The cries for help of various organs and tissues sounded in his ears, and Li Xiyang quickly formulated a treatment plan in his mind.

hurriedly said, "Wait a minute, Director Liu, I don't think the injured will necessarily have to be amputated!" ”

Liu Qi frowned, and his face instantly became gloomy.

The assistant doctor and the little nurse next to him also stared at Li Xiyang like fools.

Xindao is too unruly, right, he dares to question the chief surgeon on the operating table?

With Director Liu's temper, this kid will definitely be unlucky.

Mo Kai also looked at Li Xiyang with an anxious face, and secretly glanced at Li Xiyang, and collided with the main knife in the operating room, which is a big taboo!

If the other party really wants to care, he can't protect it at all.

"Director Liu, I don't question what you mean, I just think that with another treatment plan, maybe I can save the injured person's leg!"

Facing Liu Qi's angry gaze, Li Xiyang said neither humbly nor arrogantly.

"Another way?" Liu Qi laughed angrily, "Boy, people are not big and not small. ”

He has been working in orthopedics for almost 30 years, and he has not done 10,000 cases of comminuted fracture of the lower leg, but also 8,000, and he actually said to himself that he would change the plan?

"Okay, then you can talk about it!"

"But I can put the ugly words in front, you can't say a solution that satisfies me, I don't take this injured person in the orthopedic department, your emergency department will wipe your butt yourself!"

When Mo Kai heard this, he immediately became anxious.

"Director Liu, don't, newcomers don't understand the rules, but this patient is big, you are still..."

Mo Kai didn't finish speaking, he listened to Li Xiyang say unhurriedly, "Whether the injured can walk normally after surgery, the suture of the vascular nerve is only secondary, and the reduction of the articular surface is the key to the operation." ”

Liu Qi said indifferently, "I learned well in the theory class!" ”

Li Xiyang didn't care about the other party's ridicule, and continued, "Depending on the location and type of fracture, different incisions will be used during the operation, among which the most traditional and commonly used incision is to start from the anterolateral side of the wound.

It passes through the medial edge of the tibial tuberosity and then extends down the medial aspect of the tibia, where the length of the extension is determined according to the need for internal fixation and the type of fracture.

The advantage of this type of incision is that it fully exposes the wound and allows direct visibility into the fractured surface of the bone, which facilitates intraoperative fixation.

However, the disadvantage is also very obvious, that is, the requirements for blood vessels and nerves are very strict, and once the necrosis is severe, the injured person will face the risk of amputation. ”

Liu Qi's expression moved slightly, this method of making incisions is what he is best at and most commonly used.

It is precisely with this unique skill that he has come to today's position step by step.

"Little one, do you have a better treatment?"

People like Liu Qi look stubborn and old-fashioned on the outside, and they are not even close to people, but they are extremely enthusiastic about surgery.

Possible... It is precisely because of the extremely high requirements for medicine that he is extremely strict with new doctors.

Li Xiyang didn't notice this, and at the moment he was immersed in the new fracture treatment plan that the system rewarded.

While feeling, he said, "For the injured person in front of me, I recommend using a Y-shaped incision in front of the knee, in order to prevent flap necrosis, the first thing to do is to turn up the subcutaneous tissue and skin at the same time, so as to fully expose the fractured end and the entire knee joint.

In this way, the injured person can not only check whether there is a concomitant injury, but also look directly at the collapsed fracture platform and pry down.

Finally, the fracture fragments are reduced, and absorbable threads can be used to fix the sutures for some of the articular cartilage that has been lifted and ruptured, as long as they are not completely free;

In the case of bone defects, a composite of xenogeneic bone containing BMP or autologous iliac bone can be used.

For fixation, use a key-shaped TCP type steel plate for fixation. ”

After a slight pause, Li Xiyang added, "As for blood vessels and nerves, it can be determined whether to be conservative, repaired or reconstructed according to the degree and location of the injury.

However, as far as I can see, many of the wounded's vascular nerve endings are still active, and if they are sutured immediately, they do not need to be cut off. ”

Rumble~

Liu Qi's eyes suddenly brightened, and the corners of his mouth involuntarily grinned.

It's like seeing a new world!

For many years, he had never felt that kind of restlessness in his heart again.

"Little one, come to the orthopedics!"

Liu Qi's words directly blew up the entire operating room.

The two assistant doctors and the little nurse were both orthopedics, and they had never seen Director Liu invite a rookie doctor.

Especially when they were still disdainful of each other a second ago, and now...

This reversal is too fast!

Mo Kai jumped up directly, "Director Liu, you don't dig the corner of the wall and don't betray people at all!" ”

Although he is not an expert in orthopedic surgery, he also has a certain understanding of bone surgery, and the plan Li Xiyang just said is absolutely feasible.

And seeing Liu Qi's attitude change so quickly, Mo Kai suddenly realized that Li Xiyang was definitely better than he thought before.

If this kind of talent is let go, it will definitely be a loss for the emergency department.

Liu Qi squinted at Mo Kai and snorted coldly, "It's Zhang Zhenhua here, I say the same too!" ”

"You..."

Mo Kaiqi's teeth itched, but in the end, his weight was still lighter.

Seeing that the two were-for-tat, Li Xiyang hurriedly said, "I think let's hurry up and operate!" ”

Liu Qi nodded, he really couldn't delay.

merely

"Little guy, your idea just now is really good, it is very feasible, and I am sure that the bones will be perfectly replaced, but the anastomosis of this vascular nerve is probably a little difficult!"

Mo Kai temporarily put aside the unpleasantness just now, thought for a while, and said, "I can do this part of anastomosis, but I want to successfully anastomosis so many blood vessels and nerves, and I will definitely not be able to do it in more than ten hours.

In the event that any nerve is completely inactive during this process, all the previous efforts will be in vain! ”

Just when everyone was in a dilemma, Li Xiyang's ears heard the sound of the system again.

[Time is pressing, please put the host into rescue work immediately, and reward quasi-national medical neuroanastomosis]