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The Arterial System of the First Intermetatarsal Space and its Influence in Toe-To-Hand Transfer: A Report of 53 Long-Pedicle Transfers

From the Regional Centre for Surgery of the Hand, Quirón Clinic, Zaragoza, Spain

Correspondence: Dr G Martínez Villén, Centro Regional de Cirugía de la Mano, P Mariano Renovales s/n, 50005 Zaragoza, Spain. E-mail: gmarvil{at}terra.es.

A study of the arterial system in the first intermetatarsal space was performed during 53 toe-to-hand or vascularized tissue of the toe transfers with long arterial pedicles. The first dorsal metatarsal artery was used as a single pedicle in 25 transfers and the first plantar metatarsal artery in 21: both arteries were taken simultaneously in seven transfers. In 11 transfers, the dorsalis pedis artery and the perforating branch were absent, although this did not exclude the presence of a first dorsal metatarsal artery which arose from the plantar system by means of an ascending vascular branch in seven cases

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 1, 73-77 (2002)
DOI: 10.1054/JHSB.2001.0659


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