Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus

Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal arte...
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Gespeichert in:

Autor*in:	Tonogai, Ichiro [verfasserIn] Wada, Keizo [verfasserIn] Higashino, Kosaku [verfasserIn] Fukui, Yoshihiro [verfasserIn] Sairyo, Koichi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Nutrient artery First metatarsal Hallux valgus

Übergeordnetes Werk:	Enthalten in: Foot and ankle surgery - Amsterdam [u.a.] : Elsevier Science, 1994, 24, Seite 460-465
Übergeordnetes Werk:	volume:24 ; pages:460-465

DOI / URN:	10.1016/j.fas.2017.05.004

Katalog-ID:	ELV000929662

Internformat


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100	1		\|a Tonogai, Ichiro \|e verfasserin \|0 (orcid)0000-0002-3006-5281 \|4 aut
245	1	0	\|a Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
264		1	\|c 2017
336			\|a nicht spezifiziert \|b zzz \|2 rdacontent
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520			\|a Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established.
650		4	\|a Nutrient artery
650		4	\|a First metatarsal
650		4	\|a Hallux valgus
700	1		\|a Wada, Keizo \|e verfasserin \|4 aut
700	1		\|a Higashino, Kosaku \|e verfasserin \|4 aut
700	1		\|a Fukui, Yoshihiro \|e verfasserin \|4 aut
700	1		\|a Sairyo, Koichi \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Foot and ankle surgery \|d Amsterdam [u.a.] : Elsevier Science, 1994 \|g 24, Seite 460-465 \|h Online-Ressource \|w (DE-627)320452476 \|w (DE-600)2006229-1 \|w (DE-576)091142725 \|x 1460-9584 \|7 nnns
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936	b	k	\|a 44.83 \|j Rheumatologie \|j Orthopädie
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Indexfelder

author_variant	i t it k w kw k h kh y f yf k s ks
matchkey_str	article:14609584:2017----::oainndrcinfhntinatrtteismttraarsi
hierarchy_sort_str	2017
bklnumber	44.83
publishDate	2017
allfields	10.1016/j.fas.2017.05.004 doi (DE-627)ELV000929662 (ELSEVIER)S1268-7731(17)30107-8 DE-627 ger DE-627 rda eng 610 DE-600 44.83 bkl Tonogai, Ichiro verfasserin (orcid)0000-0002-3006-5281 aut Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus 2017 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established. Nutrient artery First metatarsal Hallux valgus Wada, Keizo verfasserin aut Higashino, Kosaku verfasserin aut Fukui, Yoshihiro verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 24, Seite 460-465 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:24 pages:460-465 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.83 Rheumatologie Orthopädie AR 24 460-465
spelling	10.1016/j.fas.2017.05.004 doi (DE-627)ELV000929662 (ELSEVIER)S1268-7731(17)30107-8 DE-627 ger DE-627 rda eng 610 DE-600 44.83 bkl Tonogai, Ichiro verfasserin (orcid)0000-0002-3006-5281 aut Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus 2017 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established. Nutrient artery First metatarsal Hallux valgus Wada, Keizo verfasserin aut Higashino, Kosaku verfasserin aut Fukui, Yoshihiro verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 24, Seite 460-465 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:24 pages:460-465 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.83 Rheumatologie Orthopädie AR 24 460-465
allfields_unstemmed	10.1016/j.fas.2017.05.004 doi (DE-627)ELV000929662 (ELSEVIER)S1268-7731(17)30107-8 DE-627 ger DE-627 rda eng 610 DE-600 44.83 bkl Tonogai, Ichiro verfasserin (orcid)0000-0002-3006-5281 aut Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus 2017 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established. Nutrient artery First metatarsal Hallux valgus Wada, Keizo verfasserin aut Higashino, Kosaku verfasserin aut Fukui, Yoshihiro verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 24, Seite 460-465 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:24 pages:460-465 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.83 Rheumatologie Orthopädie AR 24 460-465
allfieldsGer	10.1016/j.fas.2017.05.004 doi (DE-627)ELV000929662 (ELSEVIER)S1268-7731(17)30107-8 DE-627 ger DE-627 rda eng 610 DE-600 44.83 bkl Tonogai, Ichiro verfasserin (orcid)0000-0002-3006-5281 aut Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus 2017 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established. Nutrient artery First metatarsal Hallux valgus Wada, Keizo verfasserin aut Higashino, Kosaku verfasserin aut Fukui, Yoshihiro verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 24, Seite 460-465 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:24 pages:460-465 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.83 Rheumatologie Orthopädie AR 24 460-465
allfieldsSound	10.1016/j.fas.2017.05.004 doi (DE-627)ELV000929662 (ELSEVIER)S1268-7731(17)30107-8 DE-627 ger DE-627 rda eng 610 DE-600 44.83 bkl Tonogai, Ichiro verfasserin (orcid)0000-0002-3006-5281 aut Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus 2017 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established. Nutrient artery First metatarsal Hallux valgus Wada, Keizo verfasserin aut Higashino, Kosaku verfasserin aut Fukui, Yoshihiro verfasserin aut Sairyo, Koichi verfasserin aut Enthalten in Foot and ankle surgery Amsterdam [u.a.] : Elsevier Science, 1994 24, Seite 460-465 Online-Ressource (DE-627)320452476 (DE-600)2006229-1 (DE-576)091142725 1460-9584 nnns volume:24 pages:460-465 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.83 Rheumatologie Orthopädie AR 24 460-465
language	English
source	Enthalten in Foot and ankle surgery 24, Seite 460-465 volume:24 pages:460-465
sourceStr	Enthalten in Foot and ankle surgery 24, Seite 460-465 volume:24 pages:460-465
format_phy_str_mv	Article
bklname	Rheumatologie Orthopädie
institution	findex.gbv.de
topic_facet	Nutrient artery First metatarsal Hallux valgus
dewey-raw	610
isfreeaccess_bool	false
container_title	Foot and ankle surgery
authorswithroles_txt_mv	Tonogai, Ichiro @@aut@@ Wada, Keizo @@aut@@ Higashino, Kosaku @@aut@@ Fukui, Yoshihiro @@aut@@ Sairyo, Koichi @@aut@@
publishDateDaySort_date	2017-01-01T00:00:00Z
hierarchy_top_id	320452476
dewey-sort	3610
id	ELV000929662
language_de	englisch
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author	Tonogai, Ichiro
spellingShingle	Tonogai, Ichiro ddc 610 bkl 44.83 misc Nutrient artery misc First metatarsal misc Hallux valgus Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
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topic_title	610 DE-600 44.83 bkl Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus Nutrient artery First metatarsal Hallux valgus
topic	ddc 610 bkl 44.83 misc Nutrient artery misc First metatarsal misc Hallux valgus
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title	Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
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title_full	Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
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author_browse	Tonogai, Ichiro Wada, Keizo Higashino, Kosaku Fukui, Yoshihiro Sairyo, Koichi
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title_sort	location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
title_auth	Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
abstract	Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established.
abstractGer	Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established.
abstract_unstemmed	Background: Osteotomy for hallux valgus interrupts intraosseous blood supply to the first metatarsal, presumably causing non-union, delayed union, or osteonecrosis of the head of the first metatarsal. We investigated the first metatarsal nutrient artery, arising from the first dorsal metatarsal artery, and identified aspects of surgical technique contributing to nutrient artery injury.Methods: Enhanced computed tomography scans of 8 feet of 8 fresh cadavers were assessed. Barium was injected through the external iliac artery; location and direction of the first metatarsal nutrient artery was recorded.Results: Mostly, the nutrient artery entered the first metatarsal at the distal third or junction of the middle and distal thirds obliquely from a proximal direction coronally; entry point and direction varied axially. Saw blade overpenetration alone or with extensive capsular stripping might damage the artery.Conclusions: Location and direction of the first metatarsal nutrient artery was established.
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title_short	Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus
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author2	Wada, Keizo Higashino, Kosaku Fukui, Yoshihiro Sairyo, Koichi
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up_date	2024-07-06T19:39:30.955Z
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Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus

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