The surgery didn't go well. Despite using enough succinylcholine, Zhuang Tao's ankle still struggled to be successfully realigned. The reason why it is difficult to reset has nothing to do with Zhuang Tao personally, purely because the reduction of this part itself is more difficult.

The ligaments inside the human body have two main functions, in addition to connecting adjacent bones, they also have the effect of restricting the movement of joints.

Of course, the bigger the joint movement, the better, the tough ligament can limit the angle of joint movement to a large extent, so that the joint is always in a relatively stable state.

And Zhuang Tao's ligament, although completely derelict in maintaining stability, seems to have suddenly woken up and is ready to prove that it is not useless in another job.

"I ...... !" The group comedy scene has long since turned into a carpenter wrestling meeting. The two orthopedic carpenters in charge of the reduction were as tired as their grandsons. Thirty-two minutes into the operation, the two carpenters together had cursed almost two hundred swear words. However, the reset is still not complete. Several attempts by both men failed in the final twist.

"Tell me about the two of you, ah?" (two voices)" Zheng Guo's angry hair was shaking, "I usually tell you to be more fitness, and if you have nothing to do, you will know that you are lazy to go to the outpatient clinic." Is it useful to sit in the outpatient clinic? I can't even pull my ankle back now!"

Xiao Guo, who was responsible for fixing Zhuang Tao's calves, was also sweating, and he said cautiously, "Director Zheng...... The strength of these two doctors is not small...... "When the joint is reduced, Xiao Guo must ensure that Zhuang Tao's calf is motionless. In the past half an hour, he felt that he was about to break Zhuang Tao's calf.

"Director Zheng, this can't be done. "Dr. Pascal and Xu Yourong have long been stupid and can't say a word. And Sun Lien cautiously put forward his own suggestion, "Otherwise, let's do an incision reduction, right?"

Zheng Guoyou frowned and thought about it, shook his head and said, "It's still too slow to recover like that." Try it again. He unceremoniously blasted away the orthopedic surgeons who were still resting around him, and he came to Xiao Guo, who was wiping his sweat.

Xiao Guo was bent over, taking care of Director Xiao. After all, when I came to the operating room, I usually can't have the habit of wiping my sleeve when I sweat in the emergency room. In the operating room, only Director Xiao has done this before.

The wife helped the young male nurse wipe his sweat, but Director Zheng didn't care much. Anyway, looking at Xiao Guo's trembling appearance, Comrade Lao Zheng is more sympathetic than eating a flying vinegar - his wife is usually not gentle at all, and her gentleness is basically a precursor to anger.

Sure enough, Director Xiao Lirong wiped the sweat from Xiao Guo's head and muttered in her mouth, "Tell me, what are you doing with such a big guy?

Xiao Guo was already bending over, and when Director Xiao said this, his height shrank from 1.98 meters to 1.8 meters and then down to 1.6 meters - he half-squatted down.

"Xiao Guo, you will change places with those two guys later. Zheng Guoguo pointed to the two orthopedic surgeons behind him. "The two of them don't have enough strength, and it's not easy to grasp the timing of the force when the two of them work together. You do the reset. ”

"Me?" Xiao Guo, who was one meter six, was frightened and turned into two meters and one - he jumped up. "Director Zheng, this is not appropriate......

Zheng Guoyou didn't care, "With me staring at you, what are you afraid of?" he pointed to Zhuang Tao who was lying on the operating table, and said seriously, "If you don't do it, he will have to be stabbed." Then the joint that is reduced back will definitely have ligament damage. ”

Xiao Guo blinked his eyes, not knowing what to say. He looked at Sun Lien with a look of help, and Sun Lien stretched out his hands at him, "I'm still a regular trainee and I'm going to lead a treatment team, and this is probably the style in our hospital." ”

After receiving this reply, Xiao Guo could only resolutely agree to Zheng Guoyou's request. He is not afraid that there will be anything inappropriate in his behavior, as Lao Zheng said, he is against it. Xiao Guo is more worried that with his own strength, the reset is simple. However, on the basis of ensuring the success of reduction, he was a little unsure of how to minimize the patient's intraoperative injury.

"Little Sun, come here to help. Zheng Guoyou called Sun Lien over again, "You and the two of them hold down the patient's body together." He pointed to Zhuang Tao's thigh, "You hold your thigh." ”

The other nurses in the operating room also came to help, and the five of them pulled Zhuang Tao's thigh together. Xiao Guo carefully picked up Zhuang Tao's foot, supported Zhuang Tao's ankle with his right hand, and pinched Zhuang Tao's right foot with his right hand, the whole person turned his back to Zhuang Tao, and clamped his calf with his right elbow and body.

"Wait a minute, go in your own direction first, and pull his feet with a long force. Director Zheng made the final explanation on the side, "Then you can feel his feet spinning in your hands." ”

Xiao Guo nodded nervously, "And then?"

"And?" Zheng Guo said with a wicked smile, "Of course we can't let him succeed!"

After a dislocated joint, the ligaments pull and squeeze and rub between the disconnected joints. In severe cases, both sides of the bone and joint may even get stuck with each other. Therefore, when the joint is reduced, the first thing that should be done is to pull it in place. Only when traction is in place can the bite force of the bone and joint be reduced as much as possible, so that when the reduction is made, it is not easy to hurt the tissues between the joints.

"You have to keep pulling, and when I shout yes, you have to twist it in the direction of his ankle rotation. Zheng Guo danced and demonstrated the movements to Xiao Guo. "As soon as you're done, you'll feel a distinct 'pop' reaction in your hand. Then this position ......," he pointed to Zhuang Tao's sunken ankle, "and it will pop up." Then you can let go, and when you let go, move his ankle again, as long as the action is not particularly twisted, you can basically confirm the reset of Chen Gong. ”

"Director Zheng, is it really okay for me to do this?" Xiao Guo asked a little nervously, "I'm afraid of screwing people up......"

"Don't be afraid. Director Zheng smiled, "The joints of people are strong." If it's so easy to wring, it's going to pay it back!"

Sun Lien stood aside and raised his eyebrows, "Director Zheng, do you want to stop thinking about it? ”

"I don't dig into the corner of his Liu Tangchun. Director Zheng waved his hand, "Stop talking nonsense, hurry up!"