Under normal circumstances, as long as you bring the name of an expert in the medical field, you are more or less in your forties, and when Zhang Fan appeared in Ma Wentao Hospital, Wang Yongyong's wife was about to collapse. She doesn't have a job, everything in the family depends on Wang Yongyong, if Wang Yongyong has three longs and two shorts, this family will be over.

But there was no way, Wang Yongyong insisted on doing it, she had nothing to do but worry. Today, there is only one operation for her husband in the hospital, and in the corridor outside the operating room, under the dim light, the poor and helpless woman sits alone on the bench at the door and weeps secretly.

In the operating room, Zhang Fan sat in the corner and pretended to sleep, not because he wanted to sleep, but because he was constructing a three-dimensional image of Wang Yongyong's knee joint in his mind. Even if he wanted to do some preparations before the operation, Li Liang would rush to complete them.

The biggest difficulty of old injuries is the reconfiguration of scar tissue and blood vessels, resulting in unclear tissue relationships, scars forming in such a narrow place inside the knee joint, and swelling and compression lead to knee joint pain, and because the blood supply inside the knee joint is not very abundant, the pain will become more and more serious.

Disinfection, hand brushing, aseptic operation, the foundation of the surgeon's life. The anesthesia began, and after Zhang Fan adjusted the equipment, the operation began. The difficulty of this operation is much higher than that of Guli's.

First of all, it is the damage of the old nature, and Wang Yongyong is not young. Unlike Guli, who is still in the growth period, some injuries will be automatically adjusted and perfected by the body after time growth, arthroscopic surgical injuries are much smaller than conventional surgery, and the later recovery is also faster.

Zhang Fan started the operation, first of all, he had to select a tendon and cut it into the shape and length of the ligament with a scalpel, this is a meticulous job, and he had to be patient to repair it little by little.

Zhang Fan grasped the mirror and slowly cut it little by little. For the knee to have flexible range of motion, it must adapt to rotational forces, absorb impact forces, and then be able to cushion immediately.

The knee joint belongs to the pivotal joint, the special science of human evolution, when the knee joint is extended, by the knee joint locking mechanism, the knee joint rotation is limited, this function determines the stability of the human body, if there is no locking mechanism, the standing human body will turn left and right if it is slightly impacted!

Wang Yongyong was a professional basketball player at the time, and he exercised a lot of exercise and often suffered some strong rotation or extension of the knee joint, so he not only injured his ligaments, but also damaged his meniscus.

The current injury is associated with a dysfunction of the patellofemoral complex. The purpose of Zhang Fan's surgery is to repair the deformed and damaged tissue.

The degree of injury is not small, and if you want to adjust, you must be very familiar with knee joint mechanics and the whole kinematics of the human body, which is why sports medicine doctors can see orthopedic diseases, while orthopedic surgeons may not be able to treat sports injuries well.

The special treatment of special populations not only refers to the restoration of their general life functions, but also must reach a certain level of competition, which is very demanding.

Almost all of the most powerful sports medicine experts are in the United States, and the surgical requirements of sports medicine are first of all to cause as little damage as possible, after all, no matter how precise the surgery is, it may not be able to achieve the original state.

The second is to consider the special career of athletes, an athlete who has signed a contract of tens of millions with the team, and a doctor who does not have a certain technical level after injury will not dare to do it. Because surgery is really difficult not only to solve the pain of athletes, but also to ensure the professional life of others.

Repair began, adjustment, Zhang Fan combined with Wang Yongyong's weight to thicken his ligaments, now he doesn't need to do extreme sports, but his weight has increased, and because of years of pain, his affected limb knee joint has a certain deformation.

This operation will test the doctor's skills in a large number of evidence-based medicine, and China's medicine is catching up with the West very quickly, but evidence-based medicine cannot be developed.

Evidence-based medicine is too time-consuming and money-consuming, and it does not produce results in a short period of time, so evidence-based medicine requires a lot of time and a large number of patients to establish a scientific file, to track the number of a disease all year round, and perhaps to track the number of the disease until death.

This kind of work, in the current economy-centric society, few people can bend down and do it desperately. Evidence-based medicine does not have any advantages in the short term, but it can be of great significance for the long-term treatment of a disease.

For example, Wang Yongyong's surgery needs to thicken or reduce the thickness of the ligaments, and how can he achieve better effect on his knee joint? The establishment of this system requires a country to support development, relying on a certain hospital or doctor, which is just a drop in the ocean.

To solve Wang Yongyong's pain, it can be solved by finding a third-class orthopedic deputy high, but to recover and maintain his exercise at a certain intensity, it is not something that ordinary hospital doctors can do.

At this time, Zhang Fan, who has a system, has a huge advantage, and the future medical care has attached great importance to evidence-based medicine. Zhang Fan has a lot of the best results that have been successfully summarized to go to surgery.

The surgery is done very slowly, and knowing how to do it and doing it well is also a stage of hard work, and without a lot of practice, even if you know the result, you can't achieve it.

Zhang Fan has been in the liver for two years, and there are still many surgeries that have not yet reached the level of proficiency in the liver, so you can imagine the complexity of medicine. Li Liang watched the electric knife in the monitor slowly cut, the knee joint is too complicated, it is not something he can comprehend at present, if the assistant is Lao Gao, she will discuss with Zhang Fan, why do you want to do this?

To repair the ligament, there is still a debate in the medical community about whether the posterior cruciate ligament should be sutured, but it has been proven in the future that it must be sutured. That's the advantage, that's the genius!

The surgery was slow, but it went well. Hemostasis, pressure bandaging and plastering, the follow-up work was completed by Li Liang. "Brother, this operation is too difficult, I didn't understand what I did today. I saw that you cut and cut, sew and sew, and I really didn't understand it. ”

"Well, this operation first has to engrave the structure of the knee joint in the brain, and then it is a bit difficult to understand the stress habits of the patient's knee joint, so take your time! "There's really no good way to do this, there's no system, you can only rely on your own efforts and time to fill it.

If Li Liang works hard, he can still enter a large tertiary hospital, and he may be able to do this kind of surgery when he is about thirty-five years old, although he can't reach Zhang Fan's level, he can also achieve general recovery, but if he wants to reach Zhang Fan's level in this era, he has to go to the most advanced hospital, and if he wants to let you do it, at least he has to be about fifty years old to reach this level.

Cruel, medicine is so cruel, when the technology is completed, the doctor is also old, many young scholars in the discipline can have a certain degree of achievement at the age of 30, but medicine is not good, 30 years old to start.

The doctors who are extremely tired in the major hospitals and sleep on the floor of the operating room are not putting on a show, in fact, there are more pitiful and lamentable things that cannot be known to the layman.

Some of the photos that have come out are nothing more than a rarity. Yes, the current medical treatment in China is dissatisfied, with all kinds of drawbacks and all kinds of unspoken rules, but are these things that doctors can decide? We can't deny those doctors who have worked hard to survive the liver because these doctors can't change the reasons. They work really hard.

Was SARS terrible back then? Laymen only knew that it would be contagious and fatal, but when those doctors who had families and had a good reputation, knowing that they might die if they went in, one after another, wrote their wills and walked into the epidemic area without hesitation, were they afraid?

After the end of SARS, the reward for doctors who had entered the epidemic area was to add 10 points to the child's college entrance examination, which was very precious! This was exchanged for the child's life by the child's parents.

In those days, not a single doctor said that he would take off his coat and say that he would not do it! No! If the doctor does not die of this epidemic, who will die! It is really not easy for the workers in the special industries of the state, and there are many things in it that cannot be decided by the personnel within the industry.