What does the success of a new technique mean?

I am afraid that there is no clearer than the heads of the various departments here.

That's absolutely valuable!!

First of all, Qian Dezhang, the director of general surgery, couldn't sit still, and asked eagerly, "Director Liu, how is this patient's postoperative recovery?" ”

The success of the operation does not depend on how good the surgeon is, but on the patient's postoperative recovery.

The others also pricked up their ears to listen.

Liu Qi smiled and did not speak.

Instead, I picked up the remote control and clicked the switch button.

In the next second, a postoperative recovery record of the patient appeared on the screen.

On the day of surgery:

1. After the anesthesia subsides, start to move the toes;

2. If the pain is not obvious, try to tighten the muscles on the front of the thigh and relax the exercises.

One day postoperatively:

1. Toe planning training - move the toes vigorously, slowly, and as widely as possible, 5 points/group, 1 group/hour.

2. Muscle group length exercise on the back of the thigh - the affected leg presses down on the pillow to make the muscles of the back of the thigh tense tense and relaxed, more than 500 times per day.

2 days postoperatively:

1. You can walk on crutches, but only necessary daily activities such as going to the toilet.

2. Weight-bearing and balance exercises - separate the feet under protection, move the center of gravity alternately left and right within the range of slight pain, and gradually transition to standing with one leg with full weight, 5 minutes/time, 2 times/day.

3 days postoperatively:

1 Continue and intensify the above exercises.

2. Increase the posterior leg lift exercise: prone position, back leg lift until the foot is 5 cm off the bed, 30 times/group, 2-4 groups/day, 30 seconds rest between groups.

1 week postoperatively:

1. Start leg bending exercises, 0°-60°, no fever, no swelling, no obvious pain.

2 weeks postoperatively:

1. Carry out knee flexion exercises every day, and the flexion angle has been expanded by 0°-90°.

2. Hold your knees for 10 seconds until you start to feel the pain, relax and rest for 5 seconds, and then hold your knees, and the whole process is controlled within 20 minutes, once a day.

It is expected that after 3 weeks, the patient will be able to easily stand on one leg and walk on one crutch.

In the fourth week, if there is no obvious instability in the joint, the crutch can be dislodged by indoor walking.

Six weeks after surgery, he can walk completely off crutches.

7 weeks to 3 months, you can return to your daily routine and gradually regain your ability to exercise.

After 3 months, full return to exercise or strenuous activity.

Hiss~

This effect!!

In orthopedics, walking off crutches is an important indicator that represents the recovery of leg function.

The patient's patella injury was so severe that it only took 3 months to fully recover!

If there is no record of the operation, who would dare to believe that it is true?

For a moment, everyone was shocked.

But Jin Yunhao was not as surprised as everyone else, he said slowly, "The anastomotic vascular ring around the patella is composed of 5 geniculate arteries and anterior tibial recurrent arteries, which together constitute the blood supply of the patella.

Lazaro, an American scholar, has found that in 100% of cadaveric specimens, the main arterial blood supply comes from the lower pole of the patella.

That is to say, in our conventional lateral arthrotomy, although osteonecrosis is extremely rare after fracture reduction, disconnection of the lower pole blood vessels may lead to delayed healing or nonunion.

Did you notice that Dr. Li performed a longitudinal medial peripatellar arthrotomy, which significantly reduced the blood flow to the patella.

This incision not only preserves the main inferior medial blood supply to the patella, but also greatly improves the healing rate of the fracture surface. ”

After Jin Yunhao said this, everyone suddenly realized.

"Of course, longitudinal incision is theoretically more beneficial to the patient's postoperative rehabilitation, but in practice, it is much more difficult than lateral arthrotomy.

Because the longitudinal incision passes through many capillaries and nerves, the surgeon needs to have both extensive experience and strong neurovascular anastomosis. ”

The crowd nodded, and it was.

However, it is also a testament to how good this young resident is.

A ragged colt may make a good horse

Amazing!

Sweeping his gaze over everyone, Jin Yunhao continued, "In China, 100,000 people die every year due to traffic accidents, and 500,000 people are injured.

Among them, patellar fractures account for about 40% of all fractures, of which 9% to 13% of patellar fractures are open injuries.

This means that nearly 200,000 people need to have surgery for a patellar fracture every year, and nearly 30,000 of them need to have a cerclage of the patella. ”

"Director Liu, could you please tell us how many patellar fracture surgeries and how many patellar cerclage surgeries can be performed in our hospital every year?"

Liu Qi glanced at Jin Yunhao, smiled bitterly and shook his head, "We usually have three kinds of extraosseous surgery for patellar fractures, total resection, partial resection, and incision compound internal fixation, which is about 2 or 3 units a day.

As for the more serious patellar cerclage surgery, our hospital cannot do it temporarily, and generally recommends the patient to go to the imperial capital for treatment, if the patient is not wealthy, we will directly help him to have an amputation. ”

"One in two or three days, that is, more than 100 units a year?"

Liu Qi smiled bitterly, their extraosseous capital flow mainly comes from artificial joint replacement surgery, as well as large and small bone grafting surgeries.

This patellar fracture surgery is really not good at!

Jin Yunhao continued to ask, "How much does that patella surgery cost?" ”

Liu Qi thought for a while and said, "The cost of patellar fracture surgery is related to the severity of the patient's injury. ”

"But there are three main parts.

The first is the preoperative examination fee, including more than 1,500 yuan for blood examination, and about 600-900 yuan for imaging examination.

Therefore, under normal circumstances, the total cost of preoperative examination is about 2,500 yuan;

The second is the intraoperative cost, which costs several thousand yuan for internal fixation equipment, about 1,000 yuan for surgical anesthesia, and about 1,000 yuan for surgical operation. The cost of patellar fracture totals more than 10,000 yuan.

If it is a comminuted fracture, the patient has soft tissue swelling, and the cost of soft tissue swelling before surgery is several hundred yuan per day, and the cost of patellar fracture is 10,000-20,000 yuan;

The third is postoperative rehabilitation exercise, which is generally about 10,000 yuan.

Taken together, the total number of zeros is 30,000 smaller. ”

"It's okay, thank you Director Liu for sharing!"

Jin Yunhao nodded at Liu Qi, and then said to everyone, "Everyone, there are 200,000 patellar fracture patients in the country every year, and the cost of an operation is 30,000 yuan, what a lot of money flow." ”

"And the vast majority of these patients have been sent to the three major hospitals in the imperial capital."

As he spoke, Jin Yunhao picked up the project paperwork on the table and asked, "Everyone, don't you think this is an excellent opportunity?" ”

"Opportunity?"

"That's right!"

"The First Courtyard has been in Lan Province for too long, it's time to go out!"

Rumble~

Jin Yunhao's words directly detonated the audience.

Even Zhang Zhenhua and Wei Yadong looked at Jin Yunhao with a shocked expression.

This guy is obviously always casual, but he gives people an unpredictable feeling.

At this moment, they seemed to understand a little, and understood why the old dean would hand over the first courtyard to him so reassuringly.

Under his calm eyes, there is an ambition that cannot be concealed, and a strong desire.

Of course

It is simply impossible to achieve ambitions with such a project alone.

It is reminiscent of a series of actions since the latter took office.

I'm afraid he already has a plan,

Perhaps, he can really lead the First House to greater heights.

At that moment, everyone no longer hesitated, and raised their hands one after another to express their attitude.

"Yes!"

"Yes!"

"Support Dean Jin's decision!"

“……”

Li Xiyang watched silently, he didn't understand the policy of power schemes, but he could feel that the new dean was a person with a unique personality.

Even Mo Kai on the side sighed, "We have an amazing person in the first courtyard!" ”

Li Xiyang looked at Jin Yunhao curiously, and saw the latter look over again.

"Doctor Li, you can also say a few words!"