圖4-1-1前臂旋前,切口自腕背中點(diǎn)向近側(cè)至肱骨外上髁前1.5cm連線的上1/3。此入路適用于橈骨骨折切開復(fù)位固定術(shù)和橈骨腫瘤切除術(shù)。Fig.4-1-1Withtheforearmpronated,maketheskinincisionovertheproximalthirdoftheradiusalongalinedrawmfromthecenterofthedorsumofthewr...[繼續(xù)閱讀]

    圖4-2-1前臂旋前,自橈骨莖突起向近側(cè)延伸經(jīng)橈骨背側(cè)略偏向尺側(cè)作7～8cm縱行切口。此入路適用于橈骨下端骨折畸形愈合截骨矯形術(shù)、腫瘤切除術(shù)及骨髓炎病灶清除術(shù)。Fig.4-2-1Begintheincisionatthestyloidprocessoftheradiusandextendproximally7-8cmal...[繼續(xù)閱讀]

    圖4-3-1前臂旋后,切口由肱二頭肌腱外側(cè)沿肱橈肌內(nèi)側(cè)緣向遠(yuǎn)側(cè)直至橈骨莖突前方。此入路可用于橈骨干骨折切開復(fù)位術(shù)、骨折不愈合、骨髓炎病灶清除術(shù)及骨腫瘤切除術(shù)。Fig.4-3-1Withtheforearmsupinated,beginalongitudinalincisionatapointjustlater...[繼續(xù)閱讀]

    圖4-4-1由肘關(guān)節(jié)近側(cè)2.5cm肱三頭肌外側(cè)向遠(yuǎn)側(cè)經(jīng)尺骨鷹嘴頂部外側(cè),沿尺骨后緣至尺骨中上1/3處。此入路適用孟氏骨折切開復(fù)位術(shù)、環(huán)狀韌帶修補(bǔ)術(shù)、橈骨頭切除術(shù)、橈骨頭置換術(shù)、橈骨頸骨折切開復(fù)位術(shù)。Fig.4-4-1Begintheincisionabout2....[繼續(xù)閱讀]

    圖5-1-1在腕關(guān)節(jié)橈側(cè)緣,作一長(zhǎng)約7.5cm的縱行切口。此入路可用于治療舟骨不連接。Fig.5-1-1Makea7.5cmlongitudinalskinincisionontheradialsideofthewrist.Thisapproachmaybeusedforthetreatmentofnonunionofthescaphoid.圖5-1-2切開皮膚,翻轉(zhuǎn)皮瓣,顯露淺筋膜。Fig.5-1-2Inci...[繼續(xù)閱讀]

    圖5-2-1以尺骨莖突為中心,作內(nèi)側(cè)“S”形切口。近端與尺骨平行,遠(yuǎn)端與第五掌骨平行約2.5cm。此入路可用于腕關(guān)節(jié)固定術(shù)。Fig.5-2-1Makeamedial‘S’shapedincisioncenteredovertheulnarstyloid.Itsproximallimbisparalleltotheulnaanditsdistallimbparalleltothefifthmeta...[繼續(xù)閱讀]

    圖5-3-1以Lister結(jié)節(jié)為中心作一腕背側(cè)部的“S”形切口長(zhǎng)10cm。此入路可用于摘除舟骨或月骨及進(jìn)行腕關(guān)節(jié)融合術(shù)。也可用于橈骨下端腫瘤切除術(shù)和腕關(guān)節(jié)結(jié)核病灶清除術(shù)。Fig.5-3-1Makea10cm‘S’shapeddorsalincisioncenteredovertheListerstubercle.Th...[繼續(xù)閱讀]

    圖5-4-1在腕掌面遠(yuǎn)側(cè)橫紋處作一橫切口。此切口常用于月骨脫位的切開復(fù)位和腕管綜合征的減壓術(shù)。Fig.5-4-1Makeatransverseincisionacrossthevolaraspectofthewristinthedistalcrease.Thisapproachisusedtoreduceadislocatedlunateandtoreleasethecarpaltunnelsyndrome.圖5-4-2切開...[繼續(xù)閱讀]

    圖6-1-1切口沿髂嵴的前1/3、闊筋膜張肌的前緣彎向后,經(jīng)過(guò)其止點(diǎn),進(jìn)到在轉(zhuǎn)子下部位的髂脛束(常在大轉(zhuǎn)子基底下面8～10cm處)。此入路適用于股骨頸骨折切開復(fù)位內(nèi)固定術(shù)、股骨近端骨骺滑脫切開復(fù)位術(shù)、股骨頸骨折不愈合時(shí)的切開復(fù)...[繼續(xù)閱讀]

    圖6-2-1以大粗隆為中心作一縱行切口,上端距大粗隆約5～7cm,下端距大粗隆8cm。此入路適用于全髖關(guān)節(jié)置換術(shù)、髖關(guān)節(jié)切開引流術(shù)等。Fig.6-2-1Makealaterallongitudinalincisioncenteredoverthegreatertrochanter,5-7cmproximaland8cmdistaltothetrochanter.Thisapproachi...[繼續(xù)閱讀]