After the young man agreed, Xiao He took him to talk and sign and pay the fee, and went into the operation room to prepare the forearm sling and other things after the successful reset.

The daughter of a family of three asked, "Doctor, what should we do?" Are you going to leave me hanging here? Can't you call an older doctor? ”

Hearing this, Fang Ziye took a deep breath: "Although the following sentence is not particularly popular, it is quite embarrassing at this point in time. ”

"The annual meeting of orthopedics in Huaguo is a large-scale academic conference, and basically all orthopedic professors and associate professors from large hospitals will participate in it. The left-behind human resources in the department are relatively insufficient, and this is something that cannot be helped. ”

"Although the professors are gone, the elective surgeries in the department will be carried out normally, and emergency patients like you will also be treated as normal. Dr. Kim can't leave now, and there is another, more dangerous, even life-threatening patient waiting for him to see. ”

"This is indeed an embarrassing point in the department at present, I can only ask for your understanding."

Fang Ziye patiently explained.

"What about Tongji Hospital or the Provincial People's Hospital?" The daughter asked again.

She just checked that the level of trauma surgery, Tongji Hospital, Union Hospital, and even the Provincial People's Hospital may be better than Zhongnan Hospital.

"Of course, you can also go over and ask, but basically, whether it is Tongji or Xiehe, or the provincial doctor, as long as it is orthopedics, it is at this point in time to participate in the national orthopedic annual meeting?"

"I'm sorry, I'm going over and getting some forearm slings fixed after repositioning, you may have to wait a little longer, but it won't be long."

"Dr. Kim will be back as soon as he finishes the urgent consultation. I've messaged Dr. Kim. Fang Ziye replied.

The message was also sent in person.

Fang Ziye explained this, and the three of them didn't continue to quarrel anymore, Fang Ziye had already explained very clearly, and he was not weak at all.

In fact, they can also understand that the patients on one side are dying, and their mothers are just suffering, this concept is different, and it is undoubtedly a waste of time to run to other hospitals now.

And COA, she also checked, it was indeed recently, it was held in Xiamen City, Fu Province, and the time was just right, and the first day of the meeting was today, Fang Ziye was not lying.

After the young man agreed, he generously signed his name and was taken to the operation room by Xiao He.

It is just a simple anterior dislocation of the shoulder joint, such a dislocation, the reduction is relatively simple, only need to use the external rotation reduction method, also called Kocher reduction, in 1870, it was used, the success rate of reduction, about 80% to 100%.

Fang Ziye currently thinks that the success rate of his reduction is at least higher than 90 percent, and it is naturally a conservative estimate to say about 70 percent to the patient.

After entering the operating room, Fang Ziye instructed the patient to lie down.

The Kocher reduction method does not require an assistant, only one surgeon is required.

Hold the patient's wrist in one hand and flex it to about 90° to relax the patient's biceps.

The other hand, starting from the elbow, is pulled to release the patient's shoulder space.

In this process, traction is continued until the joint space is completely released.

Fang Ziye immediately slightly abducted the forearm and gradually externally rotated the upper arm, and the other hand adducted so that the elbow was along the chest wall near the midline, and then the upper arm was internally rotated!

At the end of this operation, it was immediately felt that the patient's shoulder joint flashed, followed by the snapping sound of the humeral head of the joint entering the socket.

"Bang!"

The sound is rather muffled, but natural.

At the same time, the young man groaned softly, and his lying position changed to half of his body and tilted towards the affected side.

Fang Ziye unloaded his strength at this moment and asked, "The deformity at the shoulder joint has disappeared, and the joint has returned to the socket, how does the pain feel?" ”

"It's a lot better, but it still hurts a little." The young man injured his right shoulder joint, and his left hand was placed on his arm, gently stroked.

"Stand up, move the shoulder joint, mainly do abduction and flat lift, and then do flexion and elevation over the top of the head, if there is no problem with such active activities, hit a forearm sling, hang for about half a month, and directly throw away the forearm sling." Fang Ziye gave instructions and demonstrated at the same time.

The young man didn't trust Fang Ziye so much, so he had the mind to give it a try and go back to work early.

But Fang Ziye's operation and self-confidence did not hesitate, and followed at this moment.

The more I did it, the more I felt that the pain in the shoulder joint gradually relaxed, and after slowly raising my right hand above my head, my eyes lit up: "It really doesn't hurt much, Dr. Fang." ”

"When the manual reduction is up, it naturally relieves the dislocation pain and stimulation caused by joint dislocation."

"To be on the safe side, you can go down and do a flat x-ray of the shoulder joint, and review it, we can see the joint reduction in person, so I can rest assured." All right? ”

"We'll give you another forearm sling, the re-examination of the film doctor's order has been opened, you go down to the emergency department, do an X-ray directly, don't wait for the result, come up directly, no problem, you can go out directly."

"You don't need to take any medicine, if you still feel that there is chronic pain stimulation after reduction, then it may be a rotator cuff injury, so you will come back for a review."

"However, according to your current dislocation situation, the size of the violence is not large, and the chance of rotator cuff injury is not large, but there are no absolutes in everything, and we as doctors can only do a statistical analysis according to the damage of other people, and we can't guarantee you anything."

"Even if only one out of a hundred people has a rotator cuff injury, we doctors don't dare to say that you are the ninety-nine people." Fang Ziye joked, and at the same time instructed Xiao He to help tie a simple forearm sling.

The forearm sling in trauma surgery is already standard, and there is no need to use bandages to knot, so the operation is extremely simple.

"Thank you, Doctor Fang, then I'll come back to you later."

"This morning, I was indeed going to meet a more important customer, just around here, I was thinking of riding a small electric donkey, where did I think of it, just arrived at the bridge on Han Street, and fell down."

"That staircase there is too inconspicuous." The young man complained so.

Fang Ziye smiled when he heard this: "Then I think you can give a reaction to the road administration, our hospital has recently received at least two people who have wrestled there......"

"Everything else is fine, after going back, stick to functional exercises, don't treat yourself as a patient, but you still need the assisted fixation of the forearm sling, just in case."

"Don't lift heavy objects, that's the main thing."

"If you just reset here, you twist another hundred and eighty pounds, or go to the practice room to practice, it still won't work." After Fang Ziye joked with the other party like this, he could be regarded as having completed his explanation.

The young man who came with him was his colleague and assistant, who was riding another battery car, and when he saw his boss fall, he quickly braked to avoid falling himself, and then hurriedly took the man out.

Fang Ziye couldn't help but feel happy when he saw that it was 10 points of knowledge coming in again.