The disease of hallux valgus can be said to belong to the international disease, on the one hand, it is a natural deformity, on the other hand, it comes from lesions, such as joint diseases, rheumatic lesions, etc., and a considerable part of it comes from occupational diseases.

Wearing high heels for a long time is the most direct culprit of hallux valgus.

This disease is relatively common, and Solis is naturally no stranger.

At present, there are more than 200 treatments for hallux valgus, most of which have become obsolete, but even so, there are still many treatments.

Mild cases can be treated with corrective treatment, while severe cases require surgery.

In foreign countries, hallux valgus is divided into metatarsophalangeal joint matching, mismatch and arthritic type, and the metatarsophalangeal joint matching operation generally uses distal metatarsal osteotomy such as Chev

o

Surgery + distal soft tissue and osteophyte resection; metatarsophalangeal mismatch is generally chosen for distal metatarsal (eg, Chev

o

, Mitchell) osteotomy plus soft tissue surgery........

But no matter what kind of surgery it is, it can be regarded as a large incision surgery.

This surgery is a minor operation, and it is also a relatively common operation, and the difficulty of the operation is not high, but in foreign countries, there are not many female patients who are willing to choose surgery, unless they have no choice, or they can not do it.

For female patients, a pair of feet is another face of a woman, and most women are very caring for their feet.

Many women choose to wear sandals, high heels, and silk socks in order to show off their beauty, and if there is a long scar on the foot, it is something that many women are unwilling to accept.

Women often have a paranoia about beauty, and even if they choose between life and beauty, some women are even willing to choose beauty.

Therefore, whether it is at home or abroad, the business of various plastic surgery hospitals is quite good.

The price of plastic surgery is high, which is clear to many people, and at the same time, plastic surgery is not within the scope of reimbursement by medical insurance, whether it is foreign or domestic, plastic surgery cannot be reimbursed, unless it is caused by various accidents or lesions, such as burns, burns, etc., plastic surgery purely for the pursuit of beauty is at your own expense.

In addition to spending money, every patient who has plastic surgery is aware of the risks.

As long as it is plastic surgery, there are accidents and risks, even if it is a relatively successful operation, there will be many accidents or complications at a certain age and a certain age, such as skin laxity, deformation, allergies and so on.

But there are still many women who flock to it, precisely because of women's pursuit of beauty.

Chen Yuan glanced at Solis and did not say anything, but ordered Jiang Feng: "You come and anesthetize yourself." ”

The anesthesia procedure for hallux valgus is different from other surgeries, the anesthesiologist can anesthetize, and the doctors also need to master the anesthesia skills.

After Jiang Feng anesthesized, Chen Yuan made an arc-shaped incision on the distal medial end of the patient's first metatarsophalangeal joint, and after the incision, Chen Yuan quickly and forcefully broke it a few times with his hand, and explained to Jiang Feng while breaking Chen Yuan: "This purpose is to loosen the soft tissues of the joint, we must pay attention to the control strength, and pay attention to the use of both hands and brains. ”

Solis watched from the sidelines, very puzzled: "Dr. Chen, is it okay to make such a big incision, do you still need to enlarge the incision?"

Solis has seen others perform hallux valgus surgery before, but both the steps and procedures seem to be very different from what Chen Yuan did.

"No, we have a minimally invasive treatment, and such a large incision is enough. ”

As he spoke, Chen Yuan quickly selected a second incision on the inside of the neck of the first metatarsal head, and then selected a third incision between the first and second metatarsal heads, and then used a periosteal driver to go deep from the incision, move left and right, and completely loosen the lateral metatarsal capsule.

Chen Yuan has done quite a lot of hallux valgus surgery this time, and he is already quite skilled in this operation, while talking to Solis, Chen Yuan's hands did not stop.

After the activity, Chen Yuan quickly selected a second incision on the medial side of the neck of the patient's first metatarsal head, and then selected a third incision between the first and second metatarsal heads, and then used a periosteal driver to go deep from the incision and move left and right to completely release the lateral metatarsal capsule.

Solis looked a little confused, Chen Yuan's incisions were quite small, less than a centimeter, such a small incision didn't even need to be sutured, and the scar would definitely be shallow at that time.

Bone grinding, osteotomy......

Chen Yuan's surgery was still quite fast, and the operation was over in about fifteen or sixteen minutes.

"Alright, let's get the patient out. ”

Chen Yuan took off his gloves on one side, and the nurse on the other side had already helped the patient to sit up, and after sitting up, he eased up slightly, and the patient got off the operating table and walked out by himself, with the nurse supporting him on the side.

"Oh, buy karma!"

Solis couldn't believe that the surgery was so quick and the results were so good, that the patient could get out of bed just after the operation?

Solis still understands this kind of surgery, generally speaking, such a small incision is impossible, and even after the operation, the patient cannot get out of bed and walk immediately.

"This minimally invasive surgery is the first of its kind by Director Wen of Yanjing, and it is a minimally invasive minor surgery, which is a result of the integration of traditional Chinese and Western medicine, with small incisions, fast recovery and no scars. ”

Chen Yuan smiled and introduced Solis to him.

At present, many surgeries are foreign and domestic, such as liver resection, heart surgery, etc., after all, the West is the pioneer of Western medicine.

Although many people no longer call Western medicine, but directly call modern medicine, it is undeniable that modern medicine is actually Western medicine, and the West is top-notch in many fields of medical treatment.

But in some fields, there are still leading positions in China, such as this minimally invasive surgery, which is at the leading level in China.

"Integrative medicine?"

Solis asked, "Does this have anything to do with Chinese medicine?"

He looked at it just now, but he didn't actually see the part of Chinese medicine.

"The biggest difficulty of this operation is actually the mastery of strength, the mastery of the interception part during the osteotomy, the subsequent filling, fixation, etc., all of which are borrowed from the techniques of traditional Chinese medicine orthopedic reduction, and at the same time, the personal experience of the doctor is relatively high. ”

For Westerners, they like to use precise numbers to describe it, such as various surgeries, they have precise surgical methods.

In the case of hallux valgus, the accurate description of the metatarsophalangeal joint matching procedure should be (1) IMA14°: metatarsal shaft (e.g., Sca) is required

f) or basal osteotomy....... Wait a minute.

All are quite detailed and accurate.

This minimally invasive surgery requires a large number of hand sensations and strengths, and many places rely on the doctor's experience, and it takes years of accumulation to master the strength and feel, which is the difference between Chinese medicine and Western medicine.

For example, orthopaedic reduction in traditional Chinese medicine.

Liao Yiming can even reduce patients with comminuted fractures by hand, many people think it is incredible, impossible, bragging and the like, but that is the truth.

The reason why Liao Yiming can do it is precisely because of his rich experience and feel that he has practiced over the years, and this practice requires not only diligence, but also talent.

This is also one of the reasons why it is extremely difficult to promote TCM orthopedics, and many TCM masters are difficult for the next generation to learn or not learn at all, on the one hand, they lack talent, and more importantly, they lack experience.

As Fang Han said, his orthopedic bones are trained with lamb legs, which is naturally Fang Han's bragging, but this is also a prototype, and there are indeed orthopedic masters who have developed the ability to practice their own skills by giving sheep orthopedics.

"Oh, it's incredible. ”

Solis was dumbfounded, he always thought that they were leading in all aspects, but they couldn't do this minor operation, although it was just a minor operation, it could be seen from the small to the big.

For example, in the beginning, a box of matches in China had to be imported, and even matches could not be produced in China, and the original matches were called "foreign fire".

But now, China's strong ships and artillery, ***, **, rockets, aviation, everything is catching up.

"The Chinese people's learning ability and pioneering ability are too strong. ”

Solis sighed in his heart, he felt that he had come to Jiangzhong Hospital this time too correctly, and he could have a good understanding of Chinese medicine.

In the past, they didn't pay much attention to traditional Chinese medicine, and they always felt that traditional Chinese medicine belonged to marginal medicine, but with the contact with Fang Han, coupled with the fact that he had just seen Chen Yuan's surgical process, Solis realized that they had always underestimated Huaxia.

Just like this, little by little, if they don't pay attention to it, then maybe one day they will be surpassed by Huaxia.

"Dr. Solis has won the award, this is just a minor operation, I also learned from Dr. Fang, and Dr. Fang knows a lot of things. Chen Yuan said with a smile.

"Dr. Chen also learned this surgery from Dr. Fang?" Solis asked.

"Of course, this is the bone injury division, and Dr. Fang is the person in charge of the bone injury division, in fact, before Dr. Fang did not come to Jiangzhong Hospital, the emergency department did not have a bone injury division and an extrahepatic division, which are all the credit of Dr. Fang. ”

Speaking of this, not only Chen Yuan thinks so, but all the doctors in the bone injury division and the extrahepatic division know that this is Fang Han's factor, even if it is Kuang Mingzhuo, in fact, it is because of Fang Han that he came to Jiang Zhongyuan.

"Fang is really an amazing person. Solis sighed.

"Magical?"

Chen Yuan smiled and said, "Maybe, it's really amazing." ”

Many of them wondered where Fang Han had learned his skills.

: Fortunately, I caught up, continue to send the four watches, ask for tickets!