The first metatarsophalangeal joint, where is it, is actually very simple, that is, the place where the thumb and the instep are connected is this joint. The thumb function on the hand is the most important, and the same is true for the foot, which is also a force joint.

The people who injured this joint are some big fat people, some ball players, and the fat people are because they are too heavy and their joints can't bear it. Most athletes are injured due to exertion. But there are also some ordinary people who are not fat and are prone to this disease. It is women who wear high heels, especially what kind of shoes they like to wear, they are beautiful and tall to wear, but this shoe is really a weapon for damaging the metatarsophalangeal joint.

Because wearing high heels can increase the weight bearing of the forefoot, the metatarsophalangeal joint is excessively dorsally extended, the deep transverse ligament between the metatarsal bones of the forefoot is relaxed, the transverse arch collapses, and the 2nd, 3rd, and 4th metatarsal heads sink, which happens to be excessively compressed on the common nerve at the bottom of the toe, resulting in a common nerve nerve nerve at the bottom of the toe. In addition, because the heel is too high, the arch of the foot collapses, and the metatarsal head sinks, which can compress the common digital artery adjacent to the common nerve at the base of the metatarsal head, causing arterial blockage, resulting in ischemia, hypoxia, and fibrosis of the digital nerve.

This is not alarmist, and because this joint is the end of the weight-bearing joint, once the injury is damaged, it is very troublesome to deal with and treat, and this injury is a chronic process, if it is an acute injury, it can also be recovered by surgery, but this chronic injury, the first damage is the vascular bed and nerve at the end of the limb, and then the bone. In layman's terms, when women wearing high heels begin to have pain, they have already damaged their joints and related soft tissues and bones.

If it is found that the treatment is late, she will be accompanied by permanent toe pain, burning pain, and numbness, severe numbness of the soles of the feet, you can imagine how uncomfortable it must be. Even if it is treated early, it is very troublesome, and there are two methods, surgical and non-surgical.

The non-surgical method is to wear flat shoes, and then put something under the front of your toes, so that your thumb is as straight as possible, and you imagine how difficult it is to force the bones that have been bent, and then force them to straighten, not only difficult, but also painful, very painful. On weekdays, women wear high heels for a day, why do their feet hurt, it is caused by changing the curvature of the force, so if you love your woman, please take off her hatred!

The black man was hospitalized, with a height of two meters and a weight of more than two hundred pounds, the general hospital bed really couldn't let him lie down, even if it was customized, it was too late, so he could only grieve this neighboring friend, and the two long benches were erected at the end of the bed, which just allowed the big black man to lie down.

Because the inspections are very complete, all the tests that can be done have been done, and they are all recent examination results, so there is no need to repeat the inspection. Arrange the operation directly, this is the result that Ms. Wang wants, for them, time is money, heal early, and play early.

Metatarsophalangeal joint, a very small joint in the human body, but after this joint is injured, general orthopedic surgery can be done to improve the symptoms and reduce the pain.

"Make a dorsal incision, open it and repair it. Now prepare for surgery, Lao Chen, you go and talk to the patient about the condition and inform the patient, and sign where you should sign. Zhang Fan directly determined the plan.

Lao Chen said cutely: "I, I don't know English!"

"Hehe, isn't Ms. Wang here? Just tell her!"

"Yes, yes, I forgot about it. After saying that, Lao Chen went to find Ms. Wang. Although the black brothers are very reluctant to have surgery here. But it can't be helped, he has passed the peak of his sports career, and now it is good to have a gold owner, and he has to do whatever the gold owner tells him to do.

At the beginning of the operation, the anesthesiologist estimated the weight of the black man and added anesthetic, "Doctor Zhang, this fat man weighs so much, I don't dare to give too much anesthetic, so the effect may not be very obvious, and when it really doesn't work, you can add a little local anesthesia." "The anesthesiologist has never seen such a huge person, and he is a little unsure.

"Okay!" Zhang Fan looked at the fat man's limbs, which were really too big and too thick. It's black, it's very dark, shut your mouth and close your eyes and turn off the lights, and you won't find it directly. "Doctor Zhang, did you say that his skin is also black!" Li Liang asked, grabbing the thick toes of the big black man.

"Probably not, the dermis is probably black, but below the dermis is the same as us. Zhang Fan was also the first time to operate on a black man.

"Start! The anesthesiologist said.

Li Liang began to disinfect, spread the order, put the hole towel, and after everything was ready, Zhang Fan and Li Liang went to surgery, and Song Bing toured. Looking at the weird toes of the black man, Zhang Fan sighed, the athletes looked at the scenery, in fact, their hard work is really not understandable by ordinary people.

Although the black man is not a first-class athlete, his toes have all become deformed due to perennial weight training, overload exercise, and his huge weight. Although each toe is very thick, it is very bent like an old man's music.

"You see, his second and third toes have obviously been fractured multiple times, and there is already compensatory thickening here. After observing the rest of his toes, Zhang Fan said to Li Liang.

"It's really not easy for them to make this money. Li Liang had already separated the first toe, which was a bit laborious, too thick, estimated to be as thick as a two-year-old child's wrist.

"It's not easy for anyone, it's easy. The anesthesiologist interjected.

At the beginning of the operation, Zhang Fan took a small sharp knife to gently cut the skin, the scalpel was very sharp, the scalpel in the early years was used many times, and now the scalpel is disposable, although it is sharp, but it is not durable, and the skin will be blunt after a few strokes.

"This operation must pay attention to minimize the damage to the blood vessels, his injury, has destroyed most of the blood vessel bed, if he wants to continue to maintain high-intensity exercise, it is necessary to ensure the survival of blood vessels. Zhang Fan said as he gently avoided the dorsal digital artery, and then used the handle of the knife to separate the flexor pollicis brevis muscle.

In surgery, not all the areas to be exposed need to be knifed, for example, the skin needs to be knifed, and a very sharp knife is used, and the muscle layer is generally separated by fingers or handles. Especially for this kind of athletes, muscles are very important to them, if the sharp weapon is broken, although it can be healed later, but it will form scar tissue, which has an impact on the burst and durability of strength.

This kind of functional joint surgery for athletes is very difficult to do, if it is an ordinary person to do this joint injury, because there is no need to do extreme strength exercises, so as long as the joint functional position is reached, the pain and mutation can be eliminated, as for some irrelevant blood vessels, the ligation that can be ligated, there is no need to pay special attention to the joint capsule, and the scar heals in the later stage.

But if the athlete does this, the pain is reduced, but the sports career is also over, which is why many teams have a fixed orthopedic joint doctor, this kind of top joint doctor can achieve joint recovery with minimal trauma.

Although Zhang Fan had only opened the first-level microsurgery, and the amount of surgery shown was only more than half, but because he was so capable of liver, Zhang Fan had practiced in the system I don't know how many times, and the three-dimensional pattern of the structure of this joint was directly formed in his mind.

Metatarsal bones, phalanges, Zhang Fan slowly separated some inflammatory tissues with tweezers little by little, and then rinsed with normal saline. This surgery is not so dangerous, but for the surgeon's understanding of the joints, the subtle manipulation of the hands is too demanding.

What does it mean to do surgery without dragging mud and water, that is, there should be fewer movements, such as some inflammatory tissues in the joint capsule, which can be scraped once with a curette, and the energa should not be scraped twice, the more movements, the greater the damage, this operation is a comprehensive consideration of the doctor's comprehensive quality.

The inflammatory tissue was cleaned up, and Zhang Fan began to repair. This kind of subtle repair cannot be done by ordinary doctors, nor can it be used, but it is very important for this special population. In the United States, there are no more than 20 doctors who can do this kind of surgery well, and the doctor is a little old enough to do this surgery, so the cost of the operation is also quite expensive.

"Dr. Zhang, why is this repair oblique? Li Liang couldn't understand it, because according to the physiological position, it should not be oblique. Zhang Fan did not speak, this time is the most critical moment, and the success or failure after surgery is at this moment.

Zhang Fan held his breath and tried his best to let his hand reach an absolute stability, and gently repaired it, once, twice, three, and four. Finally, Zhang Fan let out a long breath of "Shhhh

More than three hours have passed, and this is a microsurgery, which is very time-consuming. After Zhang Fanluo waited for his breathing to be smooth, he said to Li Liang: "The oblique type here is to consider his weight and occupation, and the oblique type is more stable after it. ”

"Oh!" Although Zhang Fan explained, Li Liang was still a little confused, after all, there was little surgery, and there was no way to understand it for a while.

"Electric drills, K-wires. Zhang Fan said to the operating nurse. Song Bing was dying of boredom, and the entire operation was done under a microscope, and he couldn't see anything. The electric drill gently opened the small hole, and the K-wire fixed the joint steadily.

"When you put a plaster, you have to make sure that the cast is fixed all around. Not a day less. Zhang Fan said to Li Liang and Song Bing.

"Okay!" At the end of the operation, Ms. Wang and the athlete's black buddies were almost asleep outside the operating room! When Zhang Fan and the others pushed the black man out of the operating room, these black buddies happily surrounded them, croaking and talking non-stop, Zhang Fan had studied English for so long, and he didn't understand what they were talking about!

"Dr. Zhang, it's been a great job. Ms. Wang looked at Zhang Fan expectantly, and Zhang Fan understood what she meant. After taking off the mask, he first smiled, and then said, "The damage is very serious, but it has been repaired." The rest depends on his own recovery in the later stage, and you can know it from the surrounding area. It is estimated that he will continue to play basketball in the future. Before the operation, Zhang Fan didn't dare to guarantee anything, but after the operation, it was different.

He has confidence in himself, because he has worked hard and shed I don't know how much sweat in the system!

。 m.