{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:22:41Z","timestamp":1768461761582,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,8,3]],"date-time":"2015-08-03T00:00:00Z","timestamp":1438560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Nerve decompression procedures have shown to have promising roles in patients with diabetic polyneuropathy. It is known that not only nerves but also arteries pass through the same compressed anatomical tunnels. The aim of the study is to reveal whether the surgical decompression procedures have a positive effect on hemodynamic and morphological parameters of the arterial structures passing through these anatomic tunnels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010seven patients who underwent posterior and anterior tarsal tunnel release procedures were retrospectively scanned for preoperative and 3 months postoperative arterial Doppler ultrasound imaging. The preoperative and third month postoperative measurements were compared for flow pattern of artery, flow lumen diameter, pulsatility index (PI), resistance index (RI), and flow volumes by evaluating the hemodynamic and morphological parameters of dorsalis pedis (DPA) and tibialis posterior arteries (TPA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For TPA, mean PI values were 5.76\u2009\u00b1\u20092.78 preoperatively, 7.17\u2009\u00b1\u20093.08 postoperatively. Mean RI values were 0.94\u2009\u00b1\u20090.04 preoperatively and 0.89\u2009\u00b1\u20090.05 postoperatively. For DPA, mean PI values were 5.06\u2009\u00b1\u20092.14 preoperatively and 6.35\u2009\u00b1\u20092.31 postoperatively. Mean RI values were 0.93\u2009\u00b1\u20090.05 preoperatively and 0.86\u2009\u00b1\u20090.06 postoperatively. When the results are analyzed for both of the arteries, PI values were significantly increased; RI values were significantly decreased when the preoperative measurements were compared with the postoperative measurements (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>According to these results, it can be suggested that the nerve release procedures have a positive effect on the hemodynamic and morphological parameters of the arteries as they pass through the anatomical tunnels as well as its positive effects on the neurological functions of the entrapped nerves. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 35:457\u2013462, 2015.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22467","type":"journal-article","created":{"date-parts":[[2015,8,3]],"date-time":"2015-08-03T05:23:01Z","timestamp":1438579381000},"page":"457-462","source":"Crossref","is-referenced-by-count":11,"title":["The ultrasonographic evaluation of hemodynamic changes in patients with diabetic polyneuropathy after tarsal tunnel decompression"],"prefix":"10.1002","volume":"35","author":[{"given":"Fatih","family":"Tekin","sequence":"first","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Ke\u00e7i\u00f6ren Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kadir","family":"A\u011fladio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Radiology Pamukkale University Medical Center Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"S\u00fcrmeli","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Ke\u00e7i\u00f6ren Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candemir","family":"Ceran","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Ankara Atat\u00fcrk Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hesna","family":"Bekta\u015f","sequence":"additional","affiliation":[{"name":"Department of Neurology Ankara Atat\u00fcrk Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet \u00c7a\u011fatay","family":"Falcio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Ke\u00e7i\u00f6ren Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail Okan","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Department of Radiology In\u00f6n\u00fc University Turgut \u00d6zal Medical Center Malatya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer Faruk","family":"Taner","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery Ke\u00e7i\u00f6ren Training and Research Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000225459.93750.29"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7547\/1030380"},{"key":"e_1_2_6_4_1","article-title":"Evaluation of peripheral microcirculation improvement of foot after tarsal tunnel release in diabetic patients by transcutaneous oximetry","author":"Trignano E","journal-title":"Microsurgery"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","unstructured":"MaserRE SteenkisteAR DormanJS NielsenVK BassEB ManjooQ DrashAL BeckerDJ KullerLH GreeneDA.Epidemiological correlates of diabetic neuropathy. 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