Bartoníček Jan, Naňka Ondřej
Department of Orthopedics, First Faculty of Medicine, Charles University and the Central Military Hospital, Prague, Czech Republic.
Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Int Orthop. 2025 Jun;49(6):1537-1541. doi: 10.1007/s00264-025-06541-0. Epub 2025 Apr 22.
Surgical approaches in bone surgery have undergone a long evolution over more than 130 years. While a number of publications have been devoted to the history of internal fixation, surgical approaches have remained neglected from this perspective. The development of approaches in musculoskeletal surgery is inextricably linked to four personalities. Theodor Kocher, in 1892, pointed out that descriptions of surgical approaches must be an essential part of surgical textbooks of operative techniques; James Edwin Thompson, in 1918, formulated the basic requirements for the surgical approaches to the skeleton of limbs; Arnold Kirkpatrick Henry published the first textbook of surgical approaches in 1927 and presented the concept of internervous planes in 1945; in the same year, Toufick Nicola created the first comprehensive atlas of surgical approaches to bones and joints of limbs, the pelvis and spine.
骨外科手术入路在130多年的时间里经历了漫长的演变。虽然有许多出版物致力于内固定的历史,但从这个角度来看,手术入路一直被忽视。肌肉骨骼外科手术入路的发展与四个人物有着千丝万缕的联系。西奥多·科赫在1892年指出,手术入路的描述必须是手术技术外科教科书的重要组成部分;詹姆斯·埃德温·汤普森在1918年阐述了四肢骨骼手术入路的基本要求;阿诺德·柯克帕特里克·亨利在1927年出版了第一本手术入路教科书,并在1945年提出了神经间平面的概念;同年,图菲克·尼古拉创作了第一本关于四肢骨骼、关节、骨盆和脊柱手术入路的综合图谱。