Fang Ziye didn't tell a lie, his fracture incision reduction and internal fixation had already reached level 4, and when he was in Enshi last year, Fang Ziye felt that he might be fed by fracture surgery, so he lit up the corresponding skills early.

At that time, only 3 points were added, and then 4 points were added, and it seems that because a patient with a pelvic fracture was to be operated on, he temporarily decided to add points.

That time, the directors were delayed in the ward by Wu Xuanqi, who is now in Tongji Hospital, and entrusted Shen Tao, who was not particularly skilled in simple fracture surgery, to go to the operating room to be the chief surgeon......

Yuan Weihong digested his emotions for a long time before he said slowly: "It seems that Shen Tao still has a lot of reservations about me. ”

Shen Tao of the Provincial People's Hospital, is a good friend of Yuan Weihong, after returning to Han City, he has gathered with Yuan Weihong many times, although he usually talked to Yuan Weihong about the excellence of Fang Ziye, but maybe in order to avoid hitting Yuan Weihong's Dao heart, he still has reservations.

The sensor door of the operating room opened, and it was not closed for a long time because there was someone at the door.

This is a separate operation, the anesthesiologist and the itinerant nurse are all improvised, and the anesthesiologist yells to the outside: "Is it the orthopedic teacher?" Did you just come in? ”

"Open the stage early and leave work early."

The anesthesiologist is not very old, and when he speaks, he is implicitly polite in his urging, for fear of offending people, and he should be a relatively young attendant.

Yuan Weihong, Fang Ziye, and Jie Han walked in together, and after entering the operating room, they saw that the patient was already lying on the operating table, still fluctuating as if his body and soul were separated.

Fang Ziye saw that Yuan Weihong didn't have the heart to make arrangements, so he took the initiative to say: "Jiehan, you come to lift your legs, I will disinfect and spread the towels, open the stage early, and the anesthesia teacher will urge ......."

Fang Ziye didn't know how ups and downs Master Yuan Weihong's mood was at the moment, and he also knew that the teacher definitely needed to calm down his messy state of mind.

After hearing Fang Ziye's words, Yuan Weihong came back to his senses, and after seeing that Jiehan and Fang Ziye had already performed their respective duties, Yuan Weihong remembered that he had to go out to disinfect and wash his hands first, and then directly wear a sterile surgical gown to help disinfect and spread towels.

In this operation, there is no instrument nurse, and Yuan Weihong has to play the role of an instrument nurse to assist in laying a sterile surgical sheet before the opening of the table.

Disinfection and drapes belong to the most basic content of orthopedics, and the three of them are very familiar with it, and they are quickly ready to make relevant preparations before the opening of the stage.

Fang Ziye took the initiative to stand in the assistant position, obviously giving Yuan Weihong enough face.

Speaking of which, my proficiency in fracture incision reduction and internal fixation is enough, but I still have to give face, and I am still the master of Yuan Weihong, after all, this is the master.

However, Yuan Weihong calmed down for a while and took the initiative to say: "Ziye, let's do it, you come to the main knife, and I will see what your main knife is like?" ”

Yuan Weihong handed the curved disc containing a scalpel blade and toothed tweezers to Fang Ziye.

When Fang Ziye heard this, his heart moved, and he still said: "Master, I am the chief surgeon, if I do fracture surgery, the order may be different from the order of ordinary teachers." ”

"Isn't that what it is? The most you can do is to manually pull the reduction and shape in the patient's anesthesia state, and then cut and pry the reduction? Yuan Weihong said.

Suddenly, as if he had thought of something, he looked at Fang Ziye seriously, and his eyes rolled: "Your technique is reset..."

Last time, Zhongnan Hospital underwent a limb salvage operation with a disfigured injury, and the current patient is hospitalized, and the prognosis is not very good.

However, the poor prognosis of the operation did not affect Yuan Weihong's participation in the operation, and he heard someone say that Fang Ziye's manual reduction surgery was very something, as if he had learned part of the concept of the very famous old Chinese medicine doctor in Enshi.

"Hmmm! ~" Fang Ziye nodded.

Immediately afterwards, Fang Ziye walked to the reader first, and determined the fracture position on the patient's X-ray, the specific classification of the fracture, and the current displacement status of the patient.

Walk to the patient's right lower limb, reach over with your left and right hands, hold the tibial plateau with your left hand, and pinch the patient's ankle with your right hand.

I saw that Fang Ziye's right hand didn't seem to be very forceful, and there was a slight "click".

The deformity caused by a double fracture of the middle tibia and fibula of the right lower extremity has disappeared.

This is the first time that Yuan Weihong and Jie Han have particularly intuitively felt the clinical effect of fracture reduction after Fang Ziye returned from abroad.

In an instant, the eyes of the two people protruded slightly, and they were shocked.

As a trauma surgeon, the gross visual criterion for assessing fracture reduction is that the deformity of the lower extremity is completely gone, as is the case today.

It's just that those who can be moved into the operating room of Zhongnan Hospital are basically in the surgical indications, and the fractures with non-manual reduction indications are basically not easy to be manually reduced.

However, Fang Ziye just clicked, and the deformity of his lower limbs disappeared.

"Thoroughly, thoroughly?" Yuan Weihong asked?

Fang Ziye nodded when he heard this: "It's okay, Master, the effect of this technique reset will be displayed more clearly under the C-arm perspective instrument." ”

Unlike the Central Hospital, which requires itinerant nurses to assist in fluoroscopy, the Department of Orthopedics and the Department of Spine Surgery of Zhongnan Hospital employ three exclusive intraoperative fluoroscopy masters, who are only responsible for C-arm fluoroscopy.

What they have to do is the turnover of the C-arm machine, perspective, instrument operation, instrument maintenance and other relatively detailed work.

After the itinerant nurse called the person over with the panel phone that came with the operating room, the fluoroscopy master did not need Fang Ziye and others to point out the specific ortholateral position in the fluoroscopy, as long as he roughly compared the location of the fracture.

The young man named "Brother Xiong" pushed the small C-arm machine to the operating room about two minutes later, and completed the fluoroscopy in the front and side positions.

He didn't look at the results, so he said: "Viagra, I still have to rush to the spine surgery for fluoroscopy, and a trip here is a temporary turnover during the operation, so I will need fluoroscopy when the operation is over, and continue to call." ”

"Okay, Brother Xiong, you wait a while, I'll continue to see the results of the perspective." Yuan Weihong didn't have time to look at Brother Xiong's expression, and looked at the fracture reduction image on the C-arm machine display?

The fracture line is almost hidden, and the broken ends of the fracture are well aligned, if it is not because the classification of the fracture itself is an unstable fracture, it is very easy to displace, and there is no stress angle.

Yuan Weihong wanted to ask the tour to bring a plaster cast over and finish the external fixation with a plaster cast.

Fang Ziye just glanced at it, and roughly determined his level, although he hadn't done manual reduction in the operating room for a long time, that is, the intraoperative temporary assisted manual reduction of complex fractures, but this time, the kung fu in his hand was not rusty.

After waiting for Yuan Weihong for more than 20 seconds, after Ji Jue Yuan Weihong had already seen the quality, Fang Ziye folded his hands flat on his chest and whispered, "Master, it's done." ”

"Do you still need to do intramedullary nail fixation?" Yuan Weihong tilted his head and said.

Fang Ziye turned his head to look at Jiehan, who was eager to try.

The principles of fracture treatment are reduction, fixation, and postoperative rehabilitation.

The core of the overall quality of the surgery is the reduction of the fracture, and then the firm fixation.

Generally speaking, it is difficult to disassemble the entire surgery.

But the quality of Fang Ziye's manual reduction this time was not too good, and he dismantled a surgery that was obviously an organic combination into two very simple and small surgeries.

Fracture manual reduction, a surgical operation, is authorized by ordinary residents.

Fracture instrument internal fixation device placement surgery, this is not a standard operation, it is a local composition of fracture incisional reduction and internal fixation, as long as the assistant who can come to the stage, under the leadership of the superior, can operate.

It belongs to the category of pulling hooks and screwing nails.

It is equivalent to giving this unstable fracture disease a direct dimensionality reduction blow, so that his junior brother Jiehan, if he has a certain level of proficiency in fracture instrument operation experience, can be taken by Yuan Weihong to complete the follow-up operation.

In fact, Fang Ziye could directly trot all the way with a click, and directly fixed the intramedullary nail in five, six, seven or eight minutes, and even the sealing nail went in.

That's not necessary, Fang Ziye is not very lacking in the knowledge of these two fracture surgeries now, and it should give way to the lovely junior brother Jiehan, who hopes to get more opportunities to operate, so he has to let it.

Senior brother has to have a stomach.

Jiehan looked at Yuan Weihong with burning eyes, if Yuan Weihong agreed, Jiehan could open the first relatively formal surgery ticket in his life.

Intramedullary nail internal fixation device placement!

For general residents, many people go to prefecture-level city hospitals, and what they want to do is to remove the internal fixation device, and the purpose of the removal is only to dismantle, to pursue aesthetics or other factors, and to sweep the end of the operation for the purpose of treatment.

Where is the internal fixation device to place the incense?

Yuan Weihong's lips under the mask tugged at each other: "The order you said is different, so different?" You don't want to go on stage at all, do you? ”

Fang Ziye shook his head and hurriedly explained: "Master, I mean, you can step down and take a rest, and I'll take Senior Brother Jiehan to do the next operation." ”

"Master, you've been tired from the operating room next door......

Jiehan also nodded violently.

The senior brother is invincible, the senior brother is powerful, and the senior brother brings miracles to himself.

If this operation is still the traditional post-incision, with reduction and fixation at the same time, then Yuan Weihong will definitely not let Jiehan perform the subsequent internal fixation device placement.

"Alas, okay, then I'll step down." Yuan Weihong was helpless.

I don't have to do it!

I don't have to teach, the students are more powerful than the teacher, how can I teach by myself?

I thought I could see where Fang Ziye was not proficient, but Fang Ziye's surgical position, with the double addition of fracture incision reduction and internal fixation and manual reduction, has changed from the purpose of treatment to the purpose of teaching.

Yuan Weihong began to undress and step down at the door of the operating room.

Brother Xiong pushed the C-arm machine away from him, he was a master worker, but he would not force too many things about the quality of clinical treatment, if Zhongnan Hospital needed him to do quality assessment, it would have collapsed long ago.

And the anesthesiologist who was hiding from the radiation rays at the door together was stunned at this moment.

"What do you mean? Is the operation almost over? "There were too few fracture surgeries in Zhongnan Hospital, and he didn't have much knowledge, so he was petrified on the spot.

The tour was also stunned, and raised his eyebrows slightly.

Who is Yuan Weihong? Beihai Yiye, nodded, compared to his own qualifications, the anesthetic little director, his tone flickered: "Yes, aren't you urging to hurry?" This surgery is fast enough, right? ”

The anesthesiologist's eyes immediately flashed with horror, thinking that he had inadvertently offended a certain 'big guy', so he quickly smiled like a chrysanthemum, and his eyes were like beauty: "I don't mean to urge, teacher, my name is Xiao Zhou ......"

Yuan Weihong left happily.

(End of chapter)