves
topic Malformacions del peu
Cirurgia ortopèdica
Nervis
Foot abnormalities
Orthopedic surgery
Nerves
description The growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional orientation and localization of structures that are not directly visible to the surgeon. This is especially critical for structures at risk like nerves or blood vessels. Optimization of the handling of cadaveric material and the combination of multiple techniques compensate for the limited availability of adequate specimens. The described protocol combines anatomical plane-by-plane dissection and sectional anatomy of fresh-frozen specimens to help localize relevant structures, such as nerves, arteries, veins and to correctly position the portals during MIS procedures. Depiction of these structures in anatomy textbooks can differ from what is encountered in the surgical field; and for this reason, new anatomical studies with a surgical orientation are needed. However, this is a complex, time-consuming technique requiring specific training. The anatomical references described with the so-called 'clock method' provide the surgeon with an easy and reproducible system to locate the path of the nerves at risk in Hallux Valgus MIS procedures. This model can be extrapolated to many other minimally invasive surgical procedures.
publishDate 2018
dc.date.none.fl_str_mv 2018
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/196935
url https://hdl.handle.net/2445/196935
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3791/56232
JoVE. Journal of Visualized Experiments, 2018, vol. 132, p. e56232
https://doi.org/10.3791/56232
dc.rights.none.fl_str_mv (c) JoVE, 2018
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) JoVE, 2018
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 5 p.
application/pdf
dc.publisher.none.fl_str_mv JoVE
publisher.none.fl_str_mv JoVE
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)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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