《实用手外科手术学》求取 ⇩

Chapter 1 Functional Anatomy of The Hand1

第一章 手的功能解剖1

A. Skin1

一、皮肤1

三、掌腱膜2

C. Palmar Aponeurosis2

二、手的姿势2

B. Postures of Hand2

四、手部肌肉3

D. Muscles of Hand3

E. Blood Vessels12

五、血管12

F. Nerves15

六、神经15

G. Bones,Joints and Ligaments16

七、骨、关节与韧带16

Chapter 2 Basic Operative Techniques of Hand surgery18

A. Commom anaesthesia for hand surgery18

第二章 手外科基本技术操作18

一、手外科常用麻醉18

二、止血带的应用23

B. The application of tourniquet23

C. Atraumatic manoeuvre24

三、无创操作技术24

四、清创术25

D. Debridement25

E. Skin suture:principle and requirements28

五 、皮肤缝合的原则与要求28

F. Postoperative bandaging and splinting29

六、术后包扎与制动29

G. Intra tendon sheath block32

七、腱鞘封闭术32

H. Surgical incisions34

八、手部切口34

Chapter 3 Amputation36

A. Amputation of finger36

第三章 截指（肢）术36

一、截指术36

二、上臂截肢术37

三、前臂截肢术37

C. Forearm a mputation37

B. Upper arm a mputation37

D. Revisional operation of a mputation stump39

四、残端修整术39

Chapter 4 Operations for Pyogenic Infection of Hand41

A. Nail extractuon and drainage fors ubungual hematoma41

第四章 手部化脓性感染切开引流术41

一、甲下血肿引流及拔甲术41

B. Incision and drainage for paronychia abscess42

C. Incision and drainage for felon42

三、脓性指头炎切开引流术42

二、甲沟炎切开引流术42

四、指蹼感染切开引流术43

五、掌间隙感染切开引流术43

E. Incision and drainage for suppurative infection in pal mar spaces43

D. Incision and drainage for finger web infection43

六、化脓性腱鞘炎切开灌注术44

F. Incision and antibiotic perfusion fo suppurative lenosynovitis44

七、前臂间隙感染切开引流术45

G. Incision and drainage of quadreulateral space in forcarm45

八、骨髓炎和化脓性关节炎病灶清除术46

H. Focaleradication operation for osteomyelitis and pyogenic arthritis46

第五章 皮肤移植术47

一、皮肤的组织结构47

二、皮片种类47

A. The structures of skin47

B. Types of split thickness skin graft47

Chapter 5 Skin Graft47

三、皮片切取方法48

C. Methods of harvesting split thickness skin flap48

四、皮片移植50

D. Split thickness skin flap graft50

五、指甲游离移植51

E. Nail graft51

Chapter 6 Skin Flap Transplantation53

A. Types of skin flap53

第六章 皮瓣移植53

一、皮瓣的种类53

二、带蒂皮瓣54

B. Pedicle flaps54

三、带血管蒂的岛状皮瓣64

C. Vascular pedicled lsland flap64

D. Free flap82

四、游离皮瓣移植82

Chapter 7 Bone and Joint Operations100

第七章 骨与关节手术100

A. Reduction and fixation of fracture of phalangeal bone101

一、指骨骨折整复固定术101

B. Reduction and fixation of fracture of metacarpal bone106

二、掌骨骨折106

三、舟状骨骨折110

C. Fracture of Scaphoid bone110

五、月骨摘除术112

D. Open reduction of dislocation of lunate bone112

四、月骨脱位切开复位术112

E. Excision of lunate bone112

F. Open reduction of first metacarpo phalangeal jonint dislocation114

六、拇指掌指关节脱位切开复位术114

G. Open reduction of second metacarpo phalangeal joint115

七、第二掌指关节脱位切开复位术115

H. Ligament reconstruction in old dislocation of first metacarpo carpal joint116

八、第一腕掌关节习惯性脱位韧带成形术116

I. Repair of collateral ligament of interphalangeal joint117

九、指间关节侧副韧带修复术117

J.Capsulecto my for contracture of collateral ligament of metacarpo phalangeal joint118

K. Arthroplasty of metacarpo phalangeal joint118

十一、掌指关节成形术118

十、掌指关节侧副韧带挛缩切除术118

十二、吻合血管的跖趾关节移植掌指关节重建术120

L. Reconstruction of metacarpo phalangeat joint by vascularized metatarso phalangeal joint transplan120

M.Implant arthroplasty124

十三、人工关节置换术124

N. Bone graft126

十四、骨移植术126

O. Interphalangeat joint arthrodesis129

十五、指间关节融合术129

P. Arthrodesis of metacarpo phalangeal joint of thumb130

十六、拇指掌指关节融合术130

Q. Arthrodesis of carpo metacarpal joint of thumb131

十七、拇指掌腕关节融合术131

R. Wrist fusion132

十八、腕关节融合术132

S. Correction osteotomy of malunion of phalangeal and metacarpal bone135

十九、掌指骨畸形连接截骨矫正术135

Chapter 8 Repair of Tendon137

一、肌腱损伤的治疗原则137

第八章 肌腱修复术137

A. Principles of treatment of tendon injury137

B. Tendon suturing138

二、肌腱缝合术138

C. Source and havesting of rendon graft143

三、移植肌腱的来源及切取方法143

D. Repair of distal extensor tendon rupture146

四、末节伸指肌腱损伤修复术146

E. Repair of central tendon rupture148

五、中央腱损伤修复术148

F. Repair of extensor hood (dislocation of extensor tendon)150

六、腱帽（伸腱滑脱）修复术150

G. Repair of extensor pollicis longus tendon152

七、拇长伸肌腱修复术152

H. Repair of extensor digitorum communis tendon153

八、指总伸肌腱修复术153

I. Repair of flexor digitorum tendons154

九、拇长屈肌腱损伤修复术154

J. Tendon graft for defect of flexor digitorum profundus tendon157

十、指屈肌腱损伤修复术157

十一、指深屈肌腱缺损游离肌腱修复术158

K. C orrection operations for swan neck deformity158

十二、鹅颈畸形矫治术162

L. Reconstruction of digital sheath pulley162

十三、滑车重建术164

M. Incision and release operation for stenosing tenovaginitis164

十四、狭窄性腱鞘炎切开松解术166

第九章 上肢神经损伤修复术167

一、神经损伤分类及治疗原则167

Chapter 9 Repair of Nerve Injury of Upper Extremity167

A. Classification and principle of treatment in nerve injury167

B. The methods of nerve suturing168

二、神经缝合方法168

C. Exploration operation of brachial plexus170

三、臂丛神经探查术170

四、正中神经显露174

D. Surgical exposures of median nerve174

E. Surgical exposure of uinar nerve176

五、尺神经显露176

六、桡神经显露179

F. Surgical exposure of radial nerve179

H. Neurorrhaphy of digital proper nerve182

七、正中神经损伤修复术182

八、指固有神经损伤修复术182

G. Neurorrhaphy of median nerve at wist region182

I. Vascularized Nerve Graft183

九、吻合血管的神经游离移植术183

十、神经松解术184

J. Nerve release operation184

K. Deco mpression operations of upper extremity nerve compression syndromes184

十一、上肢神经嵌压综合征松解术184

B. Tendon tranfer for radial palsy189

A. Prequisits for tendon transfer189

一、肌腱移位术的条件189

第十章 上肢神经损伤肌腱移位术189

Chapter 10 Tendon Transfer for Recontruction of Nerve Injury of Upper Extremity189

二、桡神经损伤后肌腱移位术189

C. Tendon transfser for median palsy192

三、正中神经损伤肌腱移位术192

D. Tendon transfer for uluar palsy199

四、尺神经损伤的肌腱移位术199

五、正中、尺神经损伤肌腱移位术200

E. Tendon transfer for combined median and ulnar nerve injury200

八、蚓状肌功能重建术202

F. Reconstruction of intrinsic muscle function202

六、尺神经、桡神经损伤的肌腱移位术202

七、正中神经、桡神经损伤的肌腱移位术202

一、线状瘢痕挛缩“Z”字改形术207

第十一章 手部挛缩畸形矫治术207

A. ?plasty for linear scar contracture207

Chapter 11 Plastic Operation for Contracture Deformitis of Hand207

B. Excision of palmar aponeurosis contracture209

二、掌腱膜挛缩切除术209

三、拇收肌挛缩切断术211

C. Tenotomy of adductor brevis211

D. Plastic operations for Volkmann contracture212

四、伏克曼缺血挛缩功能重建术212

A. Operation for syndactyly214

Chapter 12 Correction and Reconstructive Operations for Congenital Hand Deformitues214

第十二章 先天性畸表矫治术214

一、并指畸形分指术214

二、多指畸形切除术216

B. Excision and plasty of supernumery dactyly216

D. Plastic operation for cleft hand219

四、裂手畸形矫治219

C. Correction of congenital ring constriction of finher219

三、手指环沟畸形矫治219

E. Treatment of congenital aplasia of radius222

五、桡骨发育不良与缺如的矫治222

F. Plastic operations for congenital aplasia of ulna227

六、尺骨发育不全和缺如矫治227

A. The anato my of blood vessels of fingers228

一、手指血管解剖228

第十三章 断指再植术228

Chapter 13 Digital Replantation228

B. Blood vessel anastomosis230

二、血管吻合术230

C. Replantation of thumb and finger234

三、断指再植术234

D. Replantation of disal segment amputation237

四、末节断指再植术237

E. Replantation of rotational avulsion amputation of thumb238

五、拇指旋转撕脱性离断再植术238

六、断掌再植术241

F. Replantation of palmar amputation241

G. Replantation of wrist amputation244

七、断腕再植术244

H. Exploratory operation of vascular erisis246

八、血管危象探查术246

Chapter 14 Reconstruction of Thumb and finger248

A. The grading of thumb loss248

B. Pollicisation of index finger248

二、食指转位拇指再造术248

一、拇指缺损分度248

第十四章 拇、手指再造术248

C. Elongation of thumb stump252

三、拇指残端提升术252

D. Deepening of first wed and thumb lengthening253

E. Thumb lengthening by bone peg and cross forearm skin flap253

四、虎口加深拇指延长术253

五、拇指植骨交臂皮瓣拇指加长术253

F. Thumb lengthening by bone peg and index finger dorsal island flap254

六、拇指植骨食指背侧岛状皮瓣移位拇指加长术254

G. Hiac bone peg osteoplastic reconstruction256

H. Toe to hand plasty for reconstruction of thumb or finger(s)256

八、足趾移植拇指手指再造术256

七、骼骨植骨皮管形成拇指再造术256

I. Bilateral toe transfer for thumb and finger reconstruction273

九、双足趾移植拇指、手指再造术273

J. Combined tissue transfer for thumb reconstruction277

十、复合组织移植拇指再造术277

K. Great toe transfer for thumb reconstruction278

十一、？趾移植线拇指再造术278

十二、？趾皮甲瓣移植拇指再造术281

L. Nail skin flap of great toe transfer for thumb reconstruction281

M. Partial thumb and finger reconstruction by anastomosis of digital proper arteries of toe and fing285

十三、吻合趾-指动静脉的部分拇、手指再造术285

第十五章 急症手再造术289

Chapter 15 Emergency Reconstruction of Hand289