Anatomic Study of the Dorsalis Pedis Artery, First Metatarsal Artery, and Second Metatarsal Bone for Mandibular Reconstruction.
OBJECTIVE
The purpose of this study was to clarify the anatomic variation of the dorsalis pedis and first metatarsal arteries and to define the trabecular-to-cortical bone ratio (TBR) of the second metatarsal bone to ascertain their suitability as implants.


METHODS
Fifty-two specimens were prepared for this study. Each specimen was dissected on the dorsal side of the foot to search for the dorsalis pedis artery.


RESULTS
Three types of dorsalis pedis artery were found: in type A, which was the most common, the artery continuously formed the first metatarsal artery; in type C, which was the second most common, the artery coursed below the first dorsal interosseous muscle; and in type B, the artery coursed from the lateral side. Five variations of the first metatarsal artery were identified: the most common was type IIb, in which the artery coursed below the first dorsal interosseous muscle; followed by type Ib, in which the artery coursed obliquely through the muscle; type Ic, in which the artery coursed parallel to the muscle; type IIa, in which the artery coursed above and below the muscle; and type Ia, in which the artery coursed only above the muscle. The second metatarsal bone was divided into 5 regions. There was no trabecular bone in regions 1 and 5. The TBR appeared to be lower in region 3 than in regions 2 and 4 and highest in region 2.


CONCLUSIONS
All regions of the second metatarsal bone appear to be suitable as implants, but when placing the implant in the proximal end, care should be taken not to overheat the bone and to be wary of perforation when placing it on the middle side.
Graduate Student, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Jae-Won
JW
Kim
Graduate Student, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
You-Jin
YJ
Choi
Graduate Student, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Hyung-Jin
HJ
Lee
Graduate Student, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Kyu-Ho
KH
Yi
Professor and Department Head, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Hee-Jin
HJ
Kim
Associate Professor, Division of Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institution, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea. Electronic address: hks318@yuhs.ac.
Kyung-Seok
KS
Hu
D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000637:transplantation*; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008684:Metatarsus / Q000098:blood supply*; D008875:Middle Aged; D019651:Plastic Surgery Procedures