图4-1-1前臂旋前,切口自腕背中点向近侧至肱骨外上髁前1.5cm连线的上1/3。此入路适用于桡骨骨折切开复位固定术和桡骨肿瘤切除术。Fig.4-1-1Withtheforearmpronated,maketheskinincisionovertheproximalthirdoftheradiusalongalinedrawmfromthecenterofthedorsumofthewr...[继续阅读]

    图4-2-1前臂旋前,自桡骨茎突起向近侧延伸经桡骨背侧略偏向尺侧作7～8cm纵行切口。此入路适用于桡骨下端骨折畸形愈合截骨矫形术、肿瘤切除术及骨髓炎病灶清除术。Fig.4-2-1Begintheincisionatthestyloidprocessoftheradiusandextendproximally7-8cmal...[继续阅读]

    图4-3-1前臂旋后,切口由肱二头肌腱外侧沿肱桡肌内侧缘向远侧直至桡骨茎突前方。此入路可用于桡骨干骨折切开复位术、骨折不愈合、骨髓炎病灶清除术及骨肿瘤切除术。Fig.4-3-1Withtheforearmsupinated,beginalongitudinalincisionatapointjustlater...[继续阅读]

    图4-4-1由肘关节近侧2.5cm肱三头肌外侧向远侧经尺骨鹰嘴顶部外侧,沿尺骨后缘至尺骨中上1/3处。此入路适用孟氏骨折切开复位术、环状韧带修补术、桡骨头切除术、桡骨头置换术、桡骨颈骨折切开复位术。Fig.4-4-1Begintheincisionabout2....[继续阅读]

    图5-1-1在腕关节桡侧缘,作一长约7.5cm的纵行切口。此入路可用于治疗舟骨不连接。Fig.5-1-1Makea7.5cmlongitudinalskinincisionontheradialsideofthewrist.Thisapproachmaybeusedforthetreatmentofnonunionofthescaphoid.图5-1-2切开皮肤,翻转皮瓣,显露浅筋膜。Fig.5-1-2Inci...[继续阅读]

    图5-2-1以尺骨茎突为中心,作内侧“S”形切口。近端与尺骨平行,远端与第五掌骨平行约2.5cm。此入路可用于腕关节固定术。Fig.5-2-1Makeamedial‘S’shapedincisioncenteredovertheulnarstyloid.Itsproximallimbisparalleltotheulnaanditsdistallimbparalleltothefifthmeta...[继续阅读]

    图5-3-1以Lister结节为中心作一腕背侧部的“S”形切口长10cm。此入路可用于摘除舟骨或月骨及进行腕关节融合术。也可用于桡骨下端肿瘤切除术和腕关节结核病灶清除术。Fig.5-3-1Makea10cm‘S’shapeddorsalincisioncenteredovertheListerstubercle.Th...[继续阅读]

    图5-4-1在腕掌面远侧横纹处作一横切口。此切口常用于月骨脱位的切开复位和腕管综合征的减压术。Fig.5-4-1Makeatransverseincisionacrossthevolaraspectofthewristinthedistalcrease.Thisapproachisusedtoreduceadislocatedlunateandtoreleasethecarpaltunnelsyndrome.图5-4-2切开...[继续阅读]

    图6-1-1切口沿髂嵴的前1/3、阔筋膜张肌的前缘弯向后,经过其止点,进到在转子下部位的髂胫束(常在大转子基底下面8～10cm处)。此入路适用于股骨颈骨折切开复位内固定术、股骨近端骨骺滑脱切开复位术、股骨颈骨折不愈合时的切开复...[继续阅读]

    图6-2-1以大粗隆为中心作一纵行切口,上端距大粗隆约5～7cm,下端距大粗隆8cm。此入路适用于全髋关节置换术、髋关节切开引流术等。Fig.6-2-1Makealaterallongitudinalincisioncenteredoverthegreatertrochanter,5-7cmproximaland8cmdistaltothetrochanter.Thisapproachi...[继续阅读]