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内容简介

本书为国际上最为经典的描述骨科与创伤外科手术入路的图谱之一，被美国骨科医师协会列入美国骨科专科医师培训阶段推荐书目，即PGY2 阶段阅读节目。其通过新颖的编写理念、简洁的文字风格以及精美的手术解剖插图表现出来的手术入路展示方式，重新定义了临床教授骨科手术入路的方式和规范。自1987 年第1 版问世后本书便得到了业内的高度赞誉，是临床骨科医生案头必备的参考书。 新版沿承了第1 版的编写风格，内容包括四个部分，按照人体的部位逐步展开，包括脊柱（前路和后路）、骨盆与下肢、肩部与上肢，基本涵盖了临床上常用的各个部位手术入路。对每一种入路的介绍包括主要适应证、患者准备、体位、麻醉和切口、显露、伤口关闭。其中重点部分为“显露”，以大量绘制精美、解剖层次清晰细致的线条图，结合精练的文字说明，将手术显露的过程一步步清晰地展现给读者。

作者介绍

Fridun Kerschbaumer,德国法兰克福红十字医院骨科主任、教授；Kuno Weise,德国图宾根大学创伤医院主席、教授；Carl Joachim Wirth,德国汉诺威医学院骨科主任、教授；Alexander R.Vaccaro,美国宾夕法尼亚Thomas Jefferson大学骨科主任、教授。 张伟，医学博士，上海交通大学附属第六人民医院骨科主任医师。 王新伟，医学博士，第二军医大学附属长征医院脊柱外科副主任、副教授。

目 录

脊柱，前路手术 Spine, Anterior Approaches /1 1 颈椎与颈胸椎交界区 Cervical Spine and Cervicothoracic Junction /2 1.1 C1~C2（C3）经口入路 /2 Transoropharyngeal Approach C1-C2(C3) 1.2 C3~T2 前方入路 /4 Anterior Approach to the Cervical Spine C3-T2 1.3 下颈椎及上胸椎前方入路（Cauchoix，Binet 及 Evrard 入路）/13 Anterior Approach to the Lower Cervical and Upper Thoracic Spine C4-T3 According to Cauchoix, Binet, and Evrard 2 胸椎 Thoracic Spine /18 2.1 T4~T11 经胸腔入路 /18 Transthoracic Approach to the Thoracic Spine T4-T11 2.2 前方经胸膜入路显露 T3~T11（Louis 入路）/29 Anterior Transpleural Approach to the Spine T3-T11 According to Louis 2.3 高位胸廓开胸术（T1~T4）/33 High Thoracotomy T1-T4 2.4 微创胸腔镜辅助下胸椎手术 /37 Thoracoscopic and Minimally Invasive, Thoracoscopy-Assisted Access to the Thoracic Spine 3 胸腰椎交界区 Thoracolumbar Junction /43 3.1 脊柱 T9~L5 水平经腹膜后胸膜外入路（Hodgson 入路）/43 Retroperitoneal Extrapleural Approach to the Thoracolumbar Spine T9-L5 According to Hodgson 3.2 胸腰椎 T4~L5 双重开胸入路（Bauer 入路）/55 Approach to Thoracolumbar Spine with Two-fold Thoracotomy T4-L5 According to Bauer 3.3 腹膜后胸膜外胸腰椎 T11~L5 入路（Mirbaha 入路）/59 Retroperitoneal Extrapleural Approach to Thoracolumbar Spine T11-L5 According to Mirbaha 4 腰椎及腰骶椎交界区 Lumbar Spine and Lumbosacral Junction /65 4.1 经腹膜后入路显露 L2~L5 /65 Retroperitoneal Approach to the Lumbar Spine L2-L5 4.2 经腹膜入路显露腰骶椎交界区（L4~S1）/69 Transperitoneal Approach to the Lumbosacral Junction L4-S1 4.3 微创经侧方入路显露 L2~L5 /73 Minimally Invasive Lateral Approach to the Lumbar Spine L2-L5 脊柱，后路手术 Spine, Posterior Approaches /77 5 颈椎 Cervical Spine /78 5.1 颈椎与枕颈交界区后路手术 /78 Posterior Approach to the Cervical Spine and Occipitocervical Junction 6 胸椎和腰椎 Thoracic and Lumbar Spine /83 6.1 T3~T10 肋横突关节切除入路 /83 Costotransversectomy T3-T10 6.2 胸腰椎后入路 /87 Posterior Approach to the Thoracic and Lumbar Spine 6.3 腰骶交界区 Wiltse 椎旁肌入路 /93 Paraspinal Approach to the Lumbosacral Junction According to Wiltse 6.4 椎板切开术及椎间盘摘除术的后路短切口入路 /94 Short Posterior Approach to the Lumbar Spine for Laminotomy and Removal of an Intervertebral Disk 骨盆与下肢 Pelvis and Lower Extremity /99 7 骨盆：骨盆环 Pelvis: Pelvic Ring /100 7.1 耻骨联合与骨盆前环入路 /100 Approach to the Symphysis and Anterior Pelvis 7.2 骨盆后环前方入路 /102 Anterior Approach to the Posterior Pelvis 7.3 骶骨后侧入路 /104 Posterior Approach to the Sacrum 7.4 置入骶髂螺钉的侧方微创入路 /105 Lateral Minimally Invasive Approach for Trans-sacroiliac Screw Placement 7.5 坐骨和耻骨入路 /106 Approach to the Ischium and Pubis 8 骨盆：髋臼 Pelvis: Acetabulum /109 8.1 髂腹股沟入路（Letournel 入路）/109 Ilioinguinal Approach According to Letournel 8.2 髋关节后侧入路（Kocher-Langenbeck 入路）/114 Posterior Approach to the Hip According to Kocher-Langenbeck 8.3 前侧微创入路（Stoppa 入路）/118 Anterior Limited Approach According to Stoppa 8.4 Judet 经髂骨入路 /120 Transiliac Approach According to Judet 8.5 Judet 髋臼入路 /124 Approach to the Acetabulum According to Judet 9 髋关节 Hip Joint /128 9.1 髋关节脱位后侧入路（Ganz 入路）/128 Posterior Approach to the Hip Joint with Dislocation According to Ganz 9.2 后侧微创入路 /131 Posterior Minimally Invasive Approach 9.3 经臀肌入路（Bauer 入路）/135 Transgluteal Approach According to Bauer 9.4 经臀肌微创入路 /138 Minimally Invasive Transgluteal Approach 9.5 髋关节前外侧入路 /141 Anterolateral Approach to the Hip Joint 9.6 髋关节前外侧微创入路 /145 Minimally Invasive Anterolateral Approach to the Hip Joint 9.7 髋关节前侧入路 /149 Anterior Approach to the Hip Joint 9.8 前侧微创入路 /152 Anterior Minimally Invasive Approach 9.9 髋关节关节镜入路 /156 Arthroscopic Approaches to the Hip Joint 10 股骨 Femur /161 10.1 前侧入路 /161 Anterior Approach 10.2 股骨骨髓腔的外侧近端入路 /164 Lateral Proximal Approach to the Medullary Cavity of the Femur 10.3 股骨外侧入路 /165 Lateral Approach to the Femur 10.3a 外侧入路：常规显露 /165 Lateral Approach—General Points 10.3b 外侧入路：显露股骨近端 /165 Lateral Approach—Exposure of the Proximal Femur 10.3c 外侧入路：显露股骨远端 /168 Lateral Approach—Exposure of the Distal Femur 10.4 外侧微创入路 /171 Minimally Invasive Lateral Approach to the Femur 10.5 内侧入路 /173 Medial Approach to the Femur 10.6 后侧入路 /177 Posterior Approach to Femur 10.7 股骨远端经关节的髓腔入路 /182 Transarticular Medullary Cavity Approach to the Distal Femur 11 膝关节 Knee /183 11.1 前内侧微创入路 /183 Anteromedial Minimally Invasive Approaches to the Knee Joint 11.2 前内侧髌旁入路 /187 Anteromedial Parapatellar Approach 11.3 小切口内侧入路 /193 Short Medial Approach to the Knee 11.4 前外侧入路 /195 Anterolateral Approach to the Knee Joint 11.5 后外侧入路（Henderson 入路）/197 Posterolateral Approach According to Henderson 11.6 后侧入路（Trickey 入路）/199 Posterior Approach to the Knee Joint According to Trickey 11.7 关节镜入路 /204 Arthroscopic Approaches 12 小腿 Lower Leg /207 12.1 胫骨骨髓腔的近端入路 /207 Proximal Approach to the Medullary Cavity of the Tibia 12.2 胫骨平台的直接后侧入路 /209 Direct Posterior Approach to the Tibial Plateau 12.3 胫骨平台的后内侧入路 /211 Posteromedial Approach to the Tibial Plateau 12.4 经腓骨截骨的胫骨平台后外侧入路 /213 Posterolateral Approach to the Tibial Plateau with Osteotomy of the Fibula 12.5 胫腓骨的后外侧入路 /216 Posterolateral Approach to the Tibia and Fibula 12.6 胫骨干的后内侧入路 /220 Posteromedial Approach to the Tibial Shaft 12.7 胫骨内侧和外侧微创入路 /222 Minimally Invasive Approach to the Medial and Lateral Tibia 12.8 腓骨外侧入路 /227 Lateral Approach to the Fibula 13 足 Foot /230 13.1 踝关节前侧入路 /230 Anterior Approach to the Ankle Joint 13.2 踝关节和距跟舟关节的前外侧入路 /233 Anterolateral Approach to the Ankle Joint and Talocalcaneonavicular Joint 13.3 Cincinnati 入路 /236 Cincinnati Approach 13.4 踝关节和距跟舟关节内侧的后内侧入路 /241 Posteromedial Approach to the Ankle Joint and the Medial Side of the Talocalcaneonavicular Joint 13.5 踝关节背外侧入路 /246 Dorsolateral Approach to the Ankle Joint 13.6 经内踝截骨的踝关节内侧入路 /249 Medial Exposure of the Ankle Joint with Osteotomy of the Medial Malleolus 13.7 关节镜入路 /251 Arthroscopic Approaches 13.8 内踝内侧入路 /253 Medial Approach to the Medial Malleolus 13.9 外踝入路 /254 Approach to the Lateral Malleolus 13.10 跟骨外侧入路 /255 Lateral Approach to the Calcaneus 13.11 跟骨和距跟舟关节的外侧入路 /256 Lateral Approach to the Calcaneus and Talocalcaneonavicular Joint 13.12 跟骨内侧入路 /258 Medial Approach to the Calcaneus 13.13 距跟舟关节外侧入路 /259 Lateral Approach to the Talocalcaneonavicular Joint 13.14 跖骨关节前侧入路 /262 Anterior Approach to the Metatarsal Joints 13.15 跖跗关节内侧入路 /264 Medial Approach to the Tarsometatarsal Joints 13.16 跖趾关节足底入路 /267 Plantar Approach to the Metatarsophalangeal Joints 13.17 第 1 跖趾关节内侧入路 /270 Medial Approach to the Metatarsophalangeal Joint of the Great Toe 13.18 跖骨、跖趾关节和趾间关节后侧入路 /272 Posterior Approaches to the Metatarsal Bones, Metatarsophalangeal Joint, and Interphalangeal Joint 13.19 趾屈肌腱的足底入路 /272 Plantar Approach to the Toe Flexor Tendons 13.20 第 2 趾伸肌入路 /273 Extensor Approach to the Second Toe 肩部与上肢 Shoulder and Upper Extremity /277 14 肩胛骨与锁骨 Scapula and Clavicle /278 14.1 锁骨与肩锁关节的手术入路 /278 Approach to the Clavicle and Acromioclavicular Joint 14.2 胸锁关节的手术入路 /280 Approach to the Sternoclavicular Joint 14.3 肩胛骨的手术入路 /281 Approach to the Scapula 15 肩关节 Shoulder /287 15.1 肩关节前方入路 /287 Anterior Approach to the Shoulder Joint 15.2 显露肱骨近端的肩关节前方延长入路 /292 Extended Anterior Approach to the Shoulder Joint with Exposure of the Proximal Humerus 15.3 肩关节前上入路 /293 Anterosuperior Approach to the Shoulder Joint 15.4 前外侧入路（Bigliani 入路）/294 Anterolateral Approach According to Bigliani 15.5 后上方入路（Gschwend 入路）/296 Posterosuperior Approach According to Gschwend 15.6 肩关节后方入路 /297 Posterior Approach to the Shoulder Joint 15.7 肩关节镜手术入路 /299 Arthroscopic Approach to the Shoulder 16 肱骨 Humerus /306 16.1 肱骨近端手术入路 /306 Proximal Approach to the Humerus 16.2 肱骨后方入路 /307 Posterior Approach to the Humerus 16.3 肱骨远端后方入路 /310 Distal Posterior Approach to the Humerus 16.4 肱骨前方入路 /311 Anterior Approach to the Humerus 16.5 肱骨外侧入路 /316 Lateral Approach to the Humerus 16.6 肱骨内侧入路 /319 Medial Approach to the Humerus 17 肘关节 Elbow /322 17.1 肘关节后方入路 /322 Posterior Approach to the Elbow Joint 17.2 肘关节外侧入路 /329 Lateral Approach to the Elbow Joint 17.3 肘关节内侧入路 /334 Medial Approach to the Elbow Joint 17.4 肘关节前方入路 /337 Anterior Approach to the Elbow Joint 17.5 肘关节镜入路 /342 Approaches for Elbow Arthroscopy 18 前臂 Forearm /346 18.1 桡骨前方入路（Henry 入路）/346 Anterior Approach to the Radius According to Henry 18.2 桡骨背外侧入路（Thompson 入路）/349 Dorsolateral Approach to the Radius According to Thompson 18.3 近端桡骨与尺骨手术入路（Boyd 入路）/352 Approach to the Proximal Parts of the Radius and Ulna According to Boyd 18.4 尺骨外侧入路 /354 Lateral Approach to the Ulna 18.5 桡骨远端的背侧入路 /356 Posterior Approach to the Distal Part of the Radius 18.6 尺骨远端的手术入路 /358 Approach to the Distal Portion of the Ulna 18.7 桡骨远端的掌侧入路 /359 Palmar Approach to the Distal Part of the Radius 19 腕关节 Wrist /362 19.1 镜下腕管松解的微创入路 /362 Minimally Invasive Approach for Endoscopic Carpal Tunnel Division 19.2 腕关节的背侧入路 /365 Posterior Approach to the Wrist 19.3 腕关节的掌侧入路 /368 Palmar Approach to the Wrist 19.4 腕关节镜入路 /372 Approach for Arthroscopy 20 手部 Hand /376 20.1 手部掌侧入路（Skoog 入路）/376 Approach to the Palm According to Skoog 20.2 Guyon 管尺神经显露 /380 Exposure of the Ulnar Nerve in the Canal of Guyon 20.3 腕舟骨的掌侧入路 /382 Palmar Approach to the Scaphoid 20.4 拇指腕掌关节的入路 /384 Approach to the Carpometacarpal Joint of the Thumb 20.5 第 1 伸肌间室的入路 /386 Approach to the First Extensor Tendon Compartment 20.6 手背和手指的背侧切口 /387 Dorsal Incisions Over the Dorsum of the Hand and Fingers 20.6a 背侧切口：常规显露 /387 Dorsal Incisions—General Points 20.6b 掌指关节的背侧入路 /387 Dorsal Approach to the Metacarpophalangeal Joint 20.6c 近节指间关节的背侧入路 /389 Dorsal Approach to the Proximal Interphalangeal Joint 20.6d 需要切断侧副韧带的近侧指间关节背侧入路 /390 Dorsal Approach to the Proximal Interphalangeal Joint Involving Transection of the Collateral Ligament 20.6e 远侧指间关节的背侧入路 /392 Dorsal Approach to the Distal Interphalangeal Joint 20.7 手指屈肌腱的入路 /393 Approach to the Finger Flexor Tendons 20.8 指屈肌腱和近侧指间关节的掌侧显露 /395 Palmar Exposure of the Flexor Tendon and Proximal Interphalangeal Joint 20.9 指屈肌腱的侧方中线切口 /397 Approach to the Finger Flexor Tendon Via the Midlateral Incision 20.10 拇指环形韧带的入路 /400 Approach to the Annular Ligament of the Thumb 附录? 专业术语英汉对照 /404

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