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The lateral calcaneal artery

J Andermahr1, H J Helling, P Landwehr

  • 1Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Medizinischen Einrichtungen der Universität zu Kölń, Germany.

Surgical and Radiologic Anatomy : SRA
|February 5, 1999
PubMed
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This study details the lateral arterial supply of the calcaneus, crucial for understanding potential surgical complications and reconstructive options. Identifying the lateral calcaneal artery

Area of Science:

  • Anatomy
  • Vascular Surgery
  • Orthopedic Surgery

Background:

  • The calcaneus arterial supply is critical for surgical interventions and understanding avascular necrosis.
  • Detailed anatomical knowledge of the lateral calcaneal vascularization is limited.
  • Variations in arterial supply can impact surgical outcomes.

Purpose of the Study:

  • To elucidate the extraosseous and intraosseous arterial anatomy of the lateral calcaneus.
  • To identify potential risks to the lateral calcaneal artery during surgical procedures.
  • To explore the utility of the lateral calcaneal artery in reconstructive surgery.

Main Methods:

  • Anatomical dissection of 10 fresh adult cadaver legs.
  • Radiologic imaging including plastination, Spalteholz clearing, angiography, and CT angiography.

Related Experiment Videos

  • Comparison with MRI images of calcaneal fractures.

    • Main Results:

    • Consistent patterns of lateral calcaneal extraosseous and intraosseous arterial supply were identified.
    • The lateral calcaneal artery, a branch of the anterior tibial artery, forms an arch with the lateral tarsal artery.
    • The lateral calcaneal artery is vulnerable to injury during lateral approaches and fixation, potentially causing avascular necrosis.

    Conclusions:

    • The lateral calcaneal artery's anatomy is well-defined, with specific risks identified during surgical fixation.
    • Understanding this vascular anatomy is vital for preventing iatrogenic injury and avascular necrosis.
    • The lateral calcaneal artery can be utilized as a vascular pedicle for heel soft tissue reconstruction.