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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_708_Библиотеки_им_академика_М_И_Перельмана
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J
Joint capsule of ankle, 4f, 5f, 10, 11f, 23f
K
Keller’s arthroplasty, 201
Kirschner wires, 25
L
Lateral calcaneal artery, 116
Lateral calcaneus, 72, 72f
Lateral gutter, 57f, 58
Lateral malleolus, 2, 3f, 8f, 37, 37f, 46f, 50, 50f, 53f, 65f, 72, 72f, 81, 81f,
86, 92, 105, 110, 124
lateral approach to, 43–48
dangers, 47
deep surgical dissection, 46f, 47
distal extension, 47
internervous plane, 47
landmarks, 45, 46f
patient positioning, 44, 44f, 45f
proximal extension, 47
superficial surgical dissection, 47
use of, 43
Lateral plantar artery, 134, 139, 275
Lateral plantar nerve, 139, 275
Lateral process of talus, 81, 81f
Lateral sesamoid bone, plantar approach to, 219–222
contraindication to, 219
dangers, 222
deep surgical dissection, 221, 221f
internervous plane, 221
landmarks and incision, 220, 220f
patient positioning, 2f, 220
superficial surgical dissection, 221, 221f
use of, 219
Lateral tarsal artery, 274
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Lateral wall of calcaneum, 81
Lines of cleavage, 272
Lisfranc fracture/dislocation, 62
Lisfranc’s joint
dorsolateral approach to, 171–174
deep surgical dissection, 174, 174f
enlargement of, 174
internervous plane, 173
landmarks and incision, 172, 172f
with medial approach, 171
patient positioning, 44f, 172
superficial surgical dissection, 173, 173f
use of, 171
dorsomedial approach to, 167–170
enlargement of, 170
internervous plane, 169
landmarks and incision, 168, 168f
medial approach, 169–170, 169f, 170f
patient positioning, 44f, 168
superficial and deep surgical dissection, 169, 169f
use of, 167
Long flexor tendons, 276
Long saphenous vein, 15f, 16, 16f, 20, 22f, 25, 63, 63f, 100
Lumbricals, 276
M
Medial calcaneal tubercle, 132, 132f
Medial cuneiform, 168, 168f
Medial digital nerve, 218
Medial gutter, 57f, 58
Medial malleolar fractures, 13, 15
Medial malleolar osteotomy, 101
Medial malleolus, 2, 3f, 22, 22f, 23f, 27, 28, 33f, 124, 132, 142, 149, 164f
anterior and posterior approaches, 13–20
anterior incision, 15–18, 15f–18f, 20
dangers, 20
deep surgical dissection, 17, 17f–19f
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extensile measures, 20
internervous plane, 16
patient positioning, 14, 14f
posterior incision, 15–17, 18f, 19f, 20
superficial surgical dissection, 16, 16f
use of, 13
Medial plantar artery, 139, 275
Medial plantar nerve, 139, 215, 275
Medial sesamoid bone excision, surgical approach for, 215–218
dangers, 218
deep surgical dissection, 217, 218f
internervous plane, 217
landmarks and incision, 216, 216f
patient positioning, 2f, 216
structures at risk during, 215
superficial surgical dissection, 217, 217f
Metatarsal arteries, 274
Metatarsalgia, 275
Metatarsophalangeal joint of great toe
dorsal approach to, 201–204
dangers, 204
deep surgical dissection, 203
extension of, 204
internervous plane, 203
landmarks and incision, 202, 202f
patient positioning, 2f, 202
preoperative workup, 201
superficial surgical dissection, 203, 203f
use of, 201
dorsomedial approach to, 205–208
dangers, 208
deep surgical dissection, 207
extension of, 208
internervous plane, 207
landmarks and incision, 206, 206f
patient positioning, 2f, 206
superficial surgical dissection, 207, 207f
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use of, 205
Metatarsophalangeal joints of second, third, fourth, and fifth toes, dorsal
approach to, 231–235
dangers, 235
deep surgical dissection, 234, 234f
internervous plane, 234
landmarks and incision, 233, 233f
patient positioning, 232, 232f
superficial surgical dissection, 234, 234f
use of, 231
Midfoot, 153, 167
approach to cuboid, 153–156
deep surgical dissection, 155, 156f
extension of, 156
internervous plane, 155
landmarks and incision, 154, 154f
patient positioning, 80f, 154
superficial surgical dissection, 155, 155f
use of, 153
approach to navicular, 157–162
dangers of, 157
deep surgical dissection, 160, 160f, 161f
extension of, 162
internervous plane, 160
landmarks and incision, 158, 158f, 159f
patient positioning, 2f, 158
superficial surgical dissection, 160
use of, 157
collapse, direct medial approach for, 163–165
extension of, 165
internervous plane, 165
landmarks and incision, 164, 164f
patient positioning, 14f, 164
superficial and deep surgical dissection, 165, 165f
timing of surgery, 163
use of, 163
Morton’s neuroma
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dorsal approach for, 237–240
dangers, 240
extension of, 240
internervous plane, 239
landmarks and incision, 238, 238f
patient positioning, 232f, 238
superficial surgical dissection, 239, 239f
use of, 237
recurrent, plantar approach for, 241–244
dangers, 244
deep surgical dissection, 243, 243f
extension of, 244
internervous plane, 243
landmarks and incision, 242, 242f
patient positioning, 2f, 242
superficial surgical dissection, 243, 243f
N
Nail bed ablation, approach for, 261–264
contraindication to, 261
dangers, 264
deep surgical dissection, 264, 264f
enlargement of, 264
internervous plane, 263
landmarks and incision, 262, 262f
patient positioning, 262, 262f
superficial surgical dissection, 263, 263f
Navicular fractures, approach to, 157–162
dangers of, 157
deep surgical dissection, 160, 160f, 161f
dorsomedial approach, 160, 161f
medial approach, 160, 160f, 161f
extension of, 162
internervous plane, 160
landmarks and incision, 158
dorsomedial approach, 158, 159f
medial approach, 158, 158f
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patient positioning, 2f, 158
superficial surgical dissection, 160
Navicular–medial cuneiform joint, 185, 185f
Neurovascular bundle (anterior tibial artery and deep peroneal nerve), 3f,
4, 5
Neurovascular bundles, ankle joint, 62
anterior neurovascular bundle, 62, 65f, 66f, 70
posterior neurovascular bundle, 62, 63f, 64f
Numbness in first web space, 272
O
Onychogryphosis, 261
Os peroneum, lateral approach to, 127–130
contraindications to, 127
dangers, 130
deep surgical dissection, 129, 130f
internervous plane, 129
landmarks and incision, 128, 128f
patient positioning, 118f, 128
superficial surgical dissection, 129, 129f
use of, 127
Osteophytes, removal of, 175
P
Peroneal artery, 151
Peroneal muscles, 51, 65f, 67f, 70
Peroneal nerve, 107
superficial branch of, 12
Peroneal retinaculum, 39f, 40f
Peroneal tendons, 67f, 68f, 70, 73, 81, 81f
Peroneal tubercle, 81, 81f, 86, 86f, 105, 105f
Peroneus brevis, 38, 38f, 39f, 47, 111, 129, 129f, 146f, 147f, 149, 153,
183, 198f, 199, 199f
tendon, 70
Peroneus longus, 149, 153, 183
tendon of, 278
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Peroneus tertius, 47, 149
tendon, 73
Pilon fractures, operative treatment of, 1, 4, 5f
Plantar aponeurosis, 138, 181, 275
Plantar digital artery, 248
Plantar digital nerve, 247, 248
Plantar fascia, 181, 181f
medial approach to, 131–134
dangers, 134
deep surgical dissection, 133, 133f
extensile measures, 134
internervous plane, 133
landmarks and incision, 132, 132f
patient positioning, 132
superficial surgical dissection, 133, 133f
use of, 131
Plantar fasciitis (“policeman’s heel”), 275
Plantar fibromatosis, plantar approach for, 179–182
deep surgical dissection, 181, 181f, 182f
extension of, 182
internervous plane, 181
landmarks and incision, 180, 180f
patient positioning, 44f, 180
superficial surgical dissection, 181, 181f
use of, 179
Plantar scar, 241, 244
Posterior colliculi fractures, 15
Posterior inferior tibiofibular ligament, 10, 11f
Posterior part of Grice (lateral approach to hindfoot), 79–84
Posterior talofibular ligament, 40f
Posterior tibial artery, 32f–34f, 33, 62, 64f, 134, 142, 143, 144, 149, 151,
151f
Proximal interphalangeal (PIP) joint, 246, 246f, 249, 250f, 251, 252f, 255,
256f
Q
Quadratus plantae muscle, 276
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R
Relaxed skin tension lines, 272
Retinacula, 62
Royal Air Force (RAF) fusion approach, 7–12. See also Ankle
S
Saphenous nerve, 15f, 16, 16f, 20, 22f, 25, 57, 59, 63, 63f, 100, 188, 188f,
189, 202, 202f, 272
Second to fifth metatarsal bones, dorsal approach to, 191–195
dangers, 195
deep surgical dissection, 193, 194f
internervous plane, 193
landmarks and incision, 192, 192f
patient positioning, 2f, 192
superficial surgical dissection, 193, 193f
use of, 191
Sesamoid bone, 276
lateral, plantar approach to, 219–222
contraindication to, 219
dangers, 222
deep surgical dissection, 221, 221f
internervous plane, 221
landmarks and incision, 220, 220f
patient positioning, 2f, 220
superficial surgical dissection, 221, 221f
use of, 219
medial, surgical approach for, 215–218
dangers, 218
deep surgical dissection, 217, 218f
internervous plane, 217
landmarks and incision, 216, 216f
patient positioning, 2f, 216
structures at risk during, 215
superficial surgical dissection, 217, 217f
Short saphenous vein, 10, 12, 38, 41, 45, 111, 112
Sinus tarsi, 71, 72, 149, 150
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fat pad, 51, 52f, 53f
Skeletal pins, 265
Skin
of dorsum of foot, 272
of sole of foot, 275
Skin ulceration, 163, 249, 255
Snowboarder’s talus, 103. See also Talus
Soft tissue procedures, in hallux valgus, 209
Spring ligament, 150, 150f
Styloid process of 5th metatarsal, 128, 128f, 129f
Subtalar joint, 106, 106f, 115, 115f, 145, 150
Superficial peroneal nerve, 3f, 5, 47, 51, 51f, 59, 63, 65f, 149, 272
Superior extensor retinaculum, 51, 51f, 65f, 69, 93, 93f
Superior peroneal retinaculum, 67f, 70
Sural nerve, 10, 12, 38, 41, 47, 63, 67f, 107, 111, 112, 116, 121, 126, 130,
199, 272
Sustentacular fractures, 141
Sustentaculum tali, 142, 142f
medial approach to, 141–144
dangers, 144
deep surgical dissection, 143, 143f
extensile measures, 144
indications for, 141
internervous plane, 143
landmarks and incision, 142, 142f
patient positioning, 142
superficial surgical dissection, 143, 143f
T
Talar neck
anterolateral approach to, 91–96
dangers, 94
deep surgical dissection, 93, 94f, 95f
extensile measures, 98
internervous plane, 93
landmarks and incision, 92, 92f
patient positioning, 92
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superficial surgical dissection, 93, 93f, 94f
use of, 91
anteromedial approach to, 97–101
and anterolateral approach, 97, 101
dangers, 100
deep surgical dissection, 99, 100f
extensile measures, 100
internervous plane, 99
landmarks and incision, 98, 98f
patient positioning, 98
superficial surgical dissection, 99, 99f
use of, 97
Talar neck fractures, fixation of, 97, 101. See also Talar neck
Talocalcaneal joint, 103, 150
posterior, lateral approach to, 85–89
dangers, 89
deep surgical dissection, 87, 88f
incision, 86, 86f
internervous plane, 87
landmarks, 86
local measures to enlarge, 89
patient positioning, 86
superficial surgical dissection, 87, 87f, 88f
use of, 85
Talonavicular joint, 99, 100f, 145, 150, 185, 185f
Talus, 145, 150
blood supply to, 151, 151f
head of, 184, 184f
lateral approach to lateral process of, 103–107
dangers, 107
deep surgical dissection, 106, 106f
enlargement of, 107, 107f
internervous plane, 106
landmarks and incision, 105, 105f
patient positioning, 104, 104f
superficial surgical dissection, 106, 106f
posterolateral approach to posterior aspect of, 109–112
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