Song Zimo and Xiao Mo towed and lasted for a few minutes.

Professor Zhang put his hand on it and held it gently.

Touch the bones! This is the primary technique of manual bone correction, through the skin and muscles, you must be able to feel the bone inside, how many pieces, what shape each piece is, and what position it is in.

The eight traditional orthopedic methods: touching, connecting, ending, lifting, pressing, rubbing, pushing, and holding; The new eight methods of orthopedics: hand touching the heart, pulling and stretching, rotating and flexing, lifting and pressing the end of the squeeze, swinging and touching, clamping and squeezing the bone, folding the top and spinning, and massage.

Whether it is ancient or modern Chinese and Western combinations, the touch of the hand is put in the first place, which is the basis of all the later technologies, without it, the later technologies cannot be used.

The so-called technique, everything depends on the perception and control of the hands, and the ancients who survived by experience really brought their experience to the extreme.

Wu Baohe, the ghost hand teacher of Wuqiao, the hometown of acrobatics, played the acrobatics of the three immortals returning to the cave, no one could see the flaws, foreigners used several high-definition cameras, shot from different angles, and finally took the video to slow down, hoping to find the flaws, but just couldn't find them.

Technique! Can be played so fascinating.

Professor Zhang sat upright on the chair, the chair was very stable, and Professor Zhang's hand was more stable.

He carefully perceived the shape and state of each bone block in the ulna and radius through the skin muscles, and he knew by heart.

Those who can do this are estimated to be the only ones in the country.

Professor Zhang began to manipulate the bone blocks, returning them piece by piece in a pre-designed order.

There are bone blocks attached to soft tissues, and the homing is relatively much better, just like a morning glory, with a rope to pull it, and slowly lead the cow into the bullpen. Bone blocks without soft tissue attachment are free, like a cow without a leash, and the only way to get it into the pen is to drive it. It goes without saying which one is easier, driving the cow or the morning glory.

"Flexion, yes! Straighten again, overextend, overstretch again, stop! Return to the straightened position, supinate, slowly supinate, good! ”

Professor Zhang commanded Song Zimo and Xiao Mo, they did it very well according to the order, and in the process of the activity, Professor Zhang's hands did not stop, looking for opportunities, and grasping every opportunity to drive the ox into place.

Compared with the resting state of the control of the bone block homing, in the movement of the control of the bone block homing is a more superb technology, you need to know how to move, when the movement is the opportunity for the bone block to return, and how to control the bone block with the movement homing.

Next door, everyone looked at the screen, although they couldn't understand anything, but they knew that what they were watching now was a superb stunt. The camera was taken from different angles, and the multi-angle picture was presented, and some students had already followed Professor Zhang with both hands, making movements in the air, as if they were also patients under their hands.

"That's it!" Professor Zhang's hand was taken away from Li Jingshu's forearm: "Perspective! ”

Of the people inside, only Yang Ping was free, and he stepped on the foot switch of the C-arm X-ray machine, and a perspective image of the forearm bone immediately appeared on the screen.

The radius has been completely reduced, but the ulna is not up to the mark.

The reduction criteria for fractures include anatomic reduction and functional reduction. Anatomical reduction is a complete return to the normal state before the injury, without any deviation; The function can be reset, restored to the same, there is a certain deviation, but this deviation will not affect your use, that is, it will not leave any disability.

This ulna does not even meet the requirements for functional reduction.

Professor Zhang shook his head, he has obviously recovered, is it unstable?

Next door, many of them have never seen real manipulation bones. I have usually seen distal radius fractures and supracondylar fractures of the humerus, all of which are simple traction flexion, not real manipulation of the bone.

Today, I saw this case of a double fracture of the ulna and radius that was crushed and obviously displaced, and the radius can be reduced so well that it can be regarded as a real insight into the manipulation of the orthopedic bones.

Professor Zhang pondered that the fracture of the ulna and radius is not simply to reduce the ulna and then the radius well, but to take into account both, otherwise it is easy to take care of one and lose the other, because the two are a well-coordinated whole.

"Xiao Song, you come! Xiao Yang, help traction! Professor Zhang commanded.

He wants to change someone, maybe he is old, he hasn't operated for a long time, the feeling in his hands is worse, the sensory nerves of young people are more sensitive, maybe the success rate is higher, and Song Zimo was brought out by him, and he knows the level of reset.

Yang Ping took Song Zimo's position, grasped Li Jingshu's elbow, and maintained traction with Xiao Mo.

Song Zimo helped Professor Zhang get up, moved the chair back, and then helped Professor Zhang sit down again. He stood in Professor Zhang's position just now and began to reset, in fact, he was already eager to try.

He is competitive and has too much desire to perform, the more Yang Ping can't, the more he has to perform well. Since he was a child, he has been a scholar, and in his dictionary, there is no second word.

There was a little commotion next door.

"Song Zimo can also straighten the bones?"

"I've been studying with Professor Zhang for a few years, it's not that I can, it's amazing!"

"He seems to know everything."

"No way, who makes people smart, what can be learned as soon as they learn."

"He seems to play basketball."

"No, it's amazing, the main force of the hospital team, our hospital has won several consecutive medical system basketball games, and he has contributed a lot."

"Hey, why is everything so powerful, let me be so good at one and be satisfied."

"Forget it, people are more popular than people."

Yang Ping maintained the traction force in his hand and looked at Song Zimo, this guy is really good, not bragging.

Song Zimo put his hand on it, ulna! Now it's time to reset the ulna. He frowned slightly, concentrating, concentrating on the feeling under his hands, little by little.

In fact, others couldn't see anything, only saw the grip of their hands, directing the assistant to rotate, flex, and straighten.

"How? Xiao Song! Professor Zhang asked.

Hearing the clicking sound, Song Zimo nodded: "It should be okay." ”

"Perspective!" Song Zimo said, but found that only he could control the C-arm machine, so he stepped on the switch himself.

The picture on the screen is displayed.

The ulna is completely reduced, and the radius is no longer in place.

Despite this, everyone couldn't suppress their surprise that such a shattered fracture could be reduced manually.

Professor Zhang shook his head, still no. No matter how much it is reset, it is not necessarily certain.

According to Professor Zhang's analysis, it may be that the previous reductions have destroyed the soft tissue attachment of some bone blocks, which has reduced the stability of bone blocks, and there are too few cattle to lead and too many cattle to drive.

Too many manual reduction operations can easily cause myositis ossifiate, and some parts of the muscles become calcified and turn into bones, and this complication sometimes leaves serious dysfunction and disability.

Professor Zhang looked at the 3D reconstruction of the CT film on the reading lamp again and said, "Let's operate, call Director Han--"

"Don't!" The tears in Li Jingshu's eyes rolled down her cheeks on both sides.

"Try again!" Li Jingshu pleaded.

Professor Zhang shook his head: "I can't try again, the fracture is unstable, it is difficult to take care of both sides, and it is still the same if I try again, increasing the injury." ”

Song Zimo was a little dazed, and kept staring at the reading light, Professor Zhang said to him: "To successfully reduce this fracture, one person must operate the left and right hands at the same time, the left hand repeats the radius, the right hand repeats the ulna, or vice versa, the left hand repeats the ulna, and the right hand repeats the radius." If it was before, I could do it, but now I can't, I haven't done it this way for a long time. ”

"Is it okay for the two of us to work together? At the same time, you restore the radius, and I restore the ulna. Song Zimo didn't give up and asked tentatively.

Professor Zhang still shook his head: "No, this requires the left and right hands to perceive and operate at the same time, and command the different movements of both hands according to perception, and two people cannot unify the perception information in their hands, let alone command actions; Besides, the hands must cooperate with each other to be seamless, how can two people cooperate so well, just like two people playing the same unfamiliar song on the same piano, the difficulty can be imagined. ”

Looking at Song Zimo's stubborn appearance, Professor Zhang explained: "Thirty years ago, I could reset both hands at the same time, but now I can't. This kind of two-handed reset at the same time, not at the same time to operate, the movements of both hands are completely different, all have to go according to the predetermined plan, just like two hands at the same time to write different words, easy to say, very difficult, I really can't get it now. Let's go under the knife! ”

"Left and right?" Song Zimo thought of a word.

Professor Zhang nodded: "Yes!" ”

Director Ouyang's surgery may have been completed, and if you have time, come and have a look.

His graduate student immediately went up to report the situation: "This has to fight left and right." ”

When Director Ouyang heard this word, he recalled his memory. It was more than 10 years ago, and his brother's ulnar radius bone was comminuted and fractured, and it was obviously displaced, and he resolutely refused to have surgery. At that time, I went to the Chinese medicine hospital to find an acquaintance to reset, but failed, so I had to ask the tutor for help.

The mentor found a centenarian lady in the imperial capital through a relationship and asked the senior brother to go to the imperial capital immediately, and Director Ouyang accompanied the senior brother at that time.

The hundred-year-old lady performed the left and right fighting techniques, and dissected and reset those messy bones, which scared Director Ou to play the scene in his head repeatedly for several days.

Director Ouyang often mentioned this matter to the graduate student, so the graduate student knew about fighting left and right.

Hearing this new word, a doctor next to him couldn't help but ask: "Zhou Botong's left-right fighting technique?" ”

The graduate student said: "It's basically the same, the left and right hands control the bone pieces separately and take different routes. Moreover, it is very difficult to cooperate well and take into account both sides as a whole. Don't look at this technique, just pull it; It's really powerful, and the kung fu inside is great, and it all depends on the kung fu of the hands. ”

"Oh, Professor Zhang should know, he has studied before, and I heard that he has worshiped many masters."

"I guess it used to be, but I haven't done it for so long, and I don't know if it's okay now."