骨科手术入路图解
作者： （德）FridunKerschbaumer等主编
出版时间： 2019年版
内容简介
　　本书为国际上*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。
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