Lu Gang was arranged with a bed and placed under the management of Xu Zhiliang and Zhang Lin.

Song Zimo wants to compete, and Corey's daily work is in charge of Xu Zhiliang's group.

Each group is equipped with several regular trainees, plus interns, and the operation is stress-free.

This kind of top-level configuration is only available in the comprehensive orthopedic department, and other departments are not eligible for it at all.

Someone had an opinion and asked the dean to make a small report, and Dean Xia said: "When do you make achievements like comprehensive orthopedics, assign you a few doctors to write medical records, and I personally bring people to you, how about it?" ”

The person who made the report had to leave in disgrace, and it would be boring to continue talking.

Gui Peisheng pushed Lu Gang to the ward, braked the wheelchair, and carried Lu Gang to bed, while Xu Zhiliang had to conduct a detailed medical history and physical examination.

But Dr. Xu saw that this little brother of Pearson had no difference from bean sprouts, and he was afraid that his hand would slip halfway through the hug, and he would hurt someone or break his waist.

"Zhang Lin!" Dr. Xu's tone was slightly angry.

Zhang Lin, who was standing by and watching, immediately started to help, honestly, and the momentum of spraying people has long since dissipated.

When Dr. Xu asked about his medical history, Zhang Lin's pen did not stop, and he recorded it rustlingly.

Where does he dare to be lazy, he doesn't even dare to miss half a word, this Xu stammers, and will check the medical history he recorded in front of the trainees and interns.

If there are omissions or inaccuracies, they will stutter and criticize them seriously on the spot.

This man stammered, but he had a good brain, a very good memory, and he remembered everything clearly.

After Dr. Xu asked about his medical history, Zhang Lin dared to close the notebook.

As soon as Dr. Xu stretched out his hand, Zhang Lin handed over the tape measure, and the measurement of the physical examination was completed, and he stretched out his hand again, and the percussion hammer was presented, the movement was slower, and Zhang Lin could see that he was sweating with his stern eyes.

After checking all kinds of shallow and deep reflexes, Zhang Lin followed the rhythm, took back the percussion hammer, and handed over the stethoscope.

Auscultation of the heart, lungs and abdomen should be done, as spinal deformity can cause squeezing and displacement of the chest and abdominal organs, leading to heart, lung and digestive problems.

After a complete set of physical examinations, Xu Zhiliang stood still, Zhang Lin trembled a little, and he was about to ask questions.

Every time at this time, Zhang Lin was most afraid in his heart, Xu Zhiliang's questions were the same as playing chess, interlocking, step by step.

"Big brother, can you give some face, there are regular trainee interns." Zhang Lin's eyes seemed to be pleading.

Xu Zhiliang didn't ask questions, but said: "Let's review the chapters of Clinical Orthopedics and Orthopedic Surgery on ankylosing spondylitis and scoliosis. ”

Lu Gang is a severe deformity of the spine, hip and knee joints caused by ankylosing spondylitis.

Brother Liang was very face-saving this time, and Zhang Lin breathed a sigh of relief.

——

Xu Zhiliang moved quickly, imported the data of CT 3D reconstruction into the 3D printer host, and printed a model of Lu Gang's entire skeleton, which was already placed on Yang Ping's desk.

Yang Pingping repeatedly studied the model and formulated a surgical plan.

The deformity of the spine is too severe, kyphotic deformity in the sagittal plane, rotational deformity in the cross-section, curved deformity in the coronal plane, which is a complex deformity in three dimensions.

The surgery needs to correct the deformity on three faces, which is many times more difficult than the general spinal deformity correction.

The spine should be corrected, and the spinal cord in the spinal canal should be straightened at the same time.

Once straightened, some parts of the spinal cord are stretched and others are pinched.

These stretches and pinchs can damage the spinal cord, causing death or paralysis, where is the tolerance cut-off point for correction? No one knows, only empirically.

Although intraoperative neurophysiological monitoring can now be performed with instruments, the effect is limited, and the effect on such severe cases is even smaller.

The whole operation can be simply understood, Lu Gang's spine was broken into many sections and rebuilt.

The pelvis is cut into several pieces and reassembled, and the hip and knee joints are sawed off and fitted with artificial joints.

In addition to spinal cord injury, there is also a risk of bleeding, infection, osteotomy, and nail placement in such a huge project.

For example, the risk of nail placement, due to the presence of deformity and the failure of bony criteria, the original standard pedicle nail placement technique is ineffective, and each pedicle nail placement is unique.

Lu Gang's bones took shape in Yang Ping's mind, and then began to change, rotating, stretching, compressing.

The soft tissues to which the bones are attached are stretched, shrunk, and twisted.

The anterior blood vessels, nerves, and internal organs also changed and began to displace.

The whole dynamic process was demonstrated in Yang Ping's mind, and according to the demonstration, some osteotomy lines began to be drawn one by one.

I had just finished studying Lu Gang's surgery and wanted to rest for a while, when my classmate Ou Lichun called.

He had already reported to the First Affiliated Spine Surgeon, who took great care of him and placed him in the medical team of Professor Zou's protégé, Associate Professor Fan Jiguang.

The director of the Medical Education Office personally took him to the Department of Spine Surgery, and Professor Fan was also very kind to him, shushing the cold and asking about the warmth, and also asked Ou Lichun what the relationship was with Yang Ping.

In order to thank Yang Ping, Ou Lichun brought some hometown specialties, and he must come to Sanbo Hospital to give them to Yang Ping.

Yang Ping made an appointment with him to get together together, and among his classmates, he could help if he could, and everyone made progress together.

There was a knock on the door, the sample opened the office door, and Takahashi stood in the doorway with a strange expression.

"Is there something wrong?" Yang Ping saw that he was preoccupied.

Takahashi wanted to speak, but seemed to be in a quandary.

"Come in, right?" Yang Ping welcomed Takahashi into the office.

Takahashi sat down and said, "Dr. Yang, it's a pity that the University of Tokyo is reluctant to cooperate and is worried about technical leaks, and I have worked hard to get it. ”

Takahashi argued with reason, but failed to convince the diehards at the University of Tokyo.

Yang Ping thought it was a big deal, and he didn't care: "Takahashi, thank you, it's okay, it's just a small thing, don't be so nervous, if you cooperate, you can save me a few months, if you don't cooperate, it's just that I spend a few more months." ”

Yang Ping did not have much hope for the University of Tokyo, and he had already begun his own layout.

Takahashi felt that it was a pity to do this, and if he did not cooperate with Yang Ping, he would lose the opportunity to occupy the top of the field.

It is foreseeable that as long as Dr. Yang devotes himself to this field, the advantages of the University of Tokyo and Duke University will soon disappear.

It can also be seen from Yang Ping's expression that he did not react at all, as if this matter did not exist, and the cooperation of the University of Tokyo was dispensable to him.

As Miyuki said, Yang Ping is a man standing on the top of the mountain.

In Takahashi's eyes, Yang Ping is, if he doesn't draw his sword, he will have no opponent if he draws his sword.

"This is Lugang's skeletal model? And the surgical drawings? Takahashi looked at the skeleton model on the table, next to a stack of drawings.

Takahashi didn't expect that Yang Ping was an all-rounder in orthopedics, not only trauma orthopedics and sports medicine were unattainable, but even his attainments in spine surgery were so unfathomable.

First of all, the cervical deformity should be corrected, so as to facilitate the intraoperative tracheal intubation, and the position of the subsequent operation.

Then the thoracolumbar deformity is corrected, followed by pelvic rotational osteotomy, knee osteotomy, and hip and knee replacement.

Interspersed with various soft tissue relaxation, tightening and balance techniques.

The surgical steps are clear and clear, step by step, each osteotomy is extremely ingenious and precise, all the osteotomy is gathered together, the skeletal deformity is completely corrected, and a surgical beauty is presented in front of you.

To be able to learn from this kind of person is a blessing for Sansheng!

"Dr. Yang, you will work miracles again." Takahashi said admiringly.

"No, just do your own thing." Yang Ping leaned back in his chair and said calmly.

——

Song Zimo is preparing a patient for thoracolumbar fracture surgery.

In the southern division, Song Zimo, Su Nanchen, and Lin Hao still maintained full scores.

The teams in each competition area are like several torrents, gradually becoming clear and rushing to the national division.

In each competition area, the top few are still those old hospitals, the imperial capital Jishuitan, the third hospital of the imperial hospital and 301 still firmly occupy the forefront with full scores.

The Sixth Hospital of the Magic City, Huashan and the Long March stood out, while other hospitals began to fall behind.

Huaxi and Xijing are overwhelming, and other hospitals can only look at them.

Xiangya and Tongji Dugu sought defeat, and their brother hospitals were still able to fight, and other hospitals had no chance of winning.

Except for the Sixth Hospital of the Demon Capital and the First Attached to the Southern Capital, no one cares about Sanbo Hospital, even if the Sixth Demon is driven by curiosity, so he pays a little attention.

Only Su Nanchen understands that Sanbo is the real champion team, but he can't say more, and it's useless to say more.

Yang Ping glanced at the list, Song Zimo has been strong, and he has nothing to do with himself for the time being.

If he can't be strong, it's not Song Zimo, and his strong combat effectiveness makes Yang Ping very satisfied.

For this Golden Knife Award, if it weren't for the system reward laboratory, for Director Han's wish back then, and for the passion of his friends, Yang Ping really didn't have much interest, and he could do a lot of things in this time.

The next round of surgery is the posterior surgery for thoracolumbar fracture, and there are relatively few overturns, and most of them are overturned in the pelvic acetabular fracture surgery.

As long as Song Zimo can stabilize, it is not a big problem to qualify with a full score.

It is just that Song Zimo is trustworthy in terms of surgical skills and psychological quality.

The website of the Golden Knife Award was unprecedentedly lively, and fans from major hospitals spontaneously formed groups.

For example, those who like the Magic Six, those who have studied in the Magic Six, and the graduate students who went out from the Magic Six, naturally become fans of the Magic Six.

And another group of people became fans of Huashan, and these fans fought wildly in the comment area.

However, they are all academics, and even if they fight, it is like a case discussion, and academics start a war in an academic way.

No swearing, no foul language, no personal attacks, all the passion for battle turns into a paper-like commentary.

Sanbo Hospital has also gained a lot of fans, and they are active in the comment area of Sanbo.

Most of these people are doctors who have personally participated in the Sanbo academic conference.

"The main knife hasn't appeared now, isn't it cowardly? Let Ichisuke fight to the end? ”

"Joke! Break a butterfly on the wheel? ”

"The god in your mouth will not play again, I'm afraid there will be nothing else to do in the future, see what kind of surgery is in the national competition? If you give him all the surgeries that Sanbo has had over the years, you can't feed him, right? It's good to have enthusiasm, but you also have to have an IQ, who does the learning curve spare? ”

"The learning curve is a hooligan if you don't talk about efficiency, add the efficiency factor, the curvature difference will appear, the same operation, this person produces ten times the effect, but the other person only has one double the effect, the difference in magnification, so that the learning curve is no longer fair.

The game was great and the reviews were wonderful.