PART Ⅵ AMPUTATIONS 598
14 General Principles of Amputations&Patrick C.Toy 598
15 Amputations of the Foot&David R.Richardson 613
16 Amputations of the Lower Extremity&Marc J.Mihalko 637
17 Amputations of the Hip and Pelvis&Marc J.Mihalko 651
18 Amputations of the Upper Extremity&Kevin B.Cleveland 659
19 Amputations of the Hand&James H.Calandruccio 673
PART Ⅶ INFECTIONS 706
20 General Principles of Infection&Kevin B.Cleveland 706
21 Osteomyelitis&Gregory D.Dabov 725
22 Infectious Arthritis&Anthony A.Mascioli and Ashley L.Park 749
23 Tuberculosis and Other Unusual Infections&Marc J.Mihalko 773
List of Techniques 615
Amputations of the Foot 615
15-1 Terminal Syme Amputation 615
15-2 Amputation at the Base of the Proximal Phalanx 616
15-3 Metatarsophalangeal Joint Disarticulation 617
15-4 Metatarsophalangeal Joint Disarticulation 619
15-5 First or Fifth Ray Amputation(Border Ray Amputation) 619
15-6 Central Ray Amputation 620
15-7 Transmetatarsal Amputation 622
15-8 Chopart Amputation 624
15-9 Syme Amputation 627
15-10 Two-Stage SymeAmputation(Wyssetal.;Malone et al.;Wagner) 632
15-11 Boyd Amputation 633
Amputations of the Lower Extremity 638
16-1 Transtibial Amputation 638
16-2 Transtibial Amputation Using Long Posterior Skin Flap(Burgess) 640
16-3 Knee Disarticulation(Batch Spittler,and McFaddin) 642
16-4 Knee Disarticulation(Mazet and Hennessy) 644
16-5 Knee Disarticulation(Kjoble) 645
16-6 Transfemoral(Above-Knee)Amputation of Nonischemic Limbs 646
16-7 Transfemoral(Above-Knee),Amputation of Nonischemic Limbs(Gottschalk) 646
16-8 Transfemoral(Above-Knee)Amputation for Ischemic Limbs 648
Amputations of the Hip and Pelvis 651
17-1 Anatomical Hip Disarticulation(Boyd) 651
17-2 Posterior Flap(Slocum) 653
17-3 Standard Hemipelvectomy 653
17-4 Anterior Flap Hemipelvectomy 655
17-5 Conservative Hemipelvectomy 655
Amputations of the Upper Extremity 659
18-1 Amputation at the Wrist 659
18-2 Disarticulation of the Wrist 660
18-3 Distal Forearm(Distal Transradial)Amputation 660
18-4 Proximal Third of Forearm(Proximal Transradial)Amputation 662
18-5 Disarticulation of the Elbow 662
18-6 Supracondylar Area 663
18-7 Amputation Proximal to the Supracondylar Area 664
18-8 Amputation Through the Surgical Neck of the Humerus 664
18-9 Disarticulation of the Shoulder 664
18-10 Anterior Approach(Berger) 667
18-11 Posterior Approach(Littlewood) 671
Amputations of the Hand 678
19-1 Kutler V-Y Triangular Advancement Flap(Kutler;Fisher) 678
19-2 Atasoy V-Y Triangular Advancement Flap(Atasoy et al.) 680
19-3 Bipedicle Dorsal Flaps 681
19-4 Adipofascial Turnover Flap 682
19-5 Thenar Flap 682
19-6 Local Neurovascular Island Flap 683
19-7 Island Pedicle Flap 683
19-8 Retrograde Island Pedicle Flap 684
19-9 Ulnar Hypothenar Flap 685
19-10 Index Ray Amputation 685
19-11 Transposing the Index Ray(Peacock) 687
19-12 Advancement Pedicle Flap for Thumb Injuries 690
19-13 Phalangization of Fifth Metacarpal 691
19-14 Krukenberg Reconstruction(Krukenberg;Swanson) 692
19-15 Lengthening of Metacarpal and Transfer of Local Flap (Gillies and Millard Modified) 695
19-16 Osteoplastic Reconstruction and Transfer of Neurovascular Island Graft(Verdan) 696
19-17 Riordan Pollicization (Riordan) 696
19-18 Buck-Gramcko Pollicization(Buck-Gramcko) 698
19-19 Foucher Pollicization 700
Osteomyelitis 729
21-1 Drainage ofAcute Hematogenous Osteomyelitis 729
21-2 Sequestrectomy and Curettage for Chronic Osteomyelitis 734
21-3 Open Bone Grafting(Papineau et al.;Archdeacon and Messerschmitt) 735
21-4 Antibiotic Bead Pouch(Henry,Ostermann,and Seligson) 736
21-5 Intramedullary Antibiotic Cement Nail 736
21-6 Split-Heel Incision(Gaenslen) 741
21-7 Distal Third of the Femur 741
21-8 Drainage 742
21-9 Resection of the Metatarsals 743
21-10 Partial Calcanectomy 743
21-11 Resection of the Fibula 744
21-12 Resection of the Iliac Wing(Badgley) 744
Infectious Arthritis 753
22-1 Surgical Drainage of the Tarsal Joint 753
22-2 Anterolateral Drainage of the Ankle 753
22-3 Posterolateral Drainage of the Ankle 753
22-4 Anteromedial Drainage of the Ankle 754
22-5 Posteromedial Drainage of the Ankle 754
22-6 Arthroscopic Drainage of the Knee 755
22-7 Anterior Drainage of the Knee 755
22-8 Posterolateral and Posteromedial Drainage of the Knee(Henderson) 755
22-9 Posteromedial Drainage of the Knee(Klein) 755
22-10 Posteromedial and Posterolateral Drainage of the Knee(Kelikian) 756
22-11 Lateral Aspiration of the Hip 757
22-12 Anterior Aspiration of the Hip 758
22-13 Medial Aspiration of the Hip 758
22-14 Posterior Drainage of the Hip(Ober) 758
22-15 Anterior Drainage of the Hip 758
22-16 Lateral Drainage of the Hip 758
22-17 Medial Drainage of the Hip(Ludloff) 759
22-18 Resection of the Hip(Girdlestone) 761
22-19 Anterior Drainage of the Shoulder 762
22-20 Posterior Drainage of the Shoulder 763
22-21 Medial Drainage of the Elbow 763
22-22 Lateral Drainage of the Elbow 763
22-23 Posterior Drainage of the Elbow 764
22-24 Lateral Drainage of the Wrist 764
22-25 Medial Drainage of the Wrist 765
22-26 Dorsal Drainage of the Wrist 765
22-27 Osteotomy of the Ankle 765
22-28 Transverse Supracondylar Osteotomy of the Femur 765
22-29 V-Osteotomy of the Femur(Thompson) 766
22-30 Supracondylar Cuneiform Osteotomy of the Femur 766
22-31 Supracondylar Controlled Rotational Osteotomy of the Femur 766
22-32 Intraarticular Osteotomy 768
22-33 Reconstruction after Hips Sepsis(Harmon) 769
22-34 Transverse Opening Wedge Osteotomy of the Hip 770
22-35 Transverse Closing Wedge Osteotomy of the Hip 771
22-36 Brackett Osteotomy of the Hip(Brackett) 771
Tuberculosis and Other Unusual Infections 776
23-1 Curettage for Tuberculous Lesions in the Foot 776
23-2 Excision of Metatarsal 776
23-3 Excision of Cuneiform Bones 777
23-4 Excision of Navicular 777
23-5 Excision of Cuboid 777
23-6 Excision of Calcaneus 777
23-7 Excision of Talus 777
23-8 Partial Synovectomy and Curettage(Wilkinson) 779
23-9 Lesions above Acetabulum 779
23-10 Lesions of the Femoral Neck 779
23-11 Lesions of the Trochanteric Area(Ahern) 780
23-12 Excision of the Hip Joint 780
23-13 Excision of Elbow Joint 781
23-14 Excision of Wrist Joint 781