Chirurgie des Fußes by Hans Zwipp

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By Hans Zwipp

In 10 Kapiteln beschreibt der Autor die aktuellen criteria der gesamten Sprunggelenks- und Fußchirurgie, angefangen von Komplexverletzungen des Fußes über neueste operative Techniken der Fersenbein-, Talus-, Chopart- und Lisfranc-Chirurgie bis hin zu aktuellen Methoden der rekonstruktiven Fußchirurgie mit speziellen Arthrodesetechniken einschließlich angeborener und erworbener Fußdeformitäten. Das Buch bietet eine umfassende Synopsis der gesamten Anatomie, Bio- und Pathomechanik des Fußes einschließlich spezieller klinischer exams, innovativer radiologischer Diagnostik wie CT, Kernspintomographie und Sonographie bis hin zu aktuellen operativen Methoden in der akuten Traumatologie und der rekonstruktiven Chirurgie der funktionellen Einheit Fuß.

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Extra resources for Chirurgie des Fußes

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K = Schriigachse des Chopart-Gelenkes, A = Lig. ca1caneonaviculare plantare, c= Lig. ca1caneocuboidale plantare. b Die Longitudinalachse (LA) des Chopart-Gelenkes steigt zur Horizontalen urn 15° an und weicht nach medial urn 9° zum 2. Fuf3strahl abo Die Schriigachse (SA), die nach Manter [36] keinen schraubenformigen Charakter wie die Longitudinalachse (LA) hat, verliiuft 52° ansteigend 57° nach medial Biomechanische Prin zipien SUPINATION a NEUTRAL- Q 39 PRONATION c b Abb. 38. a Bei Inversion des Riickfu/3es richtet sich die schrage Chopart-Achse auf.

Das Cunei forme mediale artikuliert zusatzlich mit der Basis des 2. MittelfuBknochens, das Cunei forme intermedium mit dem Cuneiforme mediale und laterale, das Cunei forme laterale zusatzlich mit dem Cuboid . 8. 12. Ful3Uings- und Quergew6lbe: a A Quergew6lbe, B laterales Liingsgew6lbe, C Mediales Uingsgew6lbe. Die in 3 Ebenen aufgeworfene Fuf3platte gewinnt durch ihre keilfOrmigen Bauelemente optimalen statischen Halt. b Ein coronares CT liif3t am linken Fuf3 nach 15 Jahre alter Lisfranc-Liision eine massive St6rung der Statik mit intercuneiformer Arthrose und Rigiditiit erkennen, am rechten Fuf3 den statisch wenig gesicherten 4.

Die A. canalis tarsi - ein Ast der A. tibialis posterior - versorgt iiberwiegend Kopf und Korper des Talus, vor all em medialseitig [42, 45, 69] Die A. sinus tarsi - ein Ast der A. tibialis anterior - versorgt zusammen mit der A. tarsea lateralis den Taluskopf und das laterale Talusdrittel (Abb. 9). Trotz zahlreicher Variationen auch tiber die A. peronea scheint gesichert, daB die A. canalis tarsi mit der A. sinus tarsi anastomosiert, die urn den Talushals verlaufend von unten in den Talus eindringen.

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