The orthopedic department was very powerful, and after listening to Sun Lien's description of the condition on the phone, they quickly gave their opinions. "There is no problem with reduction, and I can almost enter the general department at the age of 13. I went to ask the teacher on duty if he could do it, and if not, I asked Director Zheng to come to the stage. ”

Zheng Guoyou, as the director of the Department of Orthopedics, has done a lot of pediatric orthopedic surgeries when the division of labor between various departments was not too clear in the past. Moreover, as a veteran orthopedic surgeon, Zheng Guoguo's preferred fixation method is also suitable for children - K-wire external fixation is the most suitable fixation method for teenage children.

There are two main types of surgical reduction and fixation in orthopedics, one is internal fixation of the steel plate in the body, and the other is the K-wire fixation outside the body.

The internal fixation of the steel plate is relatively stable, and the strength of the fixation is also quite good. But internal fixation has a major drawback for adolescents and children - it does not adapt to bone growth.

Internal fixation is a rigid structure that connects the broken bone and will remain in the body after the broken bone has healed. For adults, this immobilization method can even increase bone strength at the fracture site. It is important to prevent recurrence of fractures in the future.

However, the internal fixation plate does not adapt well to bone growth. This is especially true for adolescents with bone scale line fractures. Bone growth is mainly on the scaly line, that is, at both ends of the long bones, and if it is determined that the fracture is at the location of the scaly line, then there is only one fixation method available to doctors - external fixation with K-wire.

K-wire external fixation is a ...... It looks like a scary fixation method. Sun Lien even suspects that many foreign horror films and horror movies have been inspired by Kline's external fixation to create many famous horror images.

As the name suggests, the essence of this fixation system is "needle". This 20~30 cm long metal instrument has a smooth body, one end is diamond-shaped and sharp, and the other end is round and blunt. Generally, a high-speed drill is used to drill directly into the bone. If the fracture needs to be fixed at the loose end of the bone, the doctor will even use a hammer to drive the needle into the bone.

The K-wire nailed into the bone is eventually exposed to the skin and then fastened with a fixing brace outside the body. All in all, it looks like Frankenstein.

Since external fixation is a traumatic fixation method, children who undergo external fixation with this method need to start disinfection of the needle mouth of the external fixation stent with medical alcohol drops twice a day after 24 hours after surgery, and continue to return for at least 4~6 weeks after surgery. With the review situation, the mechanical adjustment of the external bracket should be carried out in a timely manner. A total of six X-rays were performed at 3 days, 1 week, 3 weeks, 6 weeks, 8 weeks, and 12 weeks.

All in all, external fixation looks scary, and it takes several weeks to sterilize and adjust the external fixation bracket. But it is best suited for children and adolescents with bone scale fractures.

After the orthopedic department gave a positive answer, Sun Lien's side was probably ready. When the imaging department uploads the X-ray to the system, he immediately sends the results to the orthopedic department for confirmation. By the way, I will ask again to see if Director Zheng can come to the stage today and have the operation done.

Unexpectedly, after waiting left and right, after finally waiting for the image results, the family also returned to the ninth clinic. Sun Lien was a little surprised by the inefficiency of the imaging department today - I don't know if Brother Luo drank too much last night. But what is even more surprising is the request of the parents.

"We don't do surgery. When the mother took the lead, she first said her request, "My child is now in junior high school and is about to start studying seriously, and the operation is too time-consuming." ”

But he had his right hand broken. Sun Lien was shocked for a long time before he realized what he should say, and he tried to make the mother, who seemed very worried about her child's learning, first notice the reality, "How can he study with a broken right hand?

"My child is left-handed. "The mother of the child uses some ...... glanced at Sun Lien with disdain, and then said to himself, "I asked, his fracture only needs to be taken back and put in a plaster cast for a few days, and he doesn't need to be hospitalized at all." The implication is probably to accuse the Fourth Central Hospital of Ningyuan City, headed by Sun Lien, of trying to seek improper benefits through information asymmetry.

Sun Lien glanced at the X-ray, then shook his head and said, "He has displaced fractures in the ulna and radius scale, which cannot be fixed by manual reduction alone - it is likely that there will be a healing deformity." This is likely to end up crippled. He looked at the child's mother carefully and said, "This position must be reduced through external fixation, and if the operation goes well, you can be discharged from the hospital the next day." After that, as long as you go back to the hospital regularly for re-examination, the degree of delay in learning is very limited. If the treatment is delayed, IMHO, this damage cannot be made up for by studying. ”

Sun Lien was already a little angry, and the child's parents felt like something was wrong in their brains. He can't understand that any parents will regard academic performance as more important than their children's physical health - even if they can be admitted to Tsinghua University and Peking University, is it really worth it at the cost of lifelong disability in their right hand?

"I also broke bones when I was a kid. The child's mother still didn't think about it, "It's also a broken wrist, and it's not a good thing to have a bone?"

"Surgical reduction is the least risky option for him. Moreover, the cost of the operation is basically reimbursed by medical insurance, and the hospitalization is only one day, followed by outpatient re-examination - we have no profit from this. Sun Lien narrowed his eyes, "It's just a little study or two, which can ensure the healthy recovery of his hands - eldest sister, let me say something from my heart, now let you take the child and leave, as long as you sign a consent form." If it weren't for the fact that the child was only 13 years old, and the injury was very important...... Why am I talking so much to you? According to what you say, wouldn't it be good for me to see a few more patients, open examinations, sell medicines, and make good money?"

"Just sign the consent form?" The child was still indifferent, but she seemed to have found an important way to solve the current problem from Sun Lien's words, "Take out the consent form, and I'll sign it now." Sign it and you're gone, right?"

Sun Lien was speechless for a while, and he even began to wonder if the mother of the child in front of him had something wrong with her brain. But the status bar says she's just a little anxious.

If the status bar was a person, Sun Lien would definitely grab this guy out of his head, and then press his face in front of this damn person and ask sharply, "What the hell do you call this normal?!"