An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Summary

Minimally invasive surgical (MIS) procedures rely on anatomical references to localize structures not directly visible to the surgeon. This manuscript describes a combined method of plane-by-plane dissection and sectional anatomy of fresh-frozen specimens to locate the structures at risk during MIS procedures.

Abstract

The growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional orientation and localization of structures that are not directly visible to the surgeon. This is especially critical for structures at risk like nerves or blood vessels. Optimization of the handling of cadaveric material and the combination of multiple techniques compensate for the limited availability of adequate specimens. The described protocol combines anatomical plane-by-plane dissection and sectional anatomy of fresh-frozen specimens to help localize relevant structures, such as nerves, arteries, veins and to correctly position the portals during MIS procedures. Depiction of these structures in anatomy textbooks can differ from what is encountered in the surgical field; and for this reason, new anatomical studies with a surgical orientation are needed. However, this is a complex, time-consuming technique requiring specific training. The anatomical references described with the so-called 'clock method' provide the surgeon with an easy and reproducible system to locate the path of the nerves at risk in Hallux Valgus MIS procedures. This model can be extrapolated to many other minimally invasive surgical procedures.

Introduction

Hallux valgus is a common pathology affecting the first toe, in which the proximal phalanx is deviated laterally while the first metatarsal is deviated medially¹. Percutaneous or minimally-invasive surgical (MIS) techniques for hallux valgus were amongst the first described in this discipline, and numerous studies report their benefits but also their risks². Hallux Valgus MIS correction involves osteotomies performed through small incisions using specific surgical instruments. Given that open dissections are not performed, the risk of damage to neurovascular structures is higher than when these are identified during open surgery. Also, as in any surgical procedure, the positioning of the patient and the surgeon around the operating table are far from the anatomical position depicted in classic anatomical books or papers.

The neurological structures at risk during Hallux Valgus surgery are the dorsomedial nerve of the big toe, the branch of the superficial peroneal nerve, and the dorsolateral nerve of the big toe, branch of the deep peroneal nerve. The purpose of this study is to describe the position of these nerves with regards to incisions used in hallux surgery and to illustrate it with a new method easily reproducible in surgical conditions. Moreover, a safe portal for the use of percutaneous instruments is described.

A thorough anatomical knowledge is essential in any surgical field, especially during minimally invasive procedures. The development of new surgical and imaging techniques requires a new understanding of both the bi-dimensional and the tri-dimensional location of anatomical landmarks. Previously reported anatomical dissection techniques were developed by our team to overcome the limitations of the classic dissection techniques^3,4,5,6 and here are applied to reproduce the skin incisions and instrument entry portals corresponding to the MIS procedures used to treat hallux valgus (HV) and rigidus (HR) pathology. The method is thus applicable to those surgical techniques that evolved from traditional open surgery to MIS^3,4,5,6.

Protocol

This study was approved by the institutional Ethical Committee (Comissió de Bioètica, UB). The dissection procedures were carried out by an experienced anatomist, specifically trained in plane-by-plane dissection technique. This is an essential prerequisite to ensure a successful outcome of the experiment.

1. Preparation

1. Select the specimens to be included in the study. Use below-the-knee cadaveric fresh-frozen human feet.
   1. Exclude the following: any kind of deformities in the leg, ankle or foot (as this could affect the course of the nerves and ultimately affect the results of the study), ulcers, scars or evident signs of previous surgical procedures or any other condition that could difficult the localization of the nerves.
2. Select ten unpaired feet (five left and five right, amputated at the level of the distal tibia), from Caucasian fresh-frozen not exsanguinated specimens; the specimens included 5 men and 5 women with a median age of 80 (range, 53 - 95) years.
3. Defrost the specimens by thawing them in room temperature tap water for 6-8 hours. Do not use hot water as it may alter properties of the specimens.
4. Prepare the dissection field. Place the specimen upon a non-sterile surgical drape on the dissection table. Place the specimen in a stable position that permits a comfortable access to the dissection area; preferably, use a support that allows the specimen to be moved as needed.
5. Prepare the dissection instruments to be used along with some gauze pads to clean the field during the dissection process.

2. Dissection

1. With a scalpel, incise only the skin to create a window of approximately 20 cm x 5 cm at the medial part of the foot, oriented longitudinally. Start 15 cm proximal to the first metatarso-phalangeal joint, and end 5 cm distal, approximately.
   1. Dissect the skin without disrupting the subcutaneous tissue and avoiding any displacement of the nervous structures. Use fresh scalpel blades for each plane.
   2. Perform the incisions with the cutting edge of the scalpel facing out and not facing the specimen. This follows one of the principles of a plane-by-plane anatomical dissection of the skin. Use toothed forceps during this step to tightly hold the skin.
2. Remove the skin covering the window area. Use gauze to clean the dissecting field if necessary.
3. Perform a careful dissection of the subcutaneous tissue to identify the dorsomedial and dorsolateral nerves of the first toe. Use non-toothed forceps and new scalpel blades in order to avoid damage to the structures encountered. Iris scissors and periosteotome are helpful to progress in the dissection of the area where nerves are to be found (but are still not visible), as they allow a less aggressive dissection and prevent damage to the nerves.
4. Dissect at the proximal part of the window, to avoid inadvertently cutting the nerves. Identify the nerves without detaching from the inferior part of the subcutaneous tissue to prevent displacement. Once each nerve is identified, dissect through its course until the first metatarso-phalangeal joint.
5. Fixate the nerves in its original position with respect to the first metatarso-phalangeal joint, with a needle that will pierce both the nerve and the first metatarsophalangeal joint line.
6. Perform manual traction of the first toe so the location of the joint line is made evident between the head of the first metatarsal and the base of the proximal phalanx of the first toe. The needle must puncture the nerve first and then be introduced into the metatarso-phalangeal joint. This step assures that the position of the nerve with respect to the joint will be stable throughout the study.

3. Freezing

1. Protect each specimen with bubble wrap and adhesive tape, to avoid cold burning. Take care during the wrapping process not to move the needles holding the nerves.
2. Tag each specimen appropriately.
3. Introduce the specimens into the freezer between -17 °C and -20 °C.
4. Wait for a minimum of 6 hours (or overnight) for the samples to freeze before performing the next step of the protocol.

4. Sawing

1. Check the sawing equipment. Use a diamond saw with water cooling system.
2. Prepare the working field where the specimens will be manipulated after the section.
3. Open the water flow and start the bandsaw rotation. Adjust the cutting speed of the saw and the water flow for refrigeration.
4. Once frozen, position the specimen on the saw board. Adjust the cutting line 1 cm posterior to the metatarso-phalangeal joint, as this is the point where the relevant surgical incisions are placed. Perform the section immediately after the specimen is removed from the freezer to avoid defrosting.
5. Set the water flow to a minimum to protect the specimen from burning due to the friction of the bandsaw, while avoiding thawing the specimen by water and any subsequent alteration of the anatomical structures.
6. Once the first section is finished, Discard the anterior block of the specimen (that containing the toes).
7. Perform a second section. Make a parallel cut, 1 cm posterior to the first one in order to obtain a 1 cm-thick block. This is the standard thickness, as thinner sections may cause the structures to move from their original path.
8. Discard the rest of the specimen or save for further studies. The specimens can be refrozen or fixed by immersion in fixative solutions.

5. Measurements

1. Place the sectioned block flat on the working table and the goniometer flat on the surface of the cut specimen.
2. Use a standard goniometer with its center located at the center of the first metatarsal diaphysis. Position one of the axis at the medial border of the extensor digitorum longus tendon, dorsally.
3. Measure the location of the dorsomedial and dorsolateral nerves of the first toe by using the second axis of the goniometer.
4. Extrapolate the measurements to a clock model, in which the sphere is the contour of the first metatarsal diaphysis.

Results

Using the clock method, the dorsomedial and dorsolateral nerves were consistently found between 10 and 2 o'clock (Figure 1). The dorsomedial nerve was found at an average of 26.2° medial to the medial border of the EHL, which corresponds to a zone between 12 and 2 o'clock in a right foot, and between 10 and 12 o'clock in a left foot. The dorsolateral nerve was 32.3° lateral to the medial border of the EHL in average, which corresponds to a zone between 12 and...

Discussion

The basis of the method used in this study is a combination of sectional anatomy and anatomical plane-by-plane dissection, as it has been practiced historically⁷. This requires not only anatomical knowledge but also specific training for what is a time-demanding technique that greatly relies on the skills of the dissector. Consequently, some anatomical images provided in anatomical textbooks or scientific papers, especially in the field of orthopedic surgery, lack accuracy and are not instructive ...

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
Adson Non-Toothed dissection forceps	Bontempi	BD-31
Adson Toothed dissection forceps	Bontempi	BD-30
Surgical scalpel handle nº 4	Swann-Morton	4
Surgical scalpel blades nº 24	Swann-Morton	24	Ad libitum
Iris scissors- curved	Bontempi	FG-2
Periostotome P-24	Bontempi	718-24G
Intramuscular 23G sterile needles	Totclinic	23	Ad libitum
Goniometer
Latex gloves			Ad libitum
Gauze pads			Ad libitum
Non-Sterile surgical drape
Saw	EXAKT Advanced Technologies GmbH	EXAKT 312 Pathology Saw