ARTERIA TIBIALIS ANTERIOR'UN MORFOMETRİK VE MORFOLOJİK DEĞERLENDİRİLMESİ

Yıl 2023, Cilt: 86 Sayı: 4, 360 - 367, 01.12.2023

Buse Naz Çandır , Özcan Gayretli , İlke Ali Gürses , Osman Coşkun , Latif Sağlam , Adnan Öztürk , Ayşin Kale

https://doi.org/10.26650/IUITFD.1266936

Öz

Amaç: Arteria (a.) tibialis anterior anatomisi ile ilgili yapılmış çalışmalar ağırlıklı olarak arter morfolojisine odaklanmıştır. Arterin morfometrisini inceleyen sınırlı sayıda çalışma bulunmaktadır. Bu doğrultuda, arter morfolojisi ve morfometrisini ayrıntılı olarak incelemeyi amaçladık.
Gereç ve Yöntem: Çalışma renkli silikon enjekte edilen 30 alt ekstremite üzerinde gerçekleştirildi. A. tibialis anterior'un ve a. poplitea'nın morfolojik özellikleri değerlendirildi. Truncus tibiofibularis'in uzunluğu, a. poplitea, a. tibialis anterior, a. tibialis posterior, a. fibularis ve a. dorsalis pedis'in çapları ile a. tibialis anterior'un orijin yerinin caput fibulae’ya ve tuberositas tibiae'ye vertikal uzaklığı morfometrik olarak incelendi.
Bulgular: A. tibialis anterior'un dallanma morfolojisi, yeri ve seyrine göre beş tipi belirlendi. Truncus tibiofibularis'in ortalama uzunluğu 32,0±9,9 mm idi. A. poplitea, a. tibialis anterior, a. tibialis posterior, a. fibularis ve a. dorsalis pedis'in ortalama çapları sırasıyla 5,8±1,0 mm, 4,1±0,6 mm, 3,5±0,6 mm, 3,7±0,7 mm ve 2,8±0,4 mm olarak bulundu. A. tibialis anterior'un orijin yerinin caput fibulae’ye vertikal uzaklığı ortalama 38±10,2 mm; tuberositas tibiae'ye mesafesi ise ortalama 23,6±8,0 mm olarak ölçüldü.
Sonuç: A. tibialis anterior'un anatomisini ve a. poplitea'dan dallanma varyasyonlarını bilmek; diz çevresindeki endovasküler girişimler, periferik arter hastalığı için planlanan infrapopliteal bypass, ve tibial platoyu ilgilendiren ortopedik operasyonlar açısından oldukça önemlidir. Elde ettiğimiz sonuçların ortopedik ve vasküler cerrahlara yardımcı olacağı düşüncesindeyiz.

Anahtar Kelimeler

Arteria poplitea, arteria tibialis anterior, truncus tibiofibularis, arteria tibialis posterior, arteria fibularis

Proje Numarası

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MORPHOMETRIC AND MORPHOLOGIC EVALUATION OF ANTERIOR TIBIAL ARTERY

Öz

Objective: Previous studies related to the anatomy of the anterior tibial artery have focused mainly on morphology. The number of studies examining arterial morphometry is limited. Consequently, we aimed to examine the morphology and morphometry of this artery in detail.
Material and Method: The study was performed on 30 lower extremities injected with colored silicone. Morphological features of anterior tibial and popliteal arteries were assessed. The morphometrical evaluation included the tibiofibular trunk length, diameters of popliteal, anterior tibial, posterior tibial, fibular, dorsalis pedis arteries, and the vertical distances between the origin of the anterior tibial artery and the head of the fibula and tibial tuberosity.
Result: Five types of the anterior tibial artery were determined according to branching morphology, location, and course. The mean length of the tibiofibular trunk was 32.0±9.9 mm. Mean diameters of popliteal, anterior tibial, posterior tibial, fibular, and dorsalis pedis arteries were 5.8±1 mm, 4.1±0.6 mm, 3.5±0.6 mm, 3.7±0.7 mm and 2.8± 0.4 mm, respectively. The mean vertical distance of the origin of the tibialis anterior artery to the head of the fibula and tibial tuberosity was 38±10.2 mm and 23.6±8.0 mm, respectively.
Conclusion: Knowledge regarding anterior tibial artery anatomy and popliteal artery branching variations are essential for endovascular interventions around the knee, infrapopliteal bypass procedures planned for peripheral arterial disease, and orthopedic operations involving the tibial plateau. We believe that our results will help orthopedic and vascular surgeons.

Anahtar Kelimeler

Popliteal artery, anterior tibial artery, tibiofibular trunk, posterior tibial artery, fibular artery

Destekleyen Kurum

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Proje Numarası

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Teşekkür

The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed.

Kaynakça

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