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Operative surgery-3-Lower-extremity

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Lower-extremity

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Operative surgery-3-Lower-extremity

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  11. 11. C'KN"}i’; ~‘iBA. RTQR1AL CANAL, HUN. I.. ER’S CANAL, iCANAL1.s‘ AD£)(. "(. ‘?‘()R1L, -*5) {It is ainusciiltfiascial cgii1althatc0iitai11S zxlargg ltil, lIQr'£l$-L‘ulflr bundle of the , ziii: ui'i0r thigh. l A Borders: i. Latevral: Vastus medialis muscle ii. Medial: Adductor ma_gi1us muscle iiil. A.n1;: rliQrl; ,l. .m111;i: lu i; g1., s,(Qcgd¢1;gc: gQri, _cilgcaicd hem can inc: ‘(:1 :1 1.1.5 mcdialis and hadduc'“t'o'r i‘i'ia"{zni'i‘s in”uS‘c. lés The sartoiius muscle, superficial and hdiliictcii‘ loiigus‘ llllbg Z; -:~ cm gr lliis czuizil. It begins proximally at the iIlfi: L(iOlf, ang, l§' ofthe 'li: inoi'al i: '%. arg! : iilid esuis d2~3laii, l_j hi the adductor hiatus. The adductor canal cgntains 3 foraniina: i. Superior. f0L‘11m€__llI Femoral arier} and win pass ‘her: and Silk? i"'L“C: I1§lE‘Ll‘l"} {lia- superior margin ofths: lamina. ii. lnfi: rior foramch: Popliteal artery and Vein pass here (imam ui. I'. i"iiv. mi-r‘z; _a}. iii. Anterior foramen: Saphenous nerve and urleria at 'l: "f7(l gcmix zie»-c-m. :"a~zx passlto the lamina vawadductoriu. ‘l‘O, EQGRAPHY OF THE KNEE (REGIO GENUS) _ Circular line drawn with 2 fingers’ width above and bclm-» the palcllu: 2 mic-al lines drawn fromthe epicondyles dividing the lmcn‘: region into the ; inixi: l’l(}i' laud-~ posterior (popliteal) knee regions T0l’OGRAPH. YfOF THE ANTERIOR REGIQN. 01-‘ THE Kmaia ‘KEGIO GENUS A/ YTERIOR) Aji l. .<'d4ndI'I'l'dl'l‘SI ‘Pateiia Tendon oftlie qiizindriucps lémnris Patellar ligament Plicac ulares (folds olfattf. ’ tiswc on 3 aidca abm c', ll'iL' P| ilCj, §.1_} Head of the fibula (3erdy‘s tubercle (inseriiun uitlic iliotibial U'£1L, 'Il Lateral condyle oftlie fcniur B) Borders: ‘ Superior: Circular line draxxn 0 cm above the pziiella Inferior: Circular line drawn at thc level or ihu iibial [LlbL'? I‘L)>ll_, ' Medial: Line drawn through thc posterior margin all the medial cpicumlylc ml’ llfif; fcinur Lateral: Lint‘ drawn through the p0s.1eriur m‘c1l"}. _1lll ofthe lziteml cpiumd_- la: uflhc 1‘cmur A CT) Layer-5: : ;Sl$in;
  12. 12. .___~. ‘-w "—-‘-1r<— v ’-l l<“il-l‘: .'. §l '- :11 i‘llll: ~ll. .l‘ ills .5i. 'i" " i glk mfg‘ '~'. 'i. s‘ili‘: ~l1;ii‘ ': "i'-M -4”. “-_ "J. " ‘.1 , "z(, "-. .-: ‘i_. ’A -' ' ' . 7 , . . >!“4 : m‘»I. i,'-. !{; _:uI. I4 . <,‘. ,._llC't '2! am --. i.‘. ‘‘ ‘llgiikgi : ~ g_= ;‘uL -l" ilk’ Us L. ..» x-'i'jr; “;g'iif)"lf: ,§ ‘F iii L -. *:; A.‘v‘i"s: ’I'c9 4 i Lii‘. Li'ri: ;xi; ;u'igji; € :14 : T§fpr<_ 2;: -~. -1‘, in V ' .4 . ’.i«_ . ' il1£! l.’ll‘. I I-i_’. ‘*. llIl| -Al ilk’ i~. '~. .' ; i.'/ llii. Mans . c’; }u‘*. ¢‘ i» . "1 J’ I A --li‘i'. li‘lx| ‘il: ll’; lll"&L’lL“< . :rc”ii: ilp: :lL':3 lI: :i, llZ'. llj. A .111/ll. a’. i“%i: !‘= - ‘X 1 ' ll '_ it ‘V ll] lg . i ’ 9='. ii~ ' ‘ _i-iijx“ . i:ig_1_l{ilr'. ‘:. vx; l__ ‘ , V "= }lQ; :f” =0 ‘#: - Li T: .il; :*f l—. ii{ v. li~. }". 7‘fi ti «gm iilil" In-; ;, li. m ax 3! llu: :. " c. Illa‘ 35!‘: '1 | *.ii= .i’i iii H . ".; .‘l': ‘Hz- ’ ' ' l ‘u o ‘gm-. ;'i“ -«J-Wu. . -. Eli
  13. 13. ’lf)ee”pj' l'":1isg, 'i i{; ‘iI. sc: ik1 ; )z>;2£ii“eu): L i. ll isla COllllClllll1.‘ZiI’l0l1'0l". Il)t! _/llSW6? [; i 31% L ii; lt serves as an 2ba; p(iii: ::V__ jg; .»i: ~L-iigut" ti ll"H. ' i: i.ii: ;l». ;: V iii. Wh‘en this F sgsiéi lT§§_£l§ puls: ’lj_i‘<_= iai ' iv<; f‘1lU_x‘1_‘l. l»]‘, :,'l: ¢‘E-ld/ t:‘_l"l"l. Stifgthl is i‘ “an in 2: 'lVL'. *;.5ClS ; giidse_: ifi, l'ei‘s llmcuimlii 5"! 1 lpolstcrilair lvll5ii_23¢l_’E! If; lIE€I'_""flI1i‘Ll ‘5c‘ii; .< till it i‘caclie. ~.» Thv rm: .. . V Afiwrflassiligitlli. llglllh 11 (fi, iil«‘[$l5i? ~ll(i0lLlS. Tl1£. ‘libléllfl€5l“'l: * I: Jt_i! glel: gniia my Lxnédigl pilanuiflniéfi-'cs. ,llTiIhe? pf.0plite. §il fl_')}5_‘il, tihclibiali‘u: rvce¢ '- l ' iéqul/ anc: iii5”ln¢Welwhich 'i¥ln¢I7/3¢{‘BiS the . sl<iii uftlie [)ifir'i{L’l‘(l'llcu! :'il x 7@, 'll. tlir11‘«‘¥é’-»lll1; l§l, ¥_ifil;1STV’¢ suphliss 3 <LI”u)C}"‘ i‘i12L; sles air ~ I» 1Qng'u2 . m‘c; iflik:2< digimrinn lgihgv *‘mhsc. lesji_. , ' —-‘PEI 'tcal;1ai1éij. ‘ ( mm. id p(, "L. >]l! 'lt"L'? _) M ‘fgi’ve, s, '0l”l'_l%{ii; aiiclic"s umuii. i.l the l<ii; ¢tfiic3iiit; llii', 'l‘! ;m. - £31.. ~ pi= :rioi' lateralgc. {nlg: U_lk; lf, 'l11lCl‘glVl§‘ggillélllfilg inl‘ui‘iLgi' «V flaiera l f. §t:53'1_iCL1ll‘_EiT'3I1er. i;g: A5;, supei: iu. iri1ii. ;iii; al }. _iC. '1‘L; ;.'_Ll~l, gll7 E‘. l‘1_t)1‘_- pi; L.‘_, ~f; ;:‘<: ;,: 'o. Ul1ILlL“, !' mi. : ;1K)ll, li: (_i, It‘. l‘l(__§‘l(: )[‘I, _f)l_"'lVl_l_’ll'e 2:§ii(lllCT(1l‘, lllagllllfi imisjcle to the ~-Il. ‘. * i. =‘lliL’v Supevriofirllateral gcniciilar ; iri~: r§~' paasea iiiuleii ‘; ";c l ‘c l'i§; -ciiir. l"c: iioi‘is; g "Hm: -'. *.: _lUELl0IlgTlIfi: Ll(Tli§? _l0i11l{Lililc §~tlpCTl(il'lll&1l'_‘: Ili’, -Ll J1». _ K . :'h’c, -ic. i:iiix‘. ? g: l"'lfl, ‘t’. :4f1]’Il(i, dl(3 g'(§‘: l1‘rlCulfil“alT€I‘_ (iiiip: iii: ;c. cl)lJi‘aucl'i¢>x_«L: :iu. .:i'x1mi: gmgiliica m? :u: ..: ', .i; ii . Ii1C, :. Olltlicl _ TV g)fl*, l3c lll: ‘_<‘. “l; ulrl"ill liiial i'z. ’;i_L*l1£. < iii; J: =.¢i: ~.ie ll“ ' " W ” ‘ gen ‘1l7l3l'_§1lTClf}, pas. ~.; :x< 1;; Li. 2 ‘ ,1-ll}. ‘lE1l. C'l, ,.‘. llE. l'E‘1'R'l li~_;2siiii: ,iz‘L iuii-; Lui‘i: ; oz. Iil1gl‘I’iCllJ: ~1, ‘'1.’ . -,. ,;, _i: '. «‘, ull‘. .>: ,,, ‘._J : lici, ulih_i,3- l 1: >*‘f'? ic> leziiiii‘. YEW"
  14. 14. f~'l—’Rl . ~. i-<ii'i, _i'i'ir xi i—ri. ~<. ~;. - wiiiiis-'. ‘Iiili: .1iai~- ~ <, i.1:. I. 5‘-. 'l‘-. gull 'll. u . ‘i. ll§3;ji'[lli: llll 1‘-«m; i.i. l M {iii «x1‘. u,. - ii, -vxgl; Ill‘. ‘-. ‘ lili. «mi l ‘. .‘. l]s‘. i~lL‘ii- : '4l. i~<. _lC lf(; l(! ’ _ '7 , lllL. ! lHi} il. ‘l 1)} m_i-5 l ( ‘Hi. 5i Ll . . : "‘ nu‘ ax H, = i. ll“'i*; li<. i 1.11’-. :ti. il_. ;l‘-2 i. ‘ill: l:il; I.l)i ‘E iii» 'illi; _ - LllJ’. l k. ;_-i‘>': iimici Ill; igfiaisiii» lll, '.~. H?E V 'll| .'»‘. ‘l»_ z, -, ‘HQ -. . .1’. !¢l': -.'I IKE ‘ ll , -.~i~. :i. i2:2:i. 41:: mil (lla. .1ki| .l7.l; lUl > c; z:i; tl ail-.5 . ‘.'is: l‘l§§i. ili§i; .‘liUl: _L13il. 'i1;il| '.! l‘. §l . ‘.: i.'i . :Ii. l , :i’i ll .1 ll . .:: il: iii llr. _ '. iL’~ mill. l§1:il. w;i -ml leg ; ~ u‘. =.'. é~ . ii. -gw ml A . :i~. 'z; ' I , v, wl+. . » i. . . i:_l ll§‘l. al liL‘l'. lI“(). S‘. S -I I’1,JI’l, I f[; 'n'41) 5. , , , _ . ,- . i .1 Vl’: ."1;“. . . '= |,‘~, -I111;-, Il! ill-. ‘Li-lCVl£Il mi’ ‘ -" ii iii; ‘»3z. ,‘: ,,' ‘L‘i-. .i‘. L.'-? *.. ' . -l; .'. ‘ll~3 lhi. ‘ rriiiiiqiiihi: Er: -=~. i;< . ’:l‘. ‘.(i -~Jl'i| iCl‘; :l‘ll‘. l'llw rim . . liq‘; : i Iwt-'*; 'n: la . ;iwl. :ii nlllizr ivr. :i'i~ . lL‘| l‘ui‘Ill zirm 5:“ . ‘ll ir: :.i‘n"»i‘ , .:‘V)! ‘,r(l<K‘liA£l1L£! .E‘Ii£il}: .1§§ll‘rlh‘! cl : *7l"w. liLll‘vl'v: '=zlllv-xii: -. -i. .1 ~ ,
  15. 15. lts flour coiisists ofthe popliteua muscle (COI15i£lllllLillLl pl‘. -1llI8l‘lS muscle (iiieunstaitt). This iC)SS£lCUIl[i1ll15ll1C lzxti} tissue in which the ilecp l_ mph n()LlC‘: » are l(>i: lgeLl. [he n€tll)*: -’l. L, ‘lll£‘lI' bundles front the supcrllieiiil ti‘; deep are 2:3 ltillim :4: iibiul llCl'= t.‘ (‘iioiii the sciatic iiei'~e and passes . ‘$ll‘Ellgl1Ld0‘. ‘l‘l llliu tlie poplituail lhssa}. poplileal vein 'rillClpOpllIL*L1l eirtcry. -. lll: l . lOl. 'l‘ (ARTlC'L"1,s'l T10 GEf’(. -"S) lt i>Il1L‘ L-ii‘1‘icLila‘tioii heiuecii the metlizil aiitl liilclqtl . '‘liC. _‘« . e> oftlte leiiiui‘ wi‘il'i the llltkllill ziiiil ltiteial i-lflltllliill‘ llieuzis ul llil: tibia. lt i: ii ‘COlLl_, lL‘ll' and bizixizil _l0lil{ i‘eii1l'(ii‘c~: { ii) the llgillllfillls arid U. '1’l‘ElL'2lp5l. ll3l‘ ligtiiiieiitsz l. 'lll'ilL"dp3lll1ll' ll'5lji'il'llClll. 'Z i. ./ iitei'it)i‘ eriiciate. ll: -_: eiiiiei'it l; ‘i; i=ti ill‘; ‘. “tici_.1 et ii_l; . lg : ,;: t- tlitl. ;‘i mi : 't'lL: ‘lLl)l'lLl. _‘i£ll' area ii. l’uslei‘iiii‘ i, ‘.t‘l.1;‘l3.lL‘ lig: iii‘i~. i;i[ l{t>ll: ll"ii; ' im-Lli; 'il u-. _it‘= il} Ec! i.'1?_l‘. n‘ pi, i~_. t:. -: ioi ll'll‘‘lxi i: :i. :V Ca. urea iii. li‘2iii>ei’>e ll‘__'.1l1lx. ‘lllL('§)l‘tl‘. &' lllL’: ‘ liemccii lllL‘l)l5i‘‘i < ti'ae. ip. iil: ii'li_g: —ii’iicii1x i. ,lt‘Lll2‘. l — l'i’oi2il ei. illzitei‘; il lifgziiiieiit ii. L; .llCl"cll~ l ll1Ul(l"k‘. OllEllCl’£il ligaiiieiit iii. /i‘i{t. ‘l'lU1 -l’zitellai' li§_>'VLlIllt'. lll tlflti l{; ‘l‘iCltll ml the qLl£'i(il'lk‘k. ‘p5 fciiiiirix tlltl. t. 'lk‘ l- l"i_i>ici'ii’ii* — Uliliqtie pnplitezil ll: [dll1i_tl1llll'l(l ‘dl'CUEllC pupliiczil liggjiiiiciti ‘. /iL'Clli1l("C( '. ll; lpCCl) iiiiil lZ'llCll'i.1ll_”i. l” biliilictl l menisci are L‘rJl'tl. ;llllt‘Ll xi. itliiii llluylttllli . ’Liili~i. llC‘ . l{ l'El{l.1L '. Vl: ’."l[i’‘()Rl{, UP 'l'H‘: '. kfi'1ll, ' . l(')l. "l V‘; ik‘i1t! ‘‘x1$1 3%! )L! p§ Ulll'lLi, llilk. ‘ll‘. :~llLll'llCil'lLilClllll%Cil,1lll5tllit_‘lEi= llilt ; ;.: .e. :i. :.' . =i_tiit. l the l'lICL"§_tllll. w is-2'; =.. =i. '.3 'il. : Euiiimtt a: itei‘ ii l_. lL‘>&'| ;llxill'i§_‘. geiiigtiltii ; ~. . ‘ - . ,‘. _, .._ n, ,0 . _ _ , ‘ i"i" il‘_‘x. ll! ‘e. ll; .i. il‘vi. .it| .ll fi; E:'I_%l. l L_L= :: ‘tii: ui’ii’ii lllctlliil <_'s: :‘. ie‘ti. i: . f ~riiu. ,1l. :i . ,:i? .e: tug liiitiiieli-:5 ul [lie pi; pl§2:. ii ti: lei’j. ,l 3.tt: :i: 'iL ; eiii; i:l; i3'. int-. ‘ii, .;: ' Aiiteitui‘ ‘. ll. )lL1l l‘L'L‘L‘illk; ‘;'; I ** ; _= l'll«'_‘l iiliiiil i‘i: cii: i‘; ii-t : ;i't. Lllgtigllllcx llliOLliL1l' ltii‘; =.iii; li lliixiiiclies ol the : -.i'iéei lL_‘i' ‘iilciil LlI'll: l‘_') l(, )l’()(, ;l{. «‘l’l-IY (Ht THE LEG I'll! -f(}l(} (_"R("/ i’i. S‘) -i it i, ~. lwiiiiileil D) fhe lUL‘l‘ l"*. Jl‘. ' lime ix ili": i~. ii tliititigli lllc l: .i= .e. i . Cillkil l‘ilCLllLll I-iiiii’! cu/ .-5 iiilCi‘ioi'l. ‘. 'l l! L' leg; is cli‘itlei; l iiiiii ihe E*. l‘il: .'l'lx‘l‘ uiitl l_’-0.'lCl”l0l‘ iu-»__: }i. .>: i> Ul the leg, 'l‘0l’()GRAl’ll" OF THE it-’. l'l‘ERl()R Rl£Gl()l‘ OF THE Ll§. G / '1;'l'ji'U CRURIS . =1;""l‘l: ’RlUK) ~. l‘. lL_. ‘l'LlCl5. Medizili l.2iltil‘Ell tit; -iigiii uftlie leg l. .ulci‘; il: Stilcus bemeeii the >0lL'tl. zlIlLllll')LllE1l‘IllL1$Cl€S ‘ 4 ’»J1 *i'lll'e'l'L"5‘! L)l‘1l>l'[llL‘. iuieegtiiiiii, :tipei‘iui'l}. _ ti i. -iii: ul. ii'
  16. 16. iii. lli. ‘.t| .tl itt. ’ ii l. ~ , ~;. !i'iL2i. ‘r 1 ii iii; Ii‘Wi. i , l~. .lEi : '1l: =.. V‘ ‘ill, ‘i-ll‘ ‘{| .‘ ‘l »ill-? ~:_l‘. l i i. '.. i. "'. “l-. .i; li -‘; lilil; - ‘iii. __t, _.i 7. it ‘i; :t. g:i-- l. , A l': i‘iil. i: lll'l‘vL. ‘-"’ ls »-Mg; -.1t: ~. LllXLl (‘.2 i. j-. - All "-. l|. '- ; I‘iUi I‘. ."l‘i". .:~lil. il l"‘t ; i~. 'I_n '~ . t:-4 i . ii - = ll? 7 i‘ .1 .1 . . ‘ _l. 1 ; , I l l l ' i -» ’ I ’ i'i, l v i; - it i . i . Mil ii, .. l. 1 i l . r< I i I l' 2. ~- .1}:
  17. 17. L4‘ C? Ei’li; Cll: .: RI3ltil: ?JZ? ;S‘f§, ST! »f}’I£JV(;1OTlillll V lt liuealegl between the pbrtioiis uftl_te ill)lllal‘l>L (peiviictis ) luiig_ii. ~, mLl: aI. .‘lC ell stnetelies froiii the lziteral cm1(, l_, ~-‘la: of the f'einui' to the llC'1':1'Ll of the libiila; Tlic cfoiiiinmi fibulai' (pe’rLiitc. zil') llt? I'V'c‘ 13113565.lll['Llllgl1,Il‘ii§, CEill3l, l>E). lld divild. §s. ‘it iutiii the , S'Wl’. ,l; _p‘c. ‘l'l': lk; £lE. lil Zillld libulgr gptlflilclrtiilll iieii-‘ea. 2 iI1L’. $iC£; 'A;0 __ ~ §3urdei‘: ;: L l. .#; iitei'itir". libialis posterior li‘lUSClt? ‘ ii. Pu: .teiiior: Fle2gpi' iij. -,iL_l7i, ,i_M, s;_A, ti; ¢~. li. :iiigLi_: ; ll1,l§glC iii. Medial: Fiiiiiia ' iv: Siipei'iqn««; p<; rQitgiis lciiigiis iiiuscle v. l, lIi_‘{: l‘lUl' — pe‘rCi‘iiéiiS l)i‘e. eis Iiiiiseli: i(? giiteri‘. »:_l*"ihtiliiij : irt_’eij_j ziijigl its Cltl ni’0(; RA1*H" oi? THE iP(1sfi'L: igiiQ7R[ Rizigio-. ~ 05‘ THE MIG C? .£0t Cllfifiié-S . _'5~_. 'tl'Ll‘‘. 'TS'. Vledial: -": r.‘l‘l. 'l(. "cll liiic passii‘i'g'_f truogli the lT! ‘cZ_L'ilE1lt£L)I’lCl:3'l£i‘ of {tie tibigi Li-_l_ l"cllI {eif1iyzil line f, l;'! >SlllgIl'l1(>_gll1l’1C lziieiiiil L'i_l[lLl__'iC Ui the tiihi; a. ’[ :1} i‘3!'. . -lfilxiii; i. ll 55 lliiit ziiitl l1'i; -.‘t: iz‘ etisily lliim skin lUlulS_ ii ll is il1l‘ll: ‘l'i“E11£'. 'Ll bf. this 5"dl. li‘t’. ‘1llll! . Ilc‘I' e, §l. ll; )s£»Lll‘al£lL'k)LLb, l{_l.5.'; l.lL'§ i. llllct slllilll>;1lpllClltJl_! ‘5 ’. 'lli. iiictliiil lll; i‘l i. 'L': ‘.£ll1-: .'x‘-‘ilh lie“. e . -.i'i: _l il‘. lL‘l-. "tl ~. ~i= ’2‘il ‘C. ll‘I. ‘.! lr. ’_. llf{ iierye pLlSS tlii‘L: i_ii__ili llllzg ill} cit, lflusciit; . i. l‘: |. ‘_LillLl€(lllllC?3i&t}£: lS. llla. ll.151‘lil: ‘l1§_I"‘E'liClL'll3ll£lkl(fCpl&l}Cl‘5. ill. ,SLlpk. ‘l'l‘lL. "liil,1l'li«';1$k. 'lEl em cl: the ll Hep: ztlzlie‘ lHll>'. .‘l. ’- l_: aulL‘, Li_s lnl.1,be‘lt‘ and g: ','; t>Jhll, '_L_i_§. ‘~i'i>’l. ,Lii1ll_, LI_l_. §;'v$ lI'iLi5ClL’_). M iii. l‘)c~. :p fascia (ll‘i’: ll1SL‘l‘: ii. ‘ llllL‘i'Iila: «~; Lll$;1l' ; L‘p'iLllll__l <. '0‘Cl'> the deep fle. ui iiiiiseleri i: e:, leii: sui’ riitiscles, wliieli are locciteil iii ihe deep Spkiuc oi" the postei‘ii. ii' l. u§Cl. ".ll, *ci; iinpzii'tiiiciii of the luiee. l llh », i-; i.'c I5, L‘iULmLlr. §Cl Zml€i‘l0l‘l'j, ii}-' the tibia, lIlDl. ll_€1_i1l1(l~ llllCCl'()$SE. ‘Oll> iiii. :iiibi‘uiie. ? vlii'si. 'ies: i. §Lipei'lic. ial ptlikllllul‘ L; ump’c1_l"ll1lé‘. lll. — “lricep_» SLll‘Ei€ II1LlSClE’ (suleus lllllbclt. ’ and -__'asl‘rticiie. ii‘1iii: t itifiiisclel <? PlElhi1.il‘! S tencluii ll. Deep pu. >lerioi' CC! iil, lli‘[)Eil', fhl§. ‘,vl1I‘, Z ~ l~ lUXUl' Lligitciruin lCl1:1§¥. _2,l. lS'f/ ll>l_. )l5$'i$flL? . fiiiiigi
  18. 18. l‘ i_ ll . . ‘iii t. . ’l' ~il il~'Ji‘ l l ‘ "‘ll' ill ~. i- . i; ‘l l Rim K( I I Xlx’ Ill | )l. li‘~ R‘ ' , A l . t 1 t 1‘ I it t‘- _. ‘- i l A i H 'il‘ l l : t 1.2; . ii. itt~ ll ii ‘i’ ii, »! i _i: l‘ l—«' , . . i, ll'i l « . l ‘I ‘t l’ . :l= » l liiifllii t i ii ll. i l. ' ll » » ~. 1 “ii. .e . n i-L"'l" l. l‘. l ‘.3 ‘i ill W‘ l* l 1‘ . ll » 3‘ ii‘ il~ i iii ll l . ; i. llll i ii i i 1,4 . "i ‘ll: 'h‘ ‘I til‘ ~ 7 ; v- = ll ? i..4.l 'l. i> in‘, " iflii lit ll 4 l‘ Ill’ i l ' ‘ l " l ‘* ‘ l l - §. i_i , i ll lll . 'll| li‘ ; ' it . . l _l‘ ' l‘t ' ' i W l ' i' ' ix. - i ‘ A‘ v i x - . Iii l _ , . . . , . ii i ‘ ‘ "g i . ,i~ . i. v 4’ 53.. » ll . i. “~ '. 1 ‘t l "C. A . : ‘ ‘l K L ’ ~l l -. i i iii , = '. i -. i“. .~I. ~ iii . .1 _"’~. , iii, , i . L II‘. .. 1%. l i"l‘ ‘l ~ 4 i w I -i'l? ‘il: i.‘t ‘‘ ii _» tit li , l K’ . .‘l-‘ x'ill. ,:‘, lihl ‘ ‘ x it it . .i*i‘. it. lit ill I" l ‘: t.i i ~~ i . ‘J ‘ : .si. li "i ‘. lllll- ii _ , l ' 1' i . ,l ' l '1' ] _ __ ‘ 4‘, ‘ H . A-_ * “rt 1. l"' ‘l. . ‘L ' i l i ~ i‘i- i~ ‘I _ 1 Lit . V» i i. if I up I‘ -l 'l , _ ’ ’ l il li‘. li“. cl 3. 31‘ « , ' Ii. xl j_-»". “ i. i‘ " 1 ‘ ‘ i . lx ii t’ . l, [4 ll. l
  19. 19. . ll [): c;: i ; iL‘l'L)ltxZlil ll. ‘t'CI It i: . lt'i. ':~llL‘d lateral to the ‘. ':. ’S‘~2C‘l. '' on the knee {l‘it; ’ll pCtlt. ‘l. l'dic‘: ~i the Ll| llt‘l'l. ‘l' ltllCl'mU.5CLllEtt'Scpllllllzilltl ll. ‘_l; llL‘ll1llt| lllC K. ‘, :;l. > at it St. ilmt t; i‘i, i:si; -5 '<llllL‘l'lUt to the csst-3l3 at the lexcl til" the mitttlle point ill the iii qtritl l, ‘1fl>l. "L': sl'nCLiiClllljlllt’ i'C. Cl ll1l, ilLf l"? ll‘itl. ’l'Lll§__“l'L£1l ’_~l)LlCL’. .. ‘t the li; : el Lllilllt llll. 'I'l12‘t‘. llL‘tlldl' line. Iillh. i'ier‘s‘e _*. _:i~’». ‘5 inf ii l>i; ti‘iel’i lU the L*Z‘(l’x. ‘ll: t3l' tli-L; _:iti_ii‘tiiii l3t‘L‘‘l: .'TlLl. L‘lt. ’. lt }7d. ‘. L‘. ‘.~ : .'iii<_-iti" lmiiipii; ' itii «LE1» . .§; .'. tl lfiladi tii"i: 'i'_ l i, )ul: ttll5 pectin tii‘iei‘}': l llim ¢l1'lL‘l‘_ ix }')l’l’: ‘lCC’tt'Ll §"r«: ii'i’i the llll-tlkllt ptiitzi tit tit. :: ,.t‘: lL'- pi iii; ~ lll’tL‘t'Lll‘: ?.llLtl spat-; 'v. '. lllltCll it lies he ct. -ii the l‘rit~. .;i; i_l -; ti'tei‘it'ig; > til iii; lCi: .l. ‘l1§ .1: iii: -: ,I_. 'ii: .«'ii tli; ;iti, -.itiiii (L lllLl‘: »L‘l‘x. ‘S and Jim ltl‘ {lit la ‘ l‘5;’ll)lU ci'iti. -i'iii«__§ tit: l i: itt-i‘iiie= .ti‘i, :i: ’<. :E >i_*Li; -< t‘. i;, :.ii. ii_»; .. ': _iii<. ‘fiblil ll]ltllC’}l~t li'i; {l ii‘. -alt’. /}; .’t" : ll‘lL’l‘_' L. -“i-es l'l: .‘ iv the . il; tlt1lL' . _ii'iui'}. lltu tii'eti; ~.te tii’tci'_ ~s'lL'b Flue‘ to i. iici'iz/ ui'. -: .'i. ‘t' ifi_ii. .'i. 'i“; ‘,x. tmsi‘i xxlitelz tiiiV. ,='/ «.5: -: /.. '_-, f/i'tii't’‘ t/ in/ ',~: tii‘_. :,~ hi‘; titt'l‘i silt. < , l.‘i‘, ~t1_I. '§' ('RlfROP0l’LiH5(= 'S It is 0U'ttl'iLi~. 'tl ; iii: «.~i‘itii'l}‘ b} the llblllll‘-. ;’ttJ, ‘wlL. ‘l‘l. ‘l . 'l'li. l5L‘lC ; i:>5tr. ~i'i= ._. »i'i_ ‘:33 (teeii l{l_'u't til tlti: l1iseieii>l‘tlie leg iiiitl stiletis l‘tlLi: -L‘lL‘. ltttt'. ¥"«tll) hgi the l"le, tii‘ llitllllclx lt, .)ll: :“. l,‘ ttlitl 1‘. t<. 'Lll: lll}' ll) tit: llL‘, Hl'Lllg, llUl"tlll‘1it)tlgllSlllll§~. IlC. lhi: emiztiiee oi lhig i. '}_i[li‘: ‘il ix lj? t,tLlll(lt"{l dlllcllxlll) in} ‘tlie ptipllllitlrs l‘. .‘itl5L’lC ziiitl t)UblCl‘l0l‘l_' by the tetidiimu: :ii'i. ‘l'1 oflglie stilt-Lis l’llll‘: »'. ‘l»‘. 'l'liei"e all”; 3 t’~. 'it>; i_~. l'tlii. < t~; iii3_l wltittli 3.11‘ ‘tit: si_ipei“m. '. i: iiitei'ii_ir zaiail iiilui'it; :' u; ;~. ~ii'. " meri i 'l lie : ii‘iii: ritii‘iil3i;1l2ii'tci‘) _pcii: ‘ii; izc: ~, tit, dliltfil iui‘ £= ,“ii‘. t["7Lll'llllt, 'l1‘». 1 . l‘; ~_- ix-= _.‘ ; ':' tiiitcritii‘ tip-eiiiita: it‘i tlit: iit‘ii; i‘i'i= ,:i; i,i‘_« ii Tlie ii‘ilei'i-. ti up i -. t: i-~—. ~i. ... ,,_ ‘. -. -.«‘~ . t. »l~‘‘. ., -,, ‘»s. . i . ieir: AIIJLA tl. i, -.- ll. . ‘x '. ,‘i‘. ‘:r U‘ tlle lilktlttti I llie pi, istei‘ii. ii'% ' iiia. llt: tileti eziital tltziati . ’‘ KLIC . lUlNI‘ (, ~1RTI('t ll. ITIO ‘Ii l1.i]ii . 'w’IfR»tI. l.'i lt is the ai‘ticul: ttii_iii lteitiecii i’i'iz : i»; § ; .l: >~. i. . gt mélllfitlltlh ol"tlie lihtilzi Lllld 3.. .lL'. > it is it s_-‘iim ial ltiiigeitiiiit: tlit , ::J«%: E» l". 'ill‘. :.‘il‘L'C‘. i by i. l)eltoid (medial) ligziiiieiit tct_iii: ~;~: » ’_11llL‘l‘lt_)l'lllllfllitlélllllblUllEl*lLlllLil'. lll)lULLk1lC£lllLTl. ll LE amllciiltis i. >i“‘t'lie tibia» laiciui and l? 'O§l, ‘l'l. Ul' tihiutztlt-ii‘ ptii‘ts; ii. tficilltitcixtl (lateral 3 llgtllllftll (t’_'l'it‘~1 . li {'l, llltil'l0l'lI1lCll‘ll7Ul2il'llglilllfllll, CalCi1llt'-L)l'll? Ul211' ll_t'_1dlllCllLul1'Ll pU5lZCl‘lOt‘ 'LZll')l: li‘it£lti'i' ll': ‘L‘il1'lClll} Due to the sliape oi the t; ilu. <. the ; -.iii~. le lb iniist stable when the that is LlUl'§lllC‘c'tl. ' the &il‘ll'lC in olten iiiitiretl xtheii lit: iljtll is pll1lll21l'l'lC. L'. ‘Ll. 'l'l'ii§ lateral stitltiee (it the ioiiit i. » iiiiieiwtitecl hy the stiitil tltfl”‘i-C‘. inedizil ~; tii'ttiee ll} the stiplieiiiius liCl'’€1 £fllll'Cl’l0t' siitlace h_ the deep libulai' nerve. 'l‘his_i«3ii1t is supplied h__ 3 2t1lt, 'l‘lL'_. l‘tlCl1&1I”L‘l{llC anterior tibial. pti't‘ei'i0i'tibia. l Lind filttiltti‘ {tl'l'. ‘l’lL'S. -. .. gt; __
  20. 20. lu = »"J: HlI~ zva‘ mu . .H"= H)}’()(£R | 'H (W THY I-‘(')l)T IR! -"(: 'l() Pl{I)l. ‘{/ I lL L‘ ~- "2 ‘M ! -e: .I ; . . ‘.~. '- -. ‘~a: «‘ W“'§7’I‘ | '1uIH, '_: .m{ iv: -.11 1» " 3i: "‘ -V «<1 ix V11‘: ll‘: -. 2:»: -.L‘1E«, ;~-~. n : §:. x_ . ,1!cm| r.'~- : a.. .,.2 . ‘ Elm; : '-. . 'a‘. xi. ::. '3» « 4. : . i 21: um. ;- ~u A . .~ = . 41. J» 3 ‘V ‘I : ’Iz. ( ‘nu: w‘. . I 1'‘ Li I H, V. .1? VI '1 il« ‘ HL J1‘ ‘, - HL . ~, ‘ i. i M u ‘is‘ H ‘glw 1* r': . _ '1 T)l’(‘! (»R. —l’| l‘ ()l- VHF l’l. —‘Nl'. lx‘ Rl; (.l(1 (H HH. MN? ! . "!‘! _ (JIU / '/. 1V] 1.‘; l’I. ‘I)I. ; “‘; m s E‘ '1‘-. » -» I. n". ‘»' - »! ‘.: ‘ ' M I. .u n 1w .1 1‘ R 1 * E5 ‘ 1 L " 2 = ‘ aw :1_ ’ x w‘ « 1': ( . K I 1 5 ». a _ . ‘xx, " M: I ‘. . ‘ Lu I a , _ I H‘ , ‘ L‘ : ‘| !V‘ 1 , U‘ 1 H, __ . v . . . 3 ‘ . - “ »» «. -, M m. u. iu ' « 5 in . 1} .1‘. <' , E « : { “ “H . ‘ W N “:1 , KI “ 1 . ; .1 J ‘ 1. , w 1 fw , . Eu LL- Ll ‘k . ’,v, :.. ;m1»: ‘:w ». .‘ W. ' -‘f>| ‘:5‘x1.“M. 2 4-u: ».f~1‘; :. i . ¢- ah . ,wwv: ' v. ... zI. ,~ -514% ‘uh! 1.. I ‘1 «Mm J Kim ~11» ‘E T1177 . ~' 9 -. 1' . ;m: ‘ M- W ‘~ Mr‘ 1» | ‘1""" uh IWAJ‘, H m iv H. 4 x . ‘. . . »' I. L‘ I .1‘ In ‘Hula H1 " .1 x. H 1 ‘H V ~: :.: .l . ‘i‘| ’ W ‘ H € : ‘». l". l"-I? “7 ! “ 13' ‘ mm -1‘-‘? "'_". ‘.‘. rd; ~ 1 ' 4 (i r. I W ‘V I ~ . uh- Hm *I .1“! vi‘ ' ' -‘: l' . ‘H!
  21. 21. vi. Deep space ufthgs pbsl}é;1‘ib1‘pait uflijic Ema: -1» r‘: _ : 3. . , ; ,,, m 1 w Qi! §J; .‘r: . , 'bIjC‘ViS muscie arx_:1t§1xdLan ufflcxor hallucxa iur‘2g, : : « L. r (q1La6pO3°EiQf1nepe;1;ppLgm; u;i: <au; u1)is du-; u;,1cd mt. > am ‘V . 'I'fhC flE31Qx' dT‘giIorun1 ldz1‘; gL: s1upgfiL>1a; ; p. i1s. ~: Lu ‘am: T = r . i . =;>= - "< 1Q1S7i, L§F7 ‘igim. ~ V‘$; iBt:1;1janwtxs‘ffi; ;sire; r %? *1‘: ;:, :i: x:, js lass dg~: :e. I;ipq1‘”t T fe})]}2iio11s'flt1i(lV tcndss to z1¢c_zx1x1L1I211L' lxprc. / aL1zg‘St muses . W;_ifl1IhkiEdblTSalNA&! I‘DLlS1:111‘? !{c! ?'(3.‘{. ‘» mu, -,~. g«—-. -'1 vco? l|}; pt thg‘ biped frmn ve? ins ifn the intcrrn¢: ta'm: *s; :_i gm. ‘ug igrch is drajx1c’d, jVmoALh>' ‘ ' ’ I “{falf1n"3'r_gj11 Qf; ,Ih'€. f(, ..? !Q[I. iL. i:i? ",i1 :0 ; .c'isfv. é:‘u ‘ ( V 9:25 §! ho1_1»g; t1j1; j-‘Hf c 0 -. ' . . . 7 f')'Vk: $-f""s‘§~‘: y>: ..i: ‘.‘; »1‘. ‘k-g. ;:A]': ::tL"[hiér: >§#j‘®j is gvmrtk ~i : LS? upe1‘ficial fascia: 1t‘is_l, gdgx-'c| c:p§gi, A = ~1m: :ua1;as. .:1s: b1iauu: hs: I-i1f'71iL1;; I s; ‘:p1;c*:1:"'»f<f tin as. V_ cg »?2,1;i‘1’i: z the bI‘fl1iC'}1£‘S{: §f(IhLC“SL1_I: L1i : ?.; m u xx :1i~; H sI3:é, k.i‘. ;2«. .’ 13*‘; 4.’ 7 ' ? mzatgin‘ (pf the font and lime to-.2 9 ‘1;Wg: (£? if11l1‘esc'names, Kim‘: u1'c‘: tcr'z1}, Z3x': :m: I1«: : afthcr : ::. :y= .:a*£I: : :25 re 1edie11dQ§§gl cL1}_gygQLzs. i:11s: ?r111ggii~-ax-; ‘ dcarsa! r; ::1:'my. .'~: ::. ;.= .s«a %; ;:. -g; ;1i. ,<, ’o; ;.i<i: ':‘§ 7:«. r.‘s: ,:1 . ".+; _‘i'~n. '., ["’. I*J1€§j,1,2;lcns‘0rha‘1.luCiS'blTE‘vi3"andetglcnsm‘ : .ii_; ;‘imrum T; s’~g~. .: fltnlztfér this fasciaxli hes anHmn; u,ia1av‘saL£L«; z:'»c5 and dm . -: ,;’-J: ;: :L. _I «, ‘«. ‘;. ~.: -.1 w 3.: fthe hbulans I6rI, lV "‘l,11ll§ C/ :11m'21iz1.s' _/ M‘: -:2‘/ v.» / :»'n': u~', ‘: us ; . ~. » V —aatt_; xpht; d gtb thchfase of tm: 5“ ynctagizinml bone. :39] v-, -
  22. 22. .. :%<; i:m: ;o. »s > ()s‘r; ‘f>i; ;_n"S‘. s tin‘: ’rm: ' T13<'_iif iii": ‘1i’1:‘;2‘1»iy11T~; x7 3 _ . 1 2 A: K . ~.v. ' 4.M:1t: m M‘ 1:: iv : : dI_xc;1v. ' ngunrx 3.5 .1 :1 ~. .t or ; :i~. uI2u‘:1!. .«. :u1;u. ' . .( , -fit (*2-; ' ; !.: Ia. u'. :ln: .-3 c: n,» MI (in: Il. ,v‘. '§s: i l1Ii1:‘7_y lmtx C; :tr§c l'u}<»I'-. ..‘ «*. i-~. -.. .'u; v. -In» :1 _t, !:v. ~, _ . ;.m»£l‘-um! ‘. «.'m»uE. v. j.. :uu {U m. - -~up. 'rIz. .'ml u. -’nc; . l5;uk‘! ‘ Lu»rnt; :l_wI)d; ln: z._ v. '.xl'= .V-_-- uijlu pcrh. ~r; iung, j rum {nu-wn: arvvm an-. ~r. ;1:_, ~s. ‘i1.1x; _j< ‘Hy: nlund mi-<. 'iz. «:}. 'c iiilb lh-: " . V*zipxfliUi. ‘H". 'k‘i5Dl| :- aj. -.1«. m ;3r--dz: -gm. xuim: i;-; m- -»1'! .5‘. ’-. « ggu . .uc. im2 u’13;u. ,asz«-; .»i : z«. [_‘’ -. =. w~_: ,~ ~: ».'xH. H‘-c »«l! ‘:1u‘*“3~': i ‘; *i'l? 'ut '. 'Hv. "l1.". >lr'~. ’1-xfum--L-2aHH. m1Int3[i-Jr: milh. x m. n-~1,: - pr 1 M1” K-in-‘1,x: :u-é 5-'HH 3 Ilnunmn--. ‘m. vn. Lu»phJ. »§pz; »-. s'_Iw~. .~ d_‘. 1;-. =w‘, :-: A ms--. z:c%'x 3-. :‘. h ghc h. >I! H."xlH‘-n’0l‘! T«'[3hl; ulL‘cI~. . . - . "% ‘ Hjhk u‘»: ‘n1.vL1!i; :u. nLi-«n 5‘-cm_u; n $4. Mu -. !‘L’; rm! c1'12u1!31: ; ‘ N: tJE: L'{l‘_‘-L is H; L‘! ‘.: . "l -nun»: ~. y~t-: r1»~~. __ A ‘J 7:. 2,. ;-. W’ (I < -’—u : [mi-. ';a‘.1~, .~: 'x-. ’ $7 ” = =-63 “ks” " en, ~. ' V II (Ci "'~; ' q(| §‘: (*f‘Isc ~ _'f‘! .>, r.)im uiguu . ’ ‘ .4-2, --. 'n: :nxf’n. , '31I'? liI‘I; sI)<, vH; l)l . 1;», -3 . .:m_«'_- | {w. -lg-I-; :1Lmrf__= -- -. 5 En. -<, vp'c'r: <;! :v. -:1 : ;~ . ; pf; ’u_’3Hi| .L' :1': L‘. ‘:<. wI‘; -i ~. .. s. '{: "1%‘«‘~lIa;1‘} —‘{»1nu': ~x. '-3-:1 _“'u : $; ‘1(l‘A, '.Q; — 3;: mi-. .: erb-. _r: ,': -1 —— ~; .“1‘; ‘-‘«_u‘v v. ‘LL i V " ‘-‘li‘§‘_‘. .}l‘. ',H. " = : Hi. ‘ “V was ’~. .-; !!‘; .;: j,. _.§»-lV’a{in : !”"~mLi . .im. ‘s -. JuL: : 9 . V , . . _ H'1x~ 12:; :u-an-~r. »:1_'» um V‘ I 11L‘ . m.'csx. Arf. x cm». "i! xu§1‘u', !z‘; :'oxI (ht ‘i*'Y§yi_»{~. "'! ‘r» -:25 ‘»E'‘: :1'. r:: !"‘i‘I; A: .‘IL; l: " . -. »l 322-. tifigh. up II_~—, ‘,. :IL~: j;u‘: .f-; '!11._H: »-W*[‘w; -' 2i ‘ K-‘L. '1’1.1Lll'»‘§! ] Em-.3‘ ; ~. : ~. L’. ':-xlllk"LF: ;' 1711‘ . ;ni; r:u (| >uY;1!!2:ts 4- ! §L‘w. '.s~. .s: } m 15:; :7:n‘: _n-3 ” {_ , a , _ 4; _w. —/ ;T/ V -_. , —-—-ifi L fr . ,_ an :3 J _ 3 <2 3 “
  23. 23. ‘-Vs: 'n1hc 2.Hg2JlLLl: x5=(, b.’1£}vK*§l§h‘ ; d;»L«: <vL‘3.: ‘:. ;arumu. zam. ;ys; a.: » s, v.L7.iAl)-: Kw: n . >,'. _q ‘ ,1 ii; b!1é}v§)§', i_; ‘ a i: S:: t.T%-f , .5.-: ~.‘w. :1‘. ,;—vs
  24. 24. ' . -3*-~ 93.. -.s—*o 9'. -’; , -' Fe. . T. r;_-,1._. ._ , ' ‘ - , ‘ -»-4" 3' 'anlmlfii'§&? M?angvu . j ' as °'-<42aw'? a>nts&w0F9d-(14£1335a“: <s. -£: .&-W: m-(’- -r: Lv°? « -98. n" O! »z. =.. §;“ "' " K V ~«
  25. 25. 'i1L: Ifisii1)J{)l7L§tx;1u:3L. (mil‘<= z:i lhs-; ‘L{; s;T. £, mu: ,1-, k'_0!U‘I_i{--_W}/ :klIH§, ‘Hl. lU1ll. |i3L: .{ih= '~. :uu'_ c §, ,‘J: ',Jl‘'‘.1_[V‘¢’. ' method. L3 ‘JJ1_{§, (L, ;tL)( £3 1:: aa- stfilc: Aivirgr . 'f_ 1j, ;I“h‘c: knuc: +1 . }4’, ,£s5'i; .s‘, .'AiiLI1‘, ,t: >’: The pu1iu; g1I"L i‘tL1f(i'€§t-si. }L 7 mt ; i. x;- .1;-. m-m«: ¢»gi£m; V vi. ‘ ; ili”r. *U3s‘IuL~u: V . 3? cpaK‘_u/ i{i_ L_. zf'tir_~ 3;-man" ‘gmél pa: xxx); E‘c l'. ,1‘v‘ a11q Qw "z, s;J: us: VqL1IVVL:3;ags m. =du; Ii 1) mid ls‘ “ aK: pE‘5x: Q.4n“d_"£5K£iT- ll): ]», ul‘t1is$11c‘ ifs difi‘ 9 mm tibial t: _t1bLf, iflSi1}; ..v i » S‘ Liz; -‘ pL>3I€rh5i'f13fii is L-‘mi {Efthc 1: d at‘ t‘r1€‘? z‘as1Vsi“~; :LLr. sL~L21:13 i u” 1'E1ZE? ; _ L L 2‘ 'ié: h1I} comezx d0wr1.’1"lz¢Lfl; =.p i. ~ dix Med and pull; -d up; aha s«: fTtissq¢s(1nL1gLilqsj$ §_5;]b.2ll1d xmivesj are illfclscttcd ax 1h€“1z: "&: l at 111:‘ urncular ole, -ft. A ['[hiéi . s)A-‘siuivial xr1ic1nb:1_1nfc ofthu }~. ncc joint in Lhc‘L1111.cI‘mz‘ f1.z; pMhas, x’ubcV. rg:1 The soft tissues ofthe am¢rim' and postericxr flaps am: ‘l”i‘_l1“j-1bC_L3d afigsvef , V {tl1‘ cpic. §mdylc‘s and the ft. ‘Il1L1!’ is dis; cc1eLi; . A1J? ti; sL1c; s are _rn; a;12t4g§: d;ag;3;: ;_: r(ii, x L 1:1} u‘e11er:1lprin/ cipies oif. an1pL1fations, ‘ ‘ H V : c. 7’ 4116 boI1x: ~
  26. 26. I: .. ~. ;' . .. 1.. . . x;; ,.1‘ , ;,u '. . ~. l : -LL‘. 'v. -i“1.’: '~. ]E! .1u: ‘. j, .v1;. ‘--t: |;xt~- HM ' ' . ¢1., ‘*1.. . ~>;1,; :_ . _ r‘ 1: n~: .'iL. i {dz -mix" p. :Huz‘. [~ x - ‘V -. wr Hr g _ 5-: '.H. ='-x-. .«1‘x, ‘1.V. E;«. _": L‘~. L1! <x? u'!3I'! . I ‘A ; . I 4 : v.- < .1 5 « . 'I ‘: ‘.n. u=—. < e‘, ‘L“'. ~~1'_<. .Hl. §‘1.? l ~ '} . - ] ‘, _‘ xl 1. w'; ':11l1~ x < . .u: r., >'n-.1:. Ll. 1 -. .~ .1 1 I- , L.i. h'1 1-, }; _J. ,.; ».: 2. . ~ . -_~ V 1:; '- . i.m1.'s'; «. _v :1»: ;. :3.'. u:c. :: ' A. ‘-~. ~a. .~ I -. , ‘ i’i‘. {?1.-1'. '_ ()5! I UI’L‘"-I 1! = |1'l, I *. i1() (H ‘{2} " ‘I 5!", a'! 'w. ::_-1‘, :1, H, ‘ _; ‘LY " '-, ‘n> :1. 1, ‘ _ . ,_ ‘) w, ‘ ‘ , , . . 2,41, ["I. r'_' ". . x . '5 . ‘ ‘. :1 ‘ll : I u -‘ L 3 __ -.1»-_ I u . ;l. : nil om x‘ . . r. I‘. . . r H-‘ ' Va. .. , ‘L. '. ~ .1 u 1. .1 i. I4 *1 w I H1- '.1.; ‘H 4‘ . "L ‘ , .2i'>. i:i-. .‘ : ., ‘- “ . uI. z‘. u.: .m. : 1'. -‘IL ~ Ian <1». a2~tM- cu, »- . ‘ ~ v . L . ‘ awn; » -H. _ I . Ha-‘ . n ; ‘ 11 n: w‘ .4‘ J x: k,: ' ’ ‘A :9 “ 1 . g ’ I‘. . . H» ‘ _ ‘ _ - . K‘ I‘ ‘«. .}4.. .m~e«‘.
  27. 27. H5. The distal: -jn‘; dh: ;.>1T1l; Ie, ,fi)d1 “sag-v:11.t1‘CZi1‘j_z0n, Ial ly. ’I§h, :: lag; -z‘¢xi ; §’}‘o§xr'; ) ui of 1 mmgN1m1cfd‘by usi11»gja. gL>11ge. AV ‘: l”hg. ’ and trip! ‘viegtdaznzhs. li; ._’: ;a.111z: [t1£§ mdulasgieg j“a< Sf! 'fk: hedb}-‘I S1113 sTi"t11r5, L ' C: 9 f? V{tis. hihs: a;1pfii<ed. ; Mgt1t sut11n§§ fc up ; _w 5% 1:e: h.s*Lit4;: lfl1’s:4:lhE3_}x Lztipie C: Id! :15 the ; m.xa1m~-. u.n. -:, L . ;<. ,f{i1p”: ‘it5fix§x1T C01“ '; §e11ci’itQoj1npa: 'cd w’i1_h Sy. :1w‘shatnm1;_a1viQn is I_h{1_1‘. after rm: -x ' .2;: L1:;1:ax; :;/ ;;11s;4mg; n1efilgngth '01“ I11 9=; ... i4.'; ,L_§; . ; (v7/1.'(vs, I'c6b1a§{§E'$, i1?[§LIIati£H‘I: ’c; ’1L'm: ' 01' Lh(’: ‘(gp§:1fzuic>r1£ lx1ci. ¢.i<wr3,‘vI1:fiE ’thhi€; ’:‘$f«*<hi11:%an<"~. hh, . ’ ‘A1:. II)Nh OF Tlgjm; BY 5 LE; N(; TH: i0n, o{'t. h.e leg can he carried hum: 21‘§, )A:1i(ipL1s Ivcx-'_§l_s. }’£1‘q; ;a; > f h‘ : ,J. ;me'x' lz';31.qi§h‘ ua, u.1 pllfiliiifl L c; ;¢rj; fi<; _d . «;f_u1_: _1t :11: is-¢. -L sf i'~. L2h. JEs§>? §}1}L1;; ; L-nth-s bun: -. ;.m; jT nu’: : ; ~h_»: :.~. ;. on T":11e skjn with a “larger anterior F;3.p {Etch : h.- p. _.3T -C, ;{, ;: }'"; ap is? hnmticf‘ L ’ : ?s‘. 'mr ; 'h1.n is 1): ‘;-fl; :‘sc: .iV). )‘ 5,1 u. *L; .'; Mj«‘ : ’L-nimwd J; "C same la vfh. I h2."‘*'C1f€; ‘.>T of :31: ‘I p: :'rs1u-rmx‘ and ; «111lcm§a1w“' 4; iv . '. iU‘« f 12:» V. iI. shfas_L; .rz.1't‘é: _ of grm lthslioyhlhd h ‘fibted that the nmsclcs. 0:" 1h: {1tfi; IV1g'th1TDL1g»l1 thew: n_/ ),u5Ck': . h‘2.j_‘ : :.: zm. )t 1"»; dig §gI: 'd3 u. _. ‘“ +g§“§1:§I270crzerJ1f: .rs andé , Q_! '_ZI; _§; f‘?1/4‘_(¢“ ; " [}_1jgr. »'1'zi'. u. tum of*11;e, middle 13 mhg e 2 » fE{3aswi<: {a1hly~: a't is ‘the «Sine, ” ‘L ££! ;i. ;:4€1 i 3.73 : e.x_ce; '>f -{hat the : i€: z.: l;= x 25; am: s*C: nmv“ed}. fggrh uWL, Ig: x ; i£qder the £i, bj:1. Otlicr ma: -w. -‘. v. ; ._: z‘m2ps, :11}. -1
  28. 28. ‘> “—”: "2 2"? ‘ * ? - vvn >— —- —. .. fhg. ' be ‘ ~ 1. . ‘~ ; 4:’. «:1; N’ , O_l ' -‘J 013 A A 3 _ r. A , , . _ '4 x 4 3,; K‘ n "7 V, » . . . .. . , , M __ ' " " {La n _ ‘ - ’ . —' ‘V: ' . “ - 1* '1'; " . -1 ~. " I. . » U . ”=e. 'um. ".<J 1 xayul and an». In-:1:-a. s*. « um, i-EL‘ l1lU‘~U. !]; H . fi~. -slam ms; .: u M ; vv. u1u.1.. g~ _ L§: ".~I‘~ 11.! EH11 Iu. ~2». -.. u;x'. -"l!1'-hm-. ,4 ‘ > . »n4>‘ , : ‘.<1zh.5k‘v, .:'_s . 31}: I'. ‘ ijf, uj,1c)Ngu.1€TH, £._ mpg‘ _, _ -I; .1 ‘. ».. ;n ‘ . I‘Q: :~‘. ‘13.m1pn! !‘. mu-; 's ' ‘ J‘ > “"°‘ Tim L K . .m: x ~2 . * 0 : '}~’><. "‘! c>'Tf1i‘. ' : :iIz'~; u7nc . :w_: §'1.«‘, c«1f‘. -wih Li ‘ F’ ; ‘ : -; :v. *1:-v~.1un»~g; ~‘. eIh.1 ~s. 'H-J; '31|: |TL‘illk‘d hm «. ‘ _q _ . x‘ _ I ‘ ‘ _ y , , _ ” 9r‘r*«~, .u. -A= > . . P E“ « u . . ’ .2 T” 3 ‘L. —U L 1) A-an _ ; '3 L: U M1” ‘''’)'’J‘‘1 h 1}"? r V‘ J .1‘ wt & 2 71- -H. ‘ ‘L at . ’7, M’ “ . ~,. », , ,5 W. . ‘ ‘ ' 1 * ‘uz n. z. s>, -112,-I rh; >Lmum:1: pi: m!. :z H; |p£n;11!Ua¢d-: -=‘»; :[_f]: q‘- :3 l?7:| n,'. Lf “A” ‘ ””-“, ‘ pl‘hu‘; .:cz; .»; .(cusr; in arm 3 7mm, *3 . .g~ ~ _-” J *5 .4- ‘ ' ' 1'': zrxL'1fElu7‘; ni3?W! {L‘~. IWJ-{r1'1! ‘ «H ' cum vi Hf-: ?‘= M1c- arc §‘l_i|1*'h»"Li pr-¢W. ‘z'ft <i. li11;‘: ':'. c Lv 1316' V‘ kn »- z"; .«; w.n'¢ , ~um. rg: d. ,5 , . .5 Q. ‘ _ , H L» = e"= mn_f~. ;- 5 u -. :4 n‘. u'»! LJ éLl>UL= .“ I ‘ "<9: c. ‘u1«. ’u1*. ,~. dcrmin: (§;1r: u1Z| u_I’-~= nc§‘: f'»: i " ’ n ’ , L . ‘:3 W " V ‘ . , T 9 4," M , 0 . * t V R‘ . 1' I Q L‘ ‘-7.. ’ " t. ::x f£“1‘'H4””“1.. ‘.E1H'xL! l:: :l: ’.}I"'i c . ~§~ __c; ¢.¢ 1 I . . l‘| >I«: .“1.f.31.-. ~HI‘. man im- - V . ‘.4 , ~" U L F : Hf’ C‘ < . , ' ‘V Ia H _ r. ‘ .177, «— fig “ -_> ‘C4 7.“. "o_. ,_ , ._g F f v 3 u_, nc:1:: ,.. «'r10.‘. ~'. 3-Ax’ Tm: F001 B)’ ju_. :s| r12;_~x; ~r. (:1Jtw. x,R‘l‘ .5sN. D;G. -R, *N‘Z”H_0 % A . V V‘ 5; >3 ,9 in: EX}§: ::. !z~. :»? .;-stv-. ~’ J: “!; :r‘»". §,‘», V .11 ; i'<. I'. .‘ Am 2:: psriphcml x;1~-culzu n1~; nft: «.: i-. '-1"-c_ J'f‘_: V){'; :CII1w. }’. ‘)‘L‘~v; ‘ ‘ ; [‘V)i‘r! z!. .2;:11t: g : x1.'2'. It'lcHIi ‘ A lbmiwl-». ' 4:1.-! :’: I1z" 7 ‘ "2. > I 7 Ljvgl _“ Fun x'zii~. :u'. ’ , —' I‘ . ., c* '5 . -‘W u D »‘ ‘ , ;‘o-« _ A-Jr , x __A
  29. 29. :~; 'V, ..‘l-! 'i. L~kl‘1«1]£)$,1£4'. *'¢1 : ..uig». a'u§; iu;1,, lg1r_ig x31., "£v§_‘. ,a; .4.*§: i.3.i’i» E-<5 T . ;s. ; Iafsal _i c,1I11th(C‘hQpuh; 'I 7 5 _iuiJ1L) _< "iI, £lf}Ii / )ji”7'2;_ n1.131V‘7j1 {’I'll§‘, "7£_}II1L= ’y}JI‘II‘UIy'V7 u. _a_! _c': ah/ ufi .0111.’ ' I 2:1 1r: I’i‘“jme'fihha-x:1*s‘hcuisiizaims dis‘21rtici‘1i1:1tionhheu1d~C7h6pai*IY, . I . .g. .;: ::: ‘x; .L’-= t‘ p1at1,: ,=tr11:; * than Iiw; i9ri5:; [:h'flfl;2L: : ( N , ; Ah 19:35.; El, ‘ Din'jC_Cti()fl1§I’IC ms 5'ki11.. ,h -~'(, );1cni‘ng_'§il‘th: metutarsqphgélji 1 &Ltua= ;x; «;x: uax( w w11aLa" V 5 ‘ L M, §. ;.a. §lJlLLLs; $J; I‘. -§)‘3:S a; ki. LaQag. :. T h
  30. 30. I: ;.~: . . '« M. =2 tr « -m _‘r. ,z um .13 : :z». '~ ; -mm. ..’ in-. em HE? ‘ . ~~ r 'c‘ » ll1v. "". uni xv vih. ,:i: ‘.L- I. ‘H . ' ‘ liu ' . ' K . “e- z: < ‘ 14.4.1: 4-»; ~: ,.. ’-.4 i 1 I. , w. .'. L « . .1:» . Lid’ . |'l. ‘ J1: . Iv . ‘~l| f U’! .. :'1' ‘H. -. k. L. '1 ' : H. ?'1-'. ".: _._'~ 5‘-. :'. ._. _'=1:. "~. il. ‘-. T : f.). '» 11 § ; .‘. . “1.1=: n§1= . :.'H H in; - . .'L‘= «;xI1;L. Z'. ‘-. .‘ . . . . . »: , .1. . .:'= H-L_“ H 1 5. C. -1,_. H. ‘ . ’ ,1. ',1.". M! :3! » 71. ‘v. i‘. .‘-. g;u: Aim, I‘! (V H Kim , -. 'l) RH'I| '()lU. _l (H HH: HIP . J(, )l. | v . . ‘e= :,Tx:1.. ' ~ "! '.‘": :l . -‘.1 ‘liiu mph 11.1‘-. ,<i | T; |' . g- 1;. 1 1:. s I xi‘ .11! . Ja. .L: “.. V. -E 1- , L‘I , . iv ‘ . ,. . 4. .5 - . . < 5!. * :1“ 1.: .2! HMLI. v '11» : |': vIT£. . ' . :K 1 1| ‘ 3 | 1 '. ’ : ' . ; I 5 _/ ‘ I ,7". t }_ 1 i “ '> I '. .= k . . . n 1‘ zivwl. ’ -, .;' . . I! . k . ‘ ml “‘ x: €iC'3’ 5'7 »'. . ’, ‘. . ¢_ . . ~‘l.4x . L., _ ‘M . g‘- . . 1_ ‘w‘ -~. H-, H! H-. -— E' ‘H’. ‘ . .>. . ; .1 . . ,1 . I. . ‘i / T. 5 . r I I
  31. 31. - ’$‘fi1nJJamn1aIi9J1' f hel1ipjoint(pl1r1x. lg, ;1'1E{u*; i1;i. ;; ~'~J1;‘- ‘ fr37i1sl>)? ’€1fi73Afo_ _ y is ig; ;ujf11ciciit. L TI L in-a«. ;v mxitis; r¢s. r;gt[i.9n of Ltl1‘e. h¢a: <i ‘of f, .*2.ITT.1;! .'i is v119.. !;*: ,: u= ‘ a: sDih‘§cCIiQn; of the skin and soft tissue i-< , ')€: "fi‘w1’§‘, "=: fipos; c;. ri<; r,. s1;perior iii-ac spine and tip of the ; .;rc: aIc? jIr, :v. [@fpost¢; i0m11argAin«; 3.: -—~ 6 : m,. dis. tal to mu tip ofthc: 322* 73l“hev fhsjzia is diSs_ecl_ed with b11mtinStrL1rn: :x1ts; l'1bc1'ai‘: - ; = M M ' Hi}: thug~4}). :*Q€‘_bepA"ee11.I{j_g§. gLL; } «mwc fc; gnf1‘u‘r; This makes Th: digwction of 131: iigzinwlii ul iiu j5l‘tLi; i {his, the ext, r¢, Ln»i1:»»~: is rotated 1'. ”fiC‘I‘L”iH_‘-‘, the hcsmi nf‘ ’f'<. ?mr, :=‘ we = :i%: a?= .;: =.: ~,r. <:d g—, ‘m, (T sa_1x*I1;wi§l1;: gjigli’s asagw‘. .D_, _£‘1Im-1ge‘d[ 'pg11'ts of mu ¢; c»: .u= .buhu. *:: ;z2== :_l ‘; ~’/ ‘1?, '.4'§} cd; _,V; «., ~a ‘~. :=. ‘re/2; greniu. :.cd. L Afturr-csVcctior1. thehfneclg ofTl1c’r'e: m1xj i_s fixed to the e2cet, a1;v. z§Lazn a: *.d: ~.: m1 i’C}_; _'. L‘b. ¢1f %f‘§it: .th(; ‘edge _0ffthj(: rer11»nvedLcap§ule~—. .A V Tgwbfintiflifi, —§§é<§iZ11;*a}>: §;(§3;. t:A; lg; g;%; §.$; £~. ;;Il§Ll.1l€; é:§§i§; -f’ ‘_,1:1el{; ‘3ij. ,}~‘}’:5{}jlifrififiiffiji
  32. 32. ff: 2 ; P’t7T’_(. "[ . §}%; . R'j‘ri'riz'n*: T{¢"n‘n*; <xri'r{1Ii l“: '("i‘Z[}V‘)}fA V "7 : ‘: ?‘. ;’$17|J‘c. ‘!t4It‘. ' ul‘m. - Lmx; 1-. _v2|| {‘ . ‘ __ _* ; ’ » , . Nx/ ~ J W ~z ; _ , , --. -/e : ‘; '». ,_: ';' ~~-f—/ :<~i~. — - » n, '. '_: -'-'1’; 7.. ~ ‘git »= - g'{'A(l? :u7[kHH' l. ~ . ”,[t1'j'V1run1 fin. ‘ Ispbx I, V ~, .._7(‘-1"tl%c fi: ’IIL-ii}: ,3 , ,'_nf:7l1'1iIL: 3_. msw. :{. -.‘ : ~,yJ‘Il1a‘: .{lpL‘l_1Ull>;1IlL‘IICLIHQ[31H: s‘! '!L, 'L3:i2_: H(| lJA. |hU ihuv ti'u: _ Iuimj» 1. M: ‘ri<~. ~nrL: .;L 'cH}; _ gnd -. *;L>i;1.: t,1_'»»: .» us linjk-nizJ: ‘“‘ g, .. z T F, In ; ,@i: u1', r.‘s. ':t 113;" ~; i»l‘¢91‘w; ' , , O ’ . , . M _ 5.: - - . ’ ( = <, 5." _~». In nulxk; ~. :; z*. ;". 'n-xi-:1'. v_x sf-I Ih . r'cc W ' Hug . "I3|_'L"§"! nl 1» . ‘v~ua. U1‘-> '- H‘1.! yh_"'.5'3,«y A ‘ “ w. . . . _ A V V . . . '. .f° I"; -.2H. s‘<r‘. .alm‘; ;: 't': ;.~z. ur. <"m': :m1(§ui, :‘cF's; r1u‘Inc dmgsmn . >l'm‘Iim‘-: .nnV'3. 3“ mug "ill; x. » m. mimuLmm. - 'v‘u'Ini. nc .14: C$r. s,~~. « mi N x u~ix. {~»u: ;. . ‘1~, -U: 4 M 1:li_1_z; j.; u': '_ 1} I ‘w. *‘. ‘L_‘L'_l pi (VIt'I{_' bihc c. a;'-ml; «~M! '.§- ’1.. :b1Au j. };i: s ~. ; ~«&x¥. .". .l»; '.: .i: :d‘ u; ‘cI1». ~:1 . ;i. .,u. ; G1 tin i-.1:-xi .7 _r . », r L/ » .111", . .. ' TH}! ‘ 3} 1% - : -{ct 4 . u_ ml. Mays: *7.‘- "Ik. ';(‘; H ! ):r. .§" '§'. ..'l4H'-T. y L-"§«. u|: a~: ix‘-: ~.~; .»15msz. :v. 'dU: x~. ru; h'1is; ;zIn; .1-suucdmi ---.1'u‘c1‘! I111‘ Inceim. ‘ . n»mf3} 1:"-w 15:: -1-Lfiazaz '. n1‘. }1L'{21_n33.'1l" Iv: ~~p{11 u '1 r) "GU W: x. ~ mm gap-.1:2g x»: in. l. rm. g»1I1':3 . ' . :r. ‘ . ‘m. .~. .~m'C iUl‘»; |'>'u Ix , ;i. :_»i: a;-d‘tmmhlhu p: (»'. x . -.. ar. ‘~; mi mu: 1: 3L‘ *iu«'u1.. »i: ,=. ': gnu 1«ri! .id. ». ~.-I ". hu; >m! "x: -~. i:»: s . ~€ >'‘I_IL 3 LI . , ‘ -4 d; n"I‘. '.}.1«;1‘«1I; c:5tv: rHI1». %Et L*; «-. .*w’i. CIu. ..~: u.1I«rug: -vv‘1.i-nullnzlgi; .L‘ . .1'«%j. —.T. —-_/ T/~, _ . 7 . ~~ A.
  33. 33. é » . ,3 <_‘ * :1“ , A, -U» , .V I ‘ .9“ . ? : - ‘ , ’ 1 J‘ : ‘ _‘>¢ ‘ X y x «.1 ‘ f‘. i'. ruLmn}' UJ; H‘Ic' kn; -c Ml: _ -=2 r, mr; Ll'£c! mci; ~.iu: xs with xtxlttrinig = '.>£". ”1:; ' ‘S! -cin M the 1‘-ur>.2L. b - 2 cm frurn the superior nYE1(‘gIx1 of ; )£;1fillaL f= :r:3li_'( I). an incisicsru 3; H}z'1L§L‘ {min the poim (‘.5’) upxxards I02‘ 5 6 cm and from UK’ puim(2) dLws'xnv:1r(1sa'rv ’c In ch. -1' Lb: nuddlc p2u‘L. nJ. ' ms }. ‘»'dh: H2’. . 1: — 'bf; :1<: gL: .2.r Ts. i11<; .si<1;1, d - AIfu:1"£cks: nr7< incmhn. lhc pa-Iicllu is . :'ac1cd upx--‘: ard; §, W ) La3~; $Io. :’ * re-s. e._cLti,0.n pf me km: Cj(, ii. .,l1}'. ? flfh” aIL, ic1‘x’1”ié‘s placed 1' :1’ H10 su’j5iiieL; posiLio11 xx-: il1’1..111:; ic bent. /(, IIv‘fiI; c-. <13a; fg§: _d d_issec§_i, ;;fi (_“L“") qf 1/hjc Sk? fi,r~S1tbc‘L1t. E1nc0L1sVtissuevand‘stI¥§f>&I‘fiC3‘315 biz‘; Uh the anIe1'in1‘; <’(1x'fL1ce Of kI1'e: ’e_]c. ~Em is made to conncuzl Ihc posLu1'Io: ' edge; u: )l‘Ihe.111:: L.ii; -11»; -ind laicml u_mLi_sg‘i; :s ufihu f: :111m; This (iiar. +:‘cIiL: >n pas>s. :§ 3 cm bq_l_ow: l}'1Clibi§. lHUECI’L‘v3}1_‘. ‘ V . e’-l;0,y'; c.tl1C. Iii9i. ?:I Itxbcmaii}. Lin; 1ij_f. i?1h. ‘:11.> of . pa1‘u: H;«. Mr: LH: >~“L'SIL‘d. — ~ : ’l'h’e‘(j0ifi1capsL11c is opencd sand. H1: '«i. :1'Ui>’SL&c xx ith the p: '.t= ;I! .;1 is z1;>§«; §cd Lipv» zxz‘i1AS. ‘A 1_l‘ the cojnpqn gs of }_x1.-".5 ‘izgim cu‘: U113: axpusczci‘ L - ‘Alljhe _dafi1a’ged ; c‘a. rti1a; ;c5. bwcs and sharp edges an: z‘c11m, y:: dA? Lb}La, _saW. "“;3‘t‘I= ):, ’tlV1’_">g§ ? t1§;3Ifi_5 guguxfgd 1§1_§€'I' ’r: ._' la} 6;‘. M H i A1§J§fiBLO. IOSLX' Al?1J. RESECT. l01i or “rm: ANKLE J. QlN; E‘*? -X“) ; EgI]étLi‘f‘E*x3f’the ar‘1kl5:‘Oint: V ~lt is carried out anteriorly on the medial orlateral mallcolus. . E‘Qr pL; ;,;1_g;1,u1': ;o:1., t}1;: latcralénmallcoius. a needle is inserted between the lateral Jrriia/4l’Ie“g. jLu, §: rid. cxfiEfisOr. digito.1ffiiiiiL lOff’g1S mtzscle (2 cm superior to lhé Iatéfal nxailcéii Ads» for the puncture on the xnediai malleolus, the needle is inserted between Jifyg; mczdial malleflolus ( 1 C. -misupcrior to thcmedial. ma.11coJus). and exte, g1sQr. haAlV1ucLs. lung 5. . j3oth11,cc: dles jjenelrate to the trochlea on the re; '§pec. tive Side anti’ to The sjm “viii: midi? ! or : :1e4sl. Lt)‘-<_.3,1.l. :.. .s. ;.. -{ V ~—1;p; ——
  34. 34. %I:7Wen1 ' 9159!‘? -‘$¥5l‘fiFv_T ~‘-I-r «I7¢; _: , ;=-0 -a. .. 1;; . Wu; _-go’ ‘win '- -4 3 ‘ - u-~ - .1. %‘t / w_, _«'_, _‘. ,_‘‘ ; ;:‘. ‘s: ‘‘ ‘, i '- 4.-wt‘: -w€: .=~a-n:15n; «,—, amp: - v T .5 _ -.0» . — 7,, pa *3-*'av3xa-rm: . % . ~ . ~: «.. wxo rm» -» L» -; ;c>! -em
  35. 35. __#.4., , _IV _ __ . ,,, .,. ___. n_. ._. T.__, u EAL? Q" ; }u. :na%§; D=é; Da°ar; aa' :6 W v= -== =~. '?'--—z~efi——«~, v=. ' . A , ,e Ll-3 my 9 F”-_= ' = fi EIUVJDIUM v°l. 't‘’: .fl :09 Dlfl3='9]q“"z? :E= '‘. ;1,F5 Q: D“ =91 W “" « rid; new = . '" W flfif WEW E°@‘= o="fi - — 2 I fl= T. ’.; '']: -:' 9 OR -4“)

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