距骨骨折手术入路---前外侧入路归纳.docx

Indications适应症:。However,forcertainfracturessuchasminimallydisplacedfracturesorverysimpleneckfractures,,当骨折明确如无明显移位骨折或简单距骨颈骨折,也可以单独使用前外侧入路。       Anatomy     解剖Aroundtheankleandhindfoot,full-,,必须用全厚层皮瓣切口。为避免切断腓浅神经,切口需要设计纵轴方向。Thesuperficialperonealnerveliesintheincisionorverynearandmustbeavoidedandprotected. 腓浅神经多位于手术切口附件,必须注意保护。          Incision     切口Skinincision         皮肤切口Theincisionsherearebasedonthedeeptalaranatomywhichliesunderneaththeextensordigitorumbrevis. ,伸趾短肌位于下方,与第4跖骨平行。        Deepdissection    深层分离Themuscleofextensordigitorumbrevisisbulkybutoncethismuscleissplit, ,但是,一旦分离此肌肉,距骨外侧和距下关节就看到距骨前外侧和距下关节了        Exposureoftheanterolateraltalarneck显露前外侧距骨颈Oncetheextensordigitorumbrevisissplitlongitudinallyandretracted,oneexposesthelateralaspectofthetalarneck。当伸趾短肌被牵开,距骨颈就显露出来了。,,