An anatomical study of nerves at risk during minimally invasive hallux valgus surgery

Miki Dalmau-Pastor, Jordi Vega, Francesc Malagelada, Fernando Peña, Maria Cristina Manzanares-Céspedes

Research output: Contribution to journalArticle

Abstract

The growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional orientation and localization of structures that are not directly visible to the surgeon. This is especially critical for structures at risk like nerves or blood vessels. Optimization of the handling of cadaveric material and the combination of multiple techniques compensate for the limited availability of adequate specimens. The described protocol combines anatomical plane-by-plane dissection and sectional anatomy of fresh-frozen specimens to help localize relevant structures, such as nerves, arteries, veins and to correctly position the portals during MIS procedures. Depiction of these structures in anatomy textbooks can differ from what is encountered in the surgical field; and for this reason, new anatomical studies with a surgical orientation are needed. However, this is a complex, time-consuming technique requiring specific training. The anatomical references described with the so-called 'clock method' provide the surgeon with an easy and reproducible system to locate the path of the nerves at risk in Hallux Valgus MIS procedures. This model can be extrapolated to many other minimally invasive surgical procedures.

Original languageEnglish (US)
Article numbere56232
JournalJournal of Visualized Experiments
Volume2018
Issue number132
DOIs
StatePublished - Feb 17 2018

Fingerprint

Hallux Valgus
Minimally Invasive Surgical Procedures
Surgery
Dissection
Textbooks
Blood vessels
Clocks
Cross-Sectional Anatomy
Availability
Blood Vessels
Veins
Anatomy
Arteries
Surgeons

Keywords

  • Anatomy
  • Dissection
  • Hallux valgus
  • Issue 132
  • Medicine
  • Minimally invasive surgical procedures
  • Peroneal nerve
  • Sectional anatomy
  • Specimen handling

PubMed: MeSH publication types

  • Journal Article
  • Video-Audio Media

Cite this

Dalmau-Pastor, M., Vega, J., Malagelada, F., Peña, F., & Manzanares-Céspedes, M. C. (2018). An anatomical study of nerves at risk during minimally invasive hallux valgus surgery. Journal of Visualized Experiments, 2018(132), [e56232]. https://doi.org/10.3791/56232

An anatomical study of nerves at risk during minimally invasive hallux valgus surgery. / Dalmau-Pastor, Miki; Vega, Jordi; Malagelada, Francesc; Peña, Fernando; Manzanares-Céspedes, Maria Cristina.

In: Journal of Visualized Experiments, Vol. 2018, No. 132, e56232, 17.02.2018.

Research output: Contribution to journalArticle

Dalmau-Pastor, M, Vega, J, Malagelada, F, Peña, F & Manzanares-Céspedes, MC 2018, 'An anatomical study of nerves at risk during minimally invasive hallux valgus surgery', Journal of Visualized Experiments, vol. 2018, no. 132, e56232. https://doi.org/10.3791/56232
Dalmau-Pastor, Miki ; Vega, Jordi ; Malagelada, Francesc ; Peña, Fernando ; Manzanares-Céspedes, Maria Cristina. / An anatomical study of nerves at risk during minimally invasive hallux valgus surgery. In: Journal of Visualized Experiments. 2018 ; Vol. 2018, No. 132.
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