Just came out of Old Man Zhang's single room and triggered the system task.

"Ding-dong! Task: Complete Old Man Zhang's operation, let the seniors in the industry return to normal walking within 24 hours, reward 9000 points, and an unknown gift. ”

The system hasn't rewarded random gifts for a long time, this operation is not difficult, the difficult thing is to walk on the ground with weight immediately after the second day after surgery, this is a problem, a bigger problem than last time.

Yang Ping now finds that the system is infinitely useful, and the system does not occupy real time. That is, no matter how long it is in the system, it is a moment of zero in reality.

This biggest feature can be put to good use, and what is more precious than time.

Yang Ping suddenly wondered if he could put all the learning and the like into the system in the future. This is a good idea, and you need to make good use of the system's resources.

Yang Ping went to the office to find Xiao Wu, Xiao Wu was not there, Zhang Lin was writing medical records and preparing the informed consent form to sign.

Song Zimo was looking at the CT reconstruction on the electronic reading screen, leaning on the back of the chair, very distracted, looking at it for a while, stopping to draw something on the paper.

Yang Ping didn't bother him, just glanced at the paper. Medical Drawing! This guy knows how to draw medicine, and he does it very well, compared to the drawings in some surgical books.

Yang Ping went to the duty room, Xiao Wu was loading a tablet computer with some software, Yang Ping was surprised: "How do you know that Professor Zhang wants to watch the live broadcast of his operation?" ”

Xiao Wu said: "Professor Zhang, who doesn't know, I prepared in advance, in case I went to the operating room to bring it up, it was too late to prepare." ”

Yang Ping said: "You guessed correctly, Professor Zhang really told me to prepare a tablet and connect it to the video system of the operating room, and he wanted to watch the live broadcast while operating." ”

"I have downloaded the connected APP on the website of the video system, and I have just verified with the operating room, there is a long special data cable, and when the tablet is fixed on the headframe, he can watch it while lying down." Xiao Wu said.

Yang Ping was a little surprised, this kid didn't say that he was really delayed by studying medicine. Yang Ping found a bed to lie down: "I'll rest for a while, and I'll call me when the old man sends him to the operating room." ”

"Let's have a bite to eat, I've ordered several takeouts, and they'll be delivered right away." Xiao Wu said while fiddling with the computer.

Yang Ping lay down to rest and entered the library of the system space, where the time needs to be paid with points, and each point corresponds to one minute.

There is no way to bring the piece into the space, so I can only draw a picture in the space from memory, and then study the reduction of each bone block, focusing on how to form a bony support.

The system is very convenient to access information, as long as it is publicly published, it can be found, and no matter what language will be translated into Chinese. Yang Ping consulted a lot of information on this, especially for intertrochanteric fractures. Reading each paper word by word, anyway, I have accumulated more than 14,000 points in my hand, and I am concentrating resources to complete the task.

After theoretically getting through, Yang Ping went to the mall and found a surgical training package for hip fracture in a dense training bag, 4,000 points, and bought 500 cases, including many intertrochanteric fractures closed reduction PFNA internal fixation surgery.

PFNA is the abbreviation of proximal femoral anti-rotation intramedullary nail, which is currently the best fixation device for this type of fracture in the elderly. Hip fractures in the elderly - acetabular fractures, femoral neck fractures, and intertrochanteric fractures, known as "death fractures" and "the last fracture in life", have a mortality rate of 68%-70% within two months of conservative treatment at home; The survival rate after one year is 50%, or 100, and 50 will die, and the vast majority of these 50 are treated conservatively. Therefore, the fracture is not fatal, but the complications caused by bed rest are fatal: deep vein thrombosis, lung infection, bedsores, urinary tract infections, etc.

Professor Zhang has been engaged in orthopedics all his life and deeply understands the powerful relationship between them, so he is not equal for a moment, and urgently wants emergency surgery.

Another 500 surgeries were performed in the system, and almost all kinds of comminuted fractures were done. After checking the stability, think about improvement.

It also cost 3,000 points to read the book, and there are 7,000 points left, and the fractured femoral shaft and tibia and fibula are bought, and another 6,000 points are spent, and there are only 1,000 points left.

Complete the training package without delay.

After 4 hours of water fasting and 8 hours of fasting, Professor Zhang was pushed to the operating room for surgery, and the head nurse of the operating room personally followed him down.

Yang Ping and a few people followed the flat car into the elevator, there were too many people, there was a flat car in the elevator, and they couldn't squeeze it, so they had to let Zhang Lin follow, and everyone took the elevator next to them to the operating room.

When changing clothes, Tian Yuan said: "Doctor Yang, you have a big face, this old man's prostate, there has been no electrocution for a few years, and now there is an intertrochanteric fracture, and you will be called for emergency surgery, this will be spread out, tomorrow the canteen will be eaten, you don't have to queue up, no one dares to stop you." ”

Yang Ping put on a mask and said with a smile: "This has to be done, the last fracture in my life, the name is not taken for nothing, the old man understands it very well." ”

Change your clothes and go to the operating room. Maybe the requirements for the operation are too high, or maybe the old man's identity is special, everyone sat in the classroom next to him early, twice as many people as last time, and people from other departments came.

Dean Xia and several hospital leaders are all here, even if he is busy, he has to find time to come. In fact, when Yang Ping was resting, Dean Xia went to the ward to see Professor Zhang, but Yang Ping didn't know.

Combined spinal-epidural anesthesia, the director of the anesthesiology department personally anesthetized, but because he had not done anesthesia in person for too long, he was afraid of having hands, so he guided on the side, and it was Liang Fatzi who actually did it.

"Xiao Yang, Elder Zhang will be handed over to you." Dean Xia patted Yang Ping on the shoulder, he has an understanding of Yang Ping's level, needless to say, the last five-stage replant, the person who ordered it by Professor Zhang himself, it would be wrong.

At that time, Dean Xia learned that Zhang Lao had a fracture and wanted to leave Director Han behind, but Zhang Lao did not agree and wanted to arrange for him to live in the Overseas Chinese Building, but he still refused. Dean Xia had no choice but to follow him, what kind of person was Mr. Zhang, and what he decided, eighteen cows couldn't pull it back.

After the anesthesia is completed, the position is placed, Zhang Lin and Song Zimo get on the traction frame, and Xiao Wu connects the tablet computer to the video system, debugs it, and fixes it on the anesthesia head frame, so that Zhang Lao can watch the live broadcast of the operation while lying down.

Several cameras were also adjusted, one to move the X-ray machine's screen against the C-arm, one to the surgical area and one to the surgeon.

"This surgery shouldn't be difficult, just use PFNA, and it will be done in half an hour."

"Old man Zhang wants to walk with weights tomorrow."

"Wouldn't it? This fracture is broken into several pieces, how can it be possible to walk with weight after surgery. ”

"I don't know, listen to what Zhang Lin said."

"This guy is very powerful, he did the last amputated limb replantation"

"Trauma orthopedics is really good now, Director Han is a big bull-level figure, Tian Yuan seems to be very powerful, Song Zimo is a genius, now this guy is even more powerful than Song Zimo, Director Han is preparing to build orthopedics into a national brand, we have to work hard."

"Yes, Director Han is now going to apply for the Orthopedic Research Institute, it seems to be cooperating with Fudan, didn't you see that he didn't come tonight, he went to the magic capital."

"Oh, then our orthopedic development will be amazing."

Before the operation began, everyone began to talk about it.

Dr. King came in with a Bluetooth headset pinned to his ear. Last time, he was in surgery, and he didn't see Yang Ping have a comminuted fracture of the lower end of the humerus, so he must come over to see it this time.

Dean Xia exchanged a few words with Professor Zhang, but it was not easy to stay for a long time. There are too many things to do, and besides, a dean is standing here, which makes the family doctor feel pressure. He left in time.

"Xiao Yang, it's okay for our Xiao Su to give you a station, feel free to mention any comments." The head nurse of the operating room is also in her forties, and she is vigorous and resolute.

Yang Ping sat in the corner, and Su Yixuan had already washed her hands and was ready to put on a surgical gown.

Yang Ping said: "Nurse Su is really excellent, and we have a very tacit understanding. ”

The head nurse said: "That's good, Xiao Su will be handed over to you in the future, you can't bully her, she is a kind and smart good girl, and she has been trained as an orthopedic specialist instrument nurse in Modu, Hong Kong, and RB before." ”

We're chatting here, and the towing frame has been installed over there.

Traction reduction, this kind of fracture is first traction reduction, and then sterilization and paving, opening surgery.

Traction reduction occupies a very important position, almost half, without reduction, the following surgery is difficult to do, or even impossible to complete.

Song Zimo instructed Xiao Wu Zhang Lin to adjust the angle and strength of traction, and Yang Ping looked over and readjusted it himself. The original adduction position was replaced with an abduction position, and the tightness of the adjusting rod was also readjusted, and after being satisfied, he said: "Okay! It's okay, perspective. ”

"Senior brother, this is the outside booth!" Zhang Lin reminded that he thought Yang Ping had made a mistake.

When doing surgery, it is common for the assistant to remind the surgeon in time when he finds a problem.

Yang Ping said very clearly: "That's right, the outer booth." ”

How to insert intramedullary nails in the outer booth, Xiao Wu is also puzzled.

The one next door also started talking.

"Isn't this surgery adduction? How to outreach, how to insert nails in outreach, etc.? ”

"yes, forgot?"

"Song Zimo didn't remind me either."

"What are you bothering about, just keep watching."

A graduate student was in charge of operating the C-arm X-ray machine, and he skillfully pushed the machine in, adjusted the position and angle, and everyone went out. He was outside controlling the machine with a remote control.

The doors and walls of the orthopedic operating room are protected from excessive radiation. After filming, everyone went in again. The lateral position is completely reduced and satisfied.

Again, the anteroposterior fluoroscopy showed that the fracture on the anteroposterior film still had a certain angulation, and the transaction angle was still very large, and it was not completely reduced. In this kind of surgery, it is absolutely impossible to have anatomization if the fracture is not reduced well, and this kind of angulation will cause the intramedullary nail to be unable to be inserted, and the operation will be embarrassing and difficult to advance.

"It's not well yet, I have to reset it again." Zhang Lin looked at the screen and said.

Xiao Wu was about to adjust, but Yang Ping stopped him: "That's it, don't adjust." ”

Xiao Wu came back puzzled, and Song Zimo was ready to persuade Yang Ping: "This reset is not good, it's still --." But after thinking about it for a while, and then looking at the corner on the screen, I suddenly remembered something: "Senior brother, you are really a senior brother, you can't accept it." ”

"What's wrong?" Xiao Wu, Zhang Lin looked confused.

Song Zimo said with a smile: "You are in the audience, it is enough for me and my senior brother, watch it carefully, today our senior brother will perform another trick for you to see, see clearly." ”

Yang Ping had already gone out to wash his hands, and Song Zimo hurriedly chased out: "Hey! Wait a minute. ”

"Any comments?" Yang Ping stood in front of the sink, the sensor faucet began to come out of the water, and he began to brush his hands.

"You're really getting more and more incomprehensible, do you really want to try minimally invasive, dissect and reduce those broken bones, including the one inserted into the muscle? Will you really be able to walk on the ground tomorrow? Song Zimo caught up.

"What do you say, he said it, if you can't do it, just give me a zero egg." Yang Ping brushed his hands.

"I found out that Old Man Zhang is a man of God, how did he know that you would do it." Song Zimo said.

"Don't you say that he is a man of God? Do God-men need reasons to do things? Yang Ping's words choked Song Zimo.