骨科手术入路彩色图谱pdf11.foot

1、L跟骨外侧入路l 1 literal approach to the calcaneusl« N - 1 - 1切口起J 外制缘近止点处怡后弧行向远下止外WHii F 2.5- 3cm处 沒术人路吋用来完成At It紳灶淸除术。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.图II -I -2切开皮狀、皮下fll织及深筋枳显HiWIt肌U*及刃支持带丿Fig. 11-1-2 Divide the dciix the «ubcutancou* tkaues and ihr deep fascia to levcai the pcrofical tendons and ii» vrtinaculum.图ii -i -3切开器骨肌支W.KNN1T肌肌8!并

3、将其向上牵开切开犍FM1T® 并向斷侧测离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.跟骨内侧入路2. h<lia

4、approach to the calcaneusffl n-2-1内Ml作 略呈弧行的皮ttWn谏切n£fJIHtt止点内鏡内n F行止于处 波片术人路町用来完底卜术価Mt内侧厲灶涓除术、HJ什针折 切开复位凶定术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开皮我皮下组织及深筋諛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*.图II -2-3显缶树展讥的F绿.将并向什鶴金开曲期竹体的内*1和卜内駕。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缘沿切II方向切开竹脱并祸肉显舛级1T内侧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.第一跖趾关节内侧入路3. Milial approach to the first in<Uatars4)phalangt-al jointW 11 -3-1金第帥IM关以叢跖“英“何助为中心作七约3-5<m的 皮联纵行切

8、【1诙手术人路町用来完成蹟竇炎M竇切除术、第Hi-Jtl内侧什赞切除术、蹲 外辭形术JGJ部純灶濟除术第 W1t头及近WMTtn折切开复位内01定术<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.图11-3-2切开皮肤及皮呵I纽、筋换将氏向艸対牵开£狐第一跖趾关节豪的内 !*1结构切开皮IK时注盘保护畅綁的-根皮神经-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切开关节竇时作一血&位于近肖址什的舌形超向远WMff.第一KatWoh