potential donor rotational bone grafts using vascular territories in the foot and ankle by brett j....
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![Page 1: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/1.jpg)
Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle
by Brett J. Gilbert, Frank Horst, and James A. Nunley
J Bone Joint Surg AmVolume 86(9):1857-1873
September 1, 2004
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/2.jpg)
Overview of the extraosseous blood supply to the foot and ankle.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/3.jpg)
A: Anterolateral view of the extraosseous blood supply to the foot and ankle. 1 = tibia, 2 = fibula, 3 = talus, A = anterior tibial artery, B = lateral metaphyseal artery, C = medial metaphyseal artery,
D = perforating peroneal artery, E = anterior lateral ...
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/4.jpg)
A: The dorsal extraosseous blood supply to the cuboid. 1 = third cuneiform, 2 = cuboid, 3 = calcaneus, 4 = os peroneum, A = proximal lateral tarsal artery, B = longitudinal branch to the
third intermetatarsal space, C = transverse pedicle branch, D = longit...
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/5.jpg)
A: The extraosseous blood supply to the medial aspect of the first cuneiform. 1 = first cuneiform, 2 = second cuneiform, 3 = navicular, 4 = base of the first metatarsal, A = proximal medial tarsal
artery, B = distal medial tarsal artery, C = superomedial bo...
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/6.jpg)
A: The extraosseous blood supply to the dorsal surface of the second and third cuneiforms. 1 = navicular, 2 = second cuneiform, 3 = third cuneiform, 4 = cuboid, A = dorsalis pedis artery, B =
distal medial tarsal artery, C = medial hook of the necklace to t...
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/7.jpg)
A: The vascular territory in the cuboid supplied by the transverse pedicle branch of the proximal lateral tarsal artery.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/8.jpg)
A: The vascular territory in the lateral malleolus supplied by the transverse segment of the anterior lateral malleolar artery.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/9.jpg)
A: The vascular territory in the first cuneiform supplied by the middle pedicle branch of the distal medial tarsal artery.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/10.jpg)
A: The vascular territory in the third cuneiform supplied by the transverse branch of the distal lateral tarsal artery.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/11.jpg)
The midfoot of a forty-seven-year-old woman with a nonunion of an old complete stress fracture in the lateral one-third of the navicular.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/12.jpg)
The rotational vascularized pedicle bone graft harvested from the third cuneiform in Figure 10-A has been press-fit into a trough over the nonunion site in the navicular.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Potential Donor Rotational Bone Grafts Using Vascular Territories in the Foot and Ankle by Brett J. Gilbert, Frank Horst, and James A. Nunley J Bone Joint](https://reader036.vdocuments.us/reader036/viewer/2022062320/56649f415503460f94c60a14/html5/thumbnails/13.jpg)
Computerized tomographic scans made preoperatively (A), showing the nonunion, and eleven months postoperatively (B), showing union of the fracture.
Brett J. Gilbert et al. J Bone Joint Surg Am 2004;86:1857-1873
©2004 by The Journal of Bone and Joint Surgery, Inc.