骨科手術(shù)入路彩色圖譜pdf11.foot

1、L跟骨外側(cè)入路l 1 literal approach to the calcaneusl« N - 1 - 1切口起J 外制緣近止點(diǎn)處怡后弧行向遠(yuǎn)下止外WHii F 2.5- 3cm處 沒(méi)術(shù)人路吋用來(lái)完成At It紳灶淸除術(shù)。Fig. H - I - ithe >kin irwiMon on the klcra) maq;in of the tendon cakancun nearih insertion and rune it <liMallv and inferiorly to a point 2. 5 - 3 cin oitferior and inferior

2、l<> iIm* mjlltx»!iix. Dii* jppniach is usiul for the removal of foru% on I hr calcaneus.圖II -I -2切開(kāi)皮狀、皮下fll織及深筋枳顯HiWIt肌U*及刃支持帶丿Fig. 11-1-2 Divide the dciix the «ubcutancou* tkaues and ihr deep fascia to levcai the pcrofical tendons and ii» vrtinaculum.圖ii -i -3切開(kāi)器骨肌支W.KNN1T肌肌8!并

3、將其向上牽開(kāi)切開(kāi)犍FM1T® 并向斷側(cè)測(cè)離Pig. 11 - I - 3 IfU'iM* llw |»rf(NW*al rrlinuculuin Io i>hlr I Im* |m*hmm*jiI trixk>n?» then wlra< 1 llw*m Mi|M*ri<>rly. ibrn in< iM- ami rlratr the |wri<»*lrum l»rl<m the Irndon* to斗xz tlw calc amm* Immm*.2.跟骨內(nèi)側(cè)入路2. h<lia

4、approach to the calcaneusffl n-2-1內(nèi)Ml作 略呈弧行的皮ttWn諫切n£fJIHtt止點(diǎn)內(nèi)鏡內(nèi)n F行止于處 波片術(shù)人路町用來(lái)完底卜術(shù)価Mt內(nèi)側(cè)厲灶涓除術(shù)、HJ什針折 切開(kāi)復(fù)位兇定術(shù)Pig, 11 -2-1 Make u diglily cumtl iix i*M»n on the medial a|>rcl ihr calranru*. B<*pn if am the mr<lial “kirpn <>f theralrarw-u* nriir ih “Yilion and puz il inkriorly

5、to lhe medialmallr<4u» and end il al th<* lip «>( dr na% iculur Immw. This* apprYiach fit% I hr (ollouing oprruliora*： rrmovid (beuw «ni the <iil< jm-u* o|m*ii rrdu< Ikmi aixl Gxtflion of I hr calanral fnMlurr.ra ii”j開(kāi)皮我皮下組織及深筋諛earn展駅Fi. I I -2-2 Incix* tlw、kin. llw

6、zbcukmmu、lizixf aixl llw Trp GiM'ia rx|MKing thr uImIui Iot h.illuc'1*.圖II -2-3顯缶樹(shù)展譏的F綠.將并向什鶴金開(kāi)曲期竹體的內(nèi)*1和卜內(nèi)駕。Hg. 11-2-3叭 g Ihcmfcnnr margin of llw aMucM hallum型下 lh<- oium k ixllyand retract it donmlly to cxpottc the medial and inferomwiia! aspect* <»( "w bo< > ° 1*

7、A *jrM us131m 11-2-4 在蹲腿Ul F緣沿切II方向切開(kāi)竹脫并禍肉顯舛級(jí)1T內(nèi)側(cè)Fig. 11 -2-4 Incise llw* peri«Mcum in line with thr de in inci 如 m and Mrip il from thr lone to rxpw thea*|wcl of llw calcanru*3.第一跖趾關(guān)節(jié)內(nèi)側(cè)入路3. Milial approach to the first in<Uatars4)phalangt-al jointW 11 -3-1金第帥IM關(guān)以叢跖“英“何助為中心作七約3-5<m的 皮聯(lián)縱行切

8、【1詼?zhǔn)中g(shù)人路町用來(lái)完成蹟竇炎M竇切除術(shù)、第Hi-Jtl內(nèi)側(cè)什贊切除術(shù)、蹲 外辭形術(shù)JGJ部純?cè)顫?jì)除術(shù)第 W1t頭及近WMTtn折切開(kāi)復(fù)位內(nèi)01定術(shù)<Fig. I I -3-1 Make a 3 - 5 rti l<»ng iix iMon rrnlrrr< over ihr joint %pa< r on the nw-clial of I hr Gn.1 mfUilarM>|>luilangral pint. This uppnNich cuii l>r u*cd fur buni<»«M*cl<»

9、;n)y. rx<*i>i<Hi of OHlcophytr on I hr held & tlw firM inrUtur>4i!. (XNrmlMMi of hallux valgum. rrnMnul <)f Rtcu,.(>|N*n reduclicn and (ixalion of fracture of the head of lhe fiml mctalanud and proximal plmlaiuc of the p<*ul l<w.圖11-3-2切開(kāi)皮膚及皮呵I紐、筋換將氏向艸対牽開(kāi)£狐第一跖趾關(guān)節(jié)豪的內(nèi) !*1結(jié)構(gòu)切開(kāi)皮IK時(shí)注盤(pán)保護(hù)暢綁的-根皮神經(jīng)-hg. II - 3 - 2 Incise the、kin I hr Mibcu 口 nrx 卜 I issues an<l the fasciae. Krlra<*t I hr *kin Oap> l<» ImHIirx|MK4- llw miNiialnf I hr joint capsule dn(l take <«irt to pnMr<t the ru-nrnr.m 11-3-3切開(kāi)關(guān)節(jié)竇時(shí)作一血&位于近肖址什的舌形超向遠(yuǎn)WMff.第一KatWoh