Is denervation surgery possible in the treatment of hallux rigidus? An anatomic study of cadaveric specimens

dc.authorid0000-0002-4883-4317
dc.authorid0000-0003-0926-3029
dc.contributor.authorÇatal, Bilgehan
dc.contributor.authorKeskinbora, Mert
dc.contributor.authorKeskinöz, Elif Nedret
dc.contributor.authorTümentemur, Gamze
dc.contributor.authorAzboy, İbrahim
dc.contributor.authorDemiralp, Bahtiyar
dc.date.accessioned2021-09-16T07:48:27Z
dc.date.available2021-09-16T07:48:27Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: The aim of this study was to provide anatomic considerations in the first metatarsophalangeal joint (FMPJ) innervation and to evaluate the feasibility of the denervation surgery in the treatment of hallux rigidus. Methods: In this cadaveric study, 14 fresh frozen cadaveric transtibial amputation specimens was used. For nerve dissection, dorsal and plantar longitudinal incision centered over the FMPJ were performed. Deep peroneal and dorsomedial cutaneous nerves were dissected in the dorsal aspect of the joint. Medial plantar nerve branches, medial and lateral hallucal nerves, were dissected in the plantar aspect of the joint. The presence, number, and location of articular branches to the FMPJ capsule were recorded. Dorsal and plantar incision length for proper dissection were also recorded. Results: Nerve dissection of the 14 specimens revealed the following number of articular branches from the relevant nerves: 14 from dorsomedial cutaneous nerves, 11 from deep peroneal nerves, 6 from medial hallucal nerve, and 5 from lateral hallucal nerve. Dorsal incision mean length was 60.53 (range, 42.48-85.12) mm, and the plantar incision mean length was 88.08 (range, 77.32-111.21) mm. Conclusion: Evidence from this study has shown that partial dorsal denervation of the FMPJ may be a technically feasible procedure along with the presence of superficially easily dissected nerves with relatively small incision.
dc.identifier.citationÇatal, B., Keskinbora, M., Keskinöz, E. N., Tümentemur, G., Azboy, İ. ve Demiralp, B. (2021). Is denervation surgery possible in the treatment of hallux rigidus? An anatomic study of cadaveric specimens. Acta Orthopaedica et Traumatologica Turcica, 55(4), 327-331. https://dx.doi.org/10.5152/j.aott.2021.20329
dc.identifier.doi10.5152/j.aott.2021.20329
dc.identifier.endpage331
dc.identifier.issn1017-995X
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage327
dc.identifier.urihttps://dx.doi.org/10.5152/j.aott.2021.20329
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8187
dc.identifier.volume55
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Association of Orthopedics and Traumatology
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectCadaver
dc.subjectDenervation Surgery
dc.subjectFirst Metatarsophalangeal Joint
dc.subjectInnervation
dc.titleIs denervation surgery possible in the treatment of hallux rigidus? An anatomic study of cadaveric specimens
dc.typeArticle

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