JOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI, cilt.86, sa.4, ss.360-367, 2023 (ESCI)
Objective: Previous studies related to the anatomy of the anterior tibial artery have focused mainly on morphology. The number of studies examining arterial morphometry is limited. Consequently, we aimed to examine the morphology and morphometry of this artery in detail. Material and Method: The study was performed on 30 lower extremities injected with colored silicone. Morphological features of anterior tibial and popliteal arteries were assessed. The morphometrical evaluation included the tibiofibular trunk length, diameters of popliteal, anterior tibial, posterior tibial, fibular, dorsalis pedis arteries, and the vertical distances between the origin of the anterior tibial artery and the head of the fibula and tibial tuberosity. Result: Five types of the anterior tibial artery were determined according to branching morphology, location, and course. The mean length of the tibiofibular trunk was 32.0 +/- 9.9 mm. Mean diameters of popliteal, anterior tibial, posterior tibial, fibular, and dorsalis pedis arteries were 5.8 +/- 1 mm, 4.1 +/- 0.6 mm, 3.5 +/- 0.6 mm, 3.7 +/- 0.7 mm and 2.8 +/- 0.4 mm, respectively. The mean vertical distance of the origin of the tibialis anterior artery to the head of the fibula and tibial tuberosity was 38 +/- 10.2 mm and 23.6 +/- 8.0 mm, respectively.Conclusion: Knowledge regarding anterior tibial artery anatomy and popliteal artery branching variations are essential for endovascular interventions around the knee, infrapopliteal bypass procedures planned for peripheral arterial disease, and orthopedic operations involving the tibial plateau. We believe that our results will help orthopedic and vascular surgeons.