After cleaning the bursa, Ji Xiang stretched out his hand.

After 3 seconds, Ji Xiang's hand was still empty, and it was obvious that Tang Yan was far less skilled in orthopedic surgery than in urological surgery.

Ji Xiang narrowed his eyes, "Probe."

"What's the point of asking for a probe?" Tang Yan asked as she handed the probe to Ji Xiang.

If you don't understand, just ask, you can better cooperate in the future, this is Tang Yan's concept, and there is nothing to be embarrassed about.

"First, identify the outer and anterior edges of the acromion."

Ji Xiang said, the probe entered from the work approach, and began to probe carefully and thoroughly.

"Second, assess the acromion."

"Third, identify the rocoacular and shoulder ligaments."

"Fourth, assess the integrity of the rotator cuff structure."

"Fifth, determine the position of the acromioclavicular joint......

Every time Ji Xiang said a word, he completed an assessment.

The overall action is simple, clean and neat, and each step has a clear direction, and useless work is equal to zero.

I don't know if Ji Xiang's brain is smart or not, but Director Bai and Deng Chaohong both know that Ji Xiang is too sober and sober in the world.

How many surgeries would have to be done to make this happen!

And it requires a very high level of understanding, and ordinary surgeons will not be able to reach the height of Jixiang in their lifetime.

"Teacher Deng, come here. I have dealt with the bursa, and the rostroid and shoulder ligaments are scarred and thickened." After Ji Xiang finished probing, when he pulled out the probe, he saw Deng Chaohong, and he moved to the side of his leg to give up the position of the surgeon.

"Dr. Ji, can you finish it?" Deng Chaohong asked with a serious face.

"Yes."

"Then you do, I'll see."

"Teacher Deng, it's not okay." Ji Xiang said.

"What's wrong, I'm in trouble." Deng Chaohong's mind was full of the bursal enlargement and dissection surgery that Ji Xiang had just done, and he had subconsciously regarded Ji Xiang as an equal, or even slightly higher operator, and forgot his identity.

Ji Xiang was not polite, and stretched out his hand, "Radio Frequency Vaporizer."

"What's next?" Tang Yan asked.

"Coroacromabular ligament release." Ji Xiang held Tang Yan's hand and changed the angle of the mirror, allowing Shuye to change to the position he needed.

Although separated by two layers of sterile gloves, Tang Yan's heart was still fluttering.

But she immediately relented and concentrated on the operation.

"For ordinary patients or patients with serious conditions, the rocoscapular ligament should be severed." Ji Xiang looked at the TV screen, and while using the radiofrequency vaporizer to wander, he explained to Tang Yan, "And the patient in front of me is a sports athlete, and it is better to do relaxation."

"Does the cut-off have an impact?"

"It doesn't have any special impact on ordinary people, if you raise the bar, the impact will definitely have, but it's not serious."

As Ji Xiang spoke, he had already stripped the acromial insertion of the corocoacral-acromial ligament to the deltoid insertion.

The release surgery was simple and comfortable, and Deng Chaohong was relaxed and happy.

Ji Xiang's movements looked simple and crisp, but Deng Chaohong knew that if he peeled it off perfectly, he would not damage the muscle fibers of the deltoid muscle.

The distance between muscle fibers and ligaments is about zero, so do it yourself, and be careful and careful. Even so, it is difficult to ensure that the muscle fibers of the deltoid muscle are not damaged.

But Ji Xiang completed the peeling very quickly, and the deltoid muscle fibers clearly appeared on the TV screen, unscathed.

….

Just this hand peeling can occupy a place in the domestic surgical community, Deng Chaohong looked at it in a daze, and his face was solemn.

He had expected Ji Xiang to show the same strength as urology under him, and he was also wary that Ji Xiang would treat himself as arrogantly and domineeringly as he did to Mr. Wu.

But during this time, Ji Xiang was very low-key, so much so that Deng Chaohong thought that Ji Xiang was only at a high level of urology.

I didn't expect that the orthopedic surgery was so good!

After stripping, Ji Xiang slapped the RF vaporizer aside, reached out to hold Tang Yan's hand, and changed an angle.

"Here."

Ji Xiang said in a deep voice.

"To determine the size and extent of the subacromial fold, the camera should be aimed at the anterior outer corner of the acromion, and the long axis of the lens should be parallel to the lower edge of the acromion."

"Hold steady, pay attention to parallelism."

After Ji Xiang finished explaining, he switched the camera angle and saw that the bone at the lower edge of the acromion was in the shape of a "hook", and he was ready to do acromioplasty.

No one spoke in the operating room, it was quiet.

If someone else "moves their hands and feet" casually, the itinerant nurse and anesthesiologist will definitely say something.

But Ji Xiang explained his intentions first, although everyone didn't know why Ji Xiang explained so clearly to Tang Yan, but no one cared about the slightest contact, especially the two layers of gloves.

Director Liu stayed out of the matter, he didn't want to learn orthopedic surgery, and he didn't have as much thought as Director Bai.

He became an old rascal when he said a few words, Ji Xiang got started, and no one spoke, which is really indescribable.

He looked at Ji Xiang with a smile, this kid quickly learned to hide clumsy, unexpectedly fast.

Yes, I want to be good.

Ji Xiang didn't notice the emotions of the others, and after confirming the location through the lens, he began to use the blunt tip of the radiofrequency vaporizer to clean the scar tissue near the subacromial folds, fully exposing the bony structure.

Finally, the planer knife was used.

Ji Xiang grinds little by little, starting from the outer edge, grinding backwards and inwards to remove the bones, until the lower edge of the acromion is restored.

Others are watching the excitement, even if it is a very powerful practitioner - Director Bai and Director Liu are all lively.

Deng Chaohong looked at the doorway.

The more he looked, the more shocked he became, Ji Xiang's surgery was thrilling.

When grinding bone or osteophytes with a planer, there is a degree - the acromion is not formed enough to completely remove the pathological basis of impingement syndrome, although the knot has been cut; If the area is too large, it may cause less remaining bone in the acromion, and the bone will be too thin, and it is easy to fracture later.

The specific choice depends on the level and cognition of the operator.

He stared at Ji Xiang's movements without blinking, and had many questions about Ji Xiang's choice.

It's not that Ji Xiang did something wrong, but even if Deng Chaohong has had hundreds of similar surgeries, he can't understand why he chose to do so in a short period of time.

Not only that, but the acromial surgery done by Ji Xiang is round and smooth, like a work of art.

The operation ended quickly, and Ji Xiang rinsed and repaired a few more points to announce the end of the operation.

Director Bai didn't speak, and pulled Director Liu away.

When he came to the locker room, Director Bai said, "Lao Liu, I saw it."

"See." Director Liu said, "This is the best acromoplasty I've ever seen."

"I mean, Dr. Koji is a good material for surgery, not only for your urological surgery, but also for orthopedic surgery."

Deng Chaohong's solemnity when he saw the operation, both of them felt it, and deeply understood Deng Chaohong's shock and incomprehension.

A few months ago, Director Liu was the same.

Director Liu thought for a moment and sighed, "I hurried to publish Xiao Ji's article, Chinese Urology. Save your own science, and you can also help push it."

Doctor of the Department of Healing.

True bear first ink