For normal ACL injury surgery, it is necessary to use forceps to bite off the anterior cruciate ligament stump, and then explore the medial and lateral meniscus to see if there is any obvious injury.

After the exploration, a longitudinal incision was made on the medial side of the left knee, separated to the upper edge of the pes anserinus, longitudinally incised, separated and exposed layer by layer, the hemitendon and the gracilis muscle were freed, and the tibial attachment was removed proximal to the proximal end, and the full length was removed by sneaking proximally with a key extractor, and the two ends were braided and sutured with No. 1 absorbable sutures.

That is, the tendon taken from the body is "transplanted" into the patient's joint cavity and acts as the anterior cruciate ligament.

This is a very mature orthopedic operation, and it is now used internationally and domestically, so there is no doubt about it.

But the young surgeon in front of him actually began to rinse, clean the joint cavity and prepare for suturing!

Will he have arthroscopic surgery or not?

Director Shi Shuoshi was amused, "Director Sui, your surgery is really a different way."

Director Sui also frowned.

"Professor Deng, what is the surgery?" Director Sui asked in a deep voice.

"Director, USC Sports Medicine Team specializes in ligament surgery for athletes." Deng Chaohong was a little weak-hearted, and looked at the mirror intently, he already felt Director Sui's gaze fall on his back like a knife.

For a moment, Deng Chaohong wanted to give up.

It's not difficult to cut the tendons of the sartorial muscles, and it's not that I can't do it.

But the last patient with rotator cuff injury appeared in Deng Chaohong's mind.

If the surgery had been done by himself, the patient would have been cured, but healing is not the same as healing.

After Ji Xiang's surgery, the patient has recovered his motor function and is actively preparing for the National Games.

If you do it yourself, I'm afraid that the patient has already retired.

The results after surgery vary dramatically.

And communicating with Ji Xiang last night, Deng Chaohong thinks that Ji Xiang's statement is feasible. Although it was a little troublesome, I had to do a hybrid surgery.

He stubbornly assisted Ji Xiang in the operation, ignoring Director Sui's murderous gaze.

"USC has the best sports medicine program in the world." Shi Shuo laughed angrily, "Today, I have a long experience and see how the world's first-class surgery is done."

There was sharp sarcasm in his words, which made Director Sui a little embarrassed.

"Professor Deng, can I come here in a few days? Learn the world's best new techniques." Professor Fan asked jokingly.

Deng Chaohong's hands trembled a little, and the words and emotions of these people behind him brought him tremendous pressure.

"Smack~" The hemostatic forceps knocked on Deng Chaohong's radial styloid process.

"Focus." Ji Xiang said, "I'll leave this side to you first, and I'll do the imaging."

「！

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「！

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「！

！」

Countless exclamation marks floated over the heads of the two directors and Professor Fan.

Angiography?

What the hell is that?

Under normal circumstances, ligament surgery requires an MRI, and this young doctor should not have hysteria.

Director Sui immediately remembered Deng Chaohong's bloated body, damn it! He secretly cursed to himself, Deng Chaohong was wearing a lead suit for surgery!

"Old Shi, are you looking inside or outside?" Director Sui asked.

Orthopedic surgeons are often exposed to radiation, so they don't have the same fear of interventional surgery as other doctors. ….

Moreover, Director Sui noticed that Ji Xiang had laid out a strange sterile sheet before, and it turned out that he was going to have interventional surgery early in the morning, so it was so strange.

"Professor Ma, thank you." Ji Xiang was wearing a sterile gown, three meters away from Professor Ma in the corner, and bowed slightly.

Professor Ma was a little helpless, he knew very well that his purpose was to give Ji Xiang a reason for surgery - commonly known as betraying the blame.

But Ji Xiang's surgery is at least 2 grades stronger than himself, which is why Professor Ma agreed to him.

Professor Ma was curious, and he wanted to see it

See what the relationship between anterior cruciate ligament repair surgery and interventional surgery is.

If it were someone else, even if Director Zhao said so, Professor Ma would scoff at it.

But Ji Xiang said that it could be done, but he just believed it with a "ghost in his mind". Although Ji Xiang is only a trainee, the matter of pointing his nose and scolding Boss Qin at the New Year's meeting a few months ago has spread all over the rivers and lakes.

Shi Shuo was also dewed, and he frowned and thought about the repair of the anterior cruciate ligament again.

Not only did they have their own surgery, but they also participated in the society and listened to other people's reports, and no one proposed the idea of doing hybrid surgery.

There are only a few differences - direct sutures have been basically eliminated, and the tendons of which muscles are used for repair. As for the ligaments with high-value consumables, they are too expensive and hard, and the effect is relatively average.

The attention of orthopedic experts is on the consumables manufacturer, and in order to achieve further efficacy, better ligaments are needed.

"Old stone? Where are you looking?" Director Sui asked.

"Right here." Shi Shuo said in a deep voice, "I'll go get dressed."

Soon, the three men walked in in lead clothing.

It is rare for there to be so many people in interventional surgery, and Professor Ma also feels a little unfamiliar.

Ji Xiang began to puncture, put the arterial sheath, and then overselected.

The technique was so neat that Professor Ma's thinking couldn't keep up, and he didn't have time to distract himself, so he concentrated on doing a good job as an assistant.

Soon, Ji Xiang Chao selected the ligament branch of the middle knee artery and began to create a shadow agent.

"Doctor Xiaoji, I can overselect so deeply, I have never done this blood vessel." Professor Ma said.

"The blood vessels supplying the anterior cruciate ligament are some small blood vessels from the middle knee artery ligament branch and the infrapatellar fat pad, and we will look at it on angiogram." Ji Xiang said, "The main reason for the good recovery after surgery is whether the blood circulation can be re-established."

"Tsk." Professor Ma could understand what Ji Xiang meant, but he couldn't think about what to do next.

The ligaments are supplied with blood, but the blood vessels are thin, similar to capillaries.

The fact that a repair operation for an anterior cruciate ligament turned into a hybrid surgery is intriguing to everyone.

The high-pressure syringe injected the contrast agent in, and Ji Xiang saw the blood flow clearly and said, "Professor Ma, thank you, the tube has been withdrawn, please trouble."

Professor Ma sighed.

Although it was just an ordinary angiogram, Ji Xiang did it extremely finely, and overselected the middle knee artery ligament branch.

At this level, there is no one, at least no one in the Second Affiliated Court who does better than Ji Xiang.

"What's the point?" Shi Shuo asked.

"yes, do a radiogram, can you still anastomoses the capillaries?" Professor Fan also asked.

Ji Xiang turned his head and glanced at the two of them, his eyes narrowing slightly.

If you don't wear a mask, it should be a smile, a smile that expresses kindness.

"Xiao Ji, what should I do next?" Director Sui did not ridicule or ridicule, but asked with doubts.

"If you see the donor blood vessels of the anterior cruciate ligament, just avoid them when you suture them, and the revascularization will be very fast after surgery." Ji Xiang replied.

96.

True bear first ink