The anterior tibial recurrent artery is a branch of the anterior tibial artery arising just after it passes through the interosseous membrane into the anterior compartment, ascending to the lateral knee to participate in the geniculate anastomosis. It accompanies the deep peroneal nerve through the anterior compartment and contributes to the blood supply of the lateral knee, the knee joint capsule anteriorly, and the tibiofibular joint.
The anterior tibial recurrent artery is an important branch of the anterior tibial artery that can be injured during tibial plateau fracture surgery and during proximal tibial osteotomy. Its ascending course in the proximal anterior compartment means it is at risk when the interosseous membrane is approached or when the anterior tibial artery is ligated proximally for access. In high tibial osteotomy and tibial plateau fracture fixation, the anterior tibial recurrent artery territory should be considered when planning incisions and retractor placement.
The anterior tibial recurrent artery ascending from the interosseous membrane to the lateral knee is at risk during proximal tibial osteotomy and tibial plateau fracture fixation; its injury contributes to anterolateral knee joint ischaemia and may be a contributing factor in skin edge necrosis at proximal lateral tibial surgical incisions.
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