The young voice sounded in the video, and everyone frowned.

Cerclage of the patella?

Based on the patient's current injury, it is unlikely that the patella will be saved.

Sure enough, just as everyone thought, Liu Qi said, "Xiao Li, Zimo's patella is comminuted with displacement fracture, this is the most serious case of patellar fracture, you want to use steel wire to splice them together, it's impossible!" ”

However, Li Xiyang said, "The steel wire may not be able to do it, but the K-wire can." ”

K-wire?

Everyone was stunned again!

K-wire is a commonly used internal fixation material outside the bone, mainly with external fixation locks, used to fix pelvic fractures, calcaneal fractures and other emergency fractures.

"The patient in the video has a fractured patella, and the bone is so small, I'm afraid it won't work!"

"And the use of K-wires for patellar fixation, have you ever heard of it? I haven't heard of it anyway! ”

"I haven't heard of it either!"

"This kid can't be messing around, is he?"

As everyone whispered, the operation had begun.

"Sucker!"

"Clean up the joint cavity!"

"Towel pliers!"

"Flip the flap upwards and look for fractures..."

"The patellar fracture fragment is more separated, and the tear in the joint capsule and quadriceps expansion on both sides is also large..."

"The proximal and distal fracture fragments are pulled apart, revealing and probing the front of the femur..."

"Completely remove intra-articular hemorrhage, bone debris, and soft tissue between fracture fragments..."

"Straighten the knee joint to relax the quadriceps muscles, and use the forceps to clamp the fracture fragment and pull it together..."

As the operation progressed, the chatter in the conference room slowly stopped.

All of them were attracted by the smooth operation in the video.

"This young man is an emergency resident?"

"But this technique is too silky, isn't it?"

"No matter how you look at it, they're all veterans!"

"At my age, I'm still pulling the hook for the old director."

“……”

Everyone finally understood why Liu Qi valued this young man so much.

The future is limitless!

And that's just the beginning.

The next moment,

I saw Li Xiyang's hands moving like butterflies through flowers.

In the eyes of everyone, they saw Li Xiyang using a K-wire with a diameter of 1.5mm to drill into the inner and outer sides of the fracture surface, along the longitudinal axis of the patella, and from the top of the fracture fragment.

Then use the same K-wire to drill from the corresponding point of the proximal fold block to the distal fold surface, and drill out along the longitudinal axis of the patella from the lower end of the distal fold block.

Adjust the K-wire with a hand drill so that the two ends are exposed about 3~5mm outside the muscle membrane, and the needle tail is bent into a hook.

Then use 18~28 gauge steel wire to go around the back of the two K-wires, and gradually tighten and tighten tightly..."

In the next second, the originally shattered patella appeared in the eyes of everyone completely!

Everyone was dumbfounded.

Every piece of bone has been perfectly replaced, which is too exaggerated!

It feels like a giant and extremely complex Lego puzzle piece that has been put together in an instant.

Is this really a resident who has just turned regular?

At the end of the video, Liu Qi looked at everyone with a smile, "Everyone, do you think this operation is okay?" ”

"Fine..."

Someone just wanted to speak, but was secretly held down by the side.

glanced at Wei Yadong, and everyone immediately understood.

Standing up and speaking now is undoubtedly against Wei Yadong.

Wei Yadong is the head of the administrative section, and the fund projects and equipment applications of each department need to be controlled and reviewed by the latter.

It's not easy to offend.

And anyone with a discerning eye can see that this is a confrontation between Wei Yadong and Zhang Zhenhua,

It's better for others to watch quietly!

Seeing that no one responded, Liu Qi couldn't help frowning.

Zhang Zhenhua's face was even more gloomy.

Hmph, has the current First House reached the point where no one dares to tell the truth?

Just when Zhang Zhenhua was about to burst out, a laugh came from the first place, "Hehe, not bad, very good!" ”

Everyone looked at Jin Yunhao with a puzzled expression.

I saw the latter put down the information in his hand and said unhurriedly, "As early as centuries ago, for patellar displaced fractures, the sequelae of disability after non-surgical treatment have been well known to the academic community.

This led to the development of early surgical fixation.

In 1867, Joseph Lister recorded the first successful surgical fixation of a patellar fracture.

Since then, many surgical procedures have sought to improve fracture recovery from these disabling injuries, as well as functional improvement.

In the last decade, the anterior tension band technique using steel wire has been the mainstay of patellar fracture treatment.

However, the reoperation rate is only 0% to 60%, and the postoperative reduction loss rate is as high as 22%. ”

Although everyone didn't know what Jin Yunhao wanted to express, this was indeed the current status quo.

After a slight pause, Jin Yunhao said, "When I was teaching at Columbia University School of Medicine, I published an article in which it was written: Not all types of patellar fractures are suitable for wire tension band fixation, and the complexity of many patellar fractures is often underestimated.

For example, in the internal fixation of patellar fractures, the most common phenomenon of wire breakage,

Many surgeons are unable to accurately judge the thickness of the steel wire through X-rays.

Once the diameter of the selected steel wire is too thin, it cannot have a counter-effect with the traction of the fracture fragment in the knee joint functional exercise;

If the diameter of the steel wire selected is too thick, it is not easy to bend during the operation.

In order to avoid this problem, the international standard of 1mm diameter steel wire is generally selected as the benchmark.

As a result, this technology has shortcomings such as large surgical damage, postoperative wire fracture and displacement. ”

Everyone nodded, but there was nothing they could do with the existing means.

But Jin Yunhao said, "As far as I know, in order to solve these problems, many alternative fracture fixation surgical treatment options in the United States have been applied to clinical practice and have achieved varying degrees of success.

Among them, steel plate and screw construction has emerged as one of the most promising alternative treatment strategies.

So far, there has been no progress in our country.

As far as I know, the best orthopedic hospital in the imperial capital has replaced the steel wire with a thick wire, but the effect is not much better than the steel wire, but it makes the operation more difficult. ”

Speaking of this, Jin Yunhao was stunned.

Slowly stood up and pointed to the big screen behind him.

"Now, in our first hospital, there is the first case of Klineneri patellar cerclage, which is also the first case in China and even in the world."

"Guys, do you know what that means?"

Everyone was stunned at first, and then their faces were full of shock.

"Yes, this is the first new technique!"

"A new technique that belongs to our first courtyard!!"