A study on correlation between surface measurement of limbs and underlying tendon grafts used for reconstructive surgeries
Journal Title: Indian Journal of Clinical Anatomy and Physiology - Year 2018, Vol 5, Issue 4
Abstract
Introduction Tendon transfer restores balance to the hand which has lost its power due to tendon or muscle destruction There are various factors which are taken into account while selecting a graft for reconstructive surgeries such as availability length expendability of graft tendon The purpose of this study is to correlate the surface measurement of upper limb and lower limb using anatomical landmarks and underlying tendon lengths used for grafting This will provide an idea for estimation of underlying donor tendon lengths by easily measured surface measurements of upper and lower limbsMaterials and Methods The study was conducted on 30 cadaveric upper and lower limbs collected in the department of anatomy AIMSRC Devanahalli Bengaluru Lengths of commonly harvested tendons used for grafting were measured In upper limb tendons of palmaris longus extensor digiti minimi and extensor indices were selected In lower limb tendons of plantaris and extensor digitorum longus of 2nd toe were selected Surface measurement of upper limb and lower limbs were measured using bony land marks Correlation between surface measurement of limbs and lengths of underlying tendons used for grafting were analyzed By using the univariate least square regression model tendon multiplier is generated for each tendon which gives the tendon length in donors by using the surface measurements of upper and lower limbsResults Mean tendon lengths of palmaris longus is 155347 cm extensor digiti minimi is 19719 cm extensor indices is 19112 cm plantaris is 359727 cm and extensor digitorum longus of second toe is 279329 cm Tendon multiplier for the tendon of palmaris longus is 066 for extensor digiti minimi is 053 for extensor indices is 031 for plantaris is 091 and extensor digitorum longus is 051 Mean surface measurement of upper limb is 275231 cm and lower limb is 3743 26 cmConclusion While selecting tendons for graft length of donor tendon is a limiting variable Using the easily available surface measurements surgeons may be able to better estimate the underlying tendon lengths available for graftingKeywords Tendon Plantaris Palmaris longus Graft Reconstruction
Authors and Affiliations
Chaitra B. R, Anitha M. R, Tarakeshwari R, Shailendranath M. S
Keywords
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- EP ID EP476097
- DOI 10.18231/2394-2126.2018.0104
- Views 47
- Downloads 0
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