Chapter 576: It's the First Initiative Again!(Ask for Subscription)
The new technique in his mind at this time is called the "one rib for one knee" technique. It is also called autologous rib cartilage repair knee cartilage defect surgery!
"I think the trauma is so large that it is obviously very difficult and almost undesirable to use traditional artificial materials. So I thought maybe I could try to use the autologous rib cartilage grafting technique to repair the cartilage surface of the knee joint lesion!"
"I feel that the tissue morphology of cartilage is similar to that of articular cartilage, which is the same hyaline cartilage, which allows us to fully remove the knee cartilage lesion and repair the denatured cartilage surface through costal cartilage graft reconstruction, so that the patient's knee joint function can be well improved after surgery!"
"And in this surgical process, we only need to take a small piece of costal cartilage (3-4 cm), according to the size and shape of the patient's knee joint defect, the costal cartilage is adaptively trimmed, and then implanted into the knee joint defect, so as to achieve the closest repair effect to the "original" cartilage in terms of histology, morphology, biomechanics, etc."
"And I think that after transplanting into the cartilage defect, the costal cartilage may be able to re-form a reliable biological interface with the bone bed!"
Liu Junchi was a little skeptical after hearing this, after all, he is not a professional orthopedic, he doesn't know if it's okay, but it sounds quite reliable!
"This kind of repair method has never been tried before!" Zhou Chengfeng said in amazement. He didn't expect that Ruan Bin was not an orthopedic surgeon, but he could still have such a bold and innovative idea, and looking at the other party's appearance, could it be that joint repair surgery would also be?
To be honest, he doesn't know if it will work, but it seems that this innovative surgery is indeed better than the previous artificial materials!
"Haven't you tried?" Liu Junchi hesitated.
"Yes. ”
"Old Zhou, do you think it's feasible?" Liu Junchi looked at Zhou Chengfeng.
"I haven't tried it, but I look like I can try it, at least better than my surgical plan......! I've never tried it, and the risks are unknown!" Zhou Chengfeng said truthfully.
Zhou Chengfeng's words made Liu Junchi hesitate!
As a doctor, he also knows the unknown risks of surgery.
If it succeeds, it's easy to say, if it fails......
"Director Liu, let me tell you this, if you use traditional surgery, I don't think it's as hopeful as mine! I think you can give it a go! I usually don't lie!" Ruan Bin said in a deep voice.
He can only talk about this step, and he can't say that Lao Tzu is hanging, can you rest assured?
"I understand, I'll discuss it with my nephew's family!" Liu Junchi thought for a while.
"Okay, then I'll get busy first, and if you want surgery, just tell me!"
"Okay, thanks, Ruan Bin. ”
......
Three days later, Liu Junchi's nephew was still easy to operate!
After the negotiation, Ruan Bin also began to make a morning of preoperative preparations.
The key to surgery is to do the costochondral anastomosis design!
This will take some time.
Two o'clock in the afternoon.
On-time surgery.
Ruan Bin was in charge, and Zhou Chengfeng personally served as an assistant.
After the operation, Zhou Chengfeng was a little nervous at this time, after all, this is a new surgical exploration and attempt, if it is successful, then he is a witness, which is a huge blessing for patients in the future.
If that fails......
Truth be told, patients and doctors alike are desperate!
After the anesthesia was effective, Ruan Bin first made an incision on the ribs of the patient Xiao Wang and took out a small piece of rib cartilage!
Then the stitches are done, and the target begins to move to the injured joint of the opponent!
Cutting open the lesion, Ruan Bin carefully removed the lesion......
Every knife is smooth, and every knife is just right.
Zhou Chengfeng, who was next to him with such superb surgical skills, was a little stunned, he felt that the other party was like an orthopedic surgeon for twenty years!
How is it so stable?
Can geniuses ignore long hours of practice?
After the lesion was removed, Ruan Bin performed adaptive trimming of the rib cartilage, and then implanted the knee joint defect!
The operation lasted 3 hours, and it was finally completed!
"The operation is done, it depends on the postoperative situation!, but now it seems that the operation was successful!" Ruan Bin began.
Liu Junchi, who was watching on the side, was also a little apprehensive when he heard this!
But he also knows that the result can only be judged after a while!
Seven days later!
Xiao Wang's recovery is good, which proves that Ruan Bin's innovative surgical method is indeed feasible!
"Hahaha, Dr. Ruan, after the transplantation of this rib cartilage into the cartilage defect, it seems that the clinical effect can indeed re-form a reliable biological bond interface with the bone bed, this discovery is a historic breakthrough! You have created the world's first autologous rib cartilage repair knee cartilage surgery!" Zhou Chengfeng came to find Ruan Bin on this day and admired him!
"It's good to recover well! This technique can be tried for more patients, and maybe it can be popularized on a large scale in the future!" Ruan Bin said with a faint smile. In fact, the clinical information and experience in his mind told him that with the clinical application of 3D printing technology, it is possible to achieve personalized reconstruction of the damaged cartilage surface in the future, which is not available in other cartilage reconstruction methods. In addition, due to the abundant amount of costal cartilage, it can even meet the needs of multiple cartilage reconstruction and revision surgeries, which is extremely valuable for young patients.
Of course, he didn't say these words!
"That's right, let's have dinner together tonight? Will you have more free time to come to my department to do more surgeries like this in the future?" Zhou Chengfeng was very enthusiastic at this time.
"Tonight, I'm not available. ”
"It's okay, next time, next time!"
......
The video of the operation was soon uploaded to the surgery website, which immediately attracted a large group of orthopedic surgeons to watch.
When they saw such a bold and innovative autologous rib cartilage repair knee cartilage defect surgery, they were all amazed!
Obviously, they were also affected by this new way of thinking, and it gave them a huge inspiration!
"My God, it's the First Affiliated Hospital of Modu again, and it's this Ruan Bin who is the chief surgeon! I remember that he didn't have any innovative surgery for half a year, and now he has made such a big move. ”
"People were researching cancer drugs before!"
"Worthy of genius!
"He's my idol!"
"It's awesome, there's no solution!"
Many orthopedic surgeons on the Internet are talking about it, and many people have benefited a lot after seeing it!