THE ARTERIAL BLOOD-SUPPLY OF THE DISTAL RADIUS AND ULNA AND ITS POTENTIAL USE IN VASCULARIZED PEDICLED BONE CRAFTS

Citation
Kk. Sheetz et al., THE ARTERIAL BLOOD-SUPPLY OF THE DISTAL RADIUS AND ULNA AND ITS POTENTIAL USE IN VASCULARIZED PEDICLED BONE CRAFTS, The Journal of hand surgery, 20A(6), 1995, pp. 902-914
Citations number
NO
Categorie Soggetti
Orthopedics,Surgery
Journal title
ISSN journal
03635023
Volume
20A
Issue
6
Year of publication
1995
Pages
902 - 914
Database
ISI
SICI code
0363-5023(1995)20A:6<902:TABOTD>2.0.ZU;2-3
Abstract
We investigated the extra- and intraosseous blood supply of the distal radius and ulna (descriptive anatomy) and defined potential vasculari zed pedicled bone grafts to the carpal bones (applied anatomy). We stu died 41 cadaver upper limbs using several techniques including angiogr aphy, Batson's compound and latex injections, and bone clearing using a modified Spalteholtz technique. Several known arteries were describe d in greater detail, and numerous previously undescribed arteries were found and investigated. Vascularized pedicled grafts have potential a pplicability for carpal pathology. Several grafts have been described from the radius, second metacarpal, and pisiform. We have identified s everal vascular pedicles that provide the hand surgeon with additional options. Some of these grafts provide a wider are of relation, greate r ease of harvest and/or improved vascularity compared to many previou sly described grafts.