godfather of surgery

Chapter 330 US Mail

After removing the thread for Yu Shuilian, it was already past [-]:[-] p.m., converted to American time, it should be past [-]:[-] a.m.

This Robert in the United States is quite energetic. Either the email at [-]:[-] am or the email at [-]:[-] am, does this person not need to sleep?

Yang Ping opened the e-mail: Dear Dr. Yang, I am very sorry to bother you again. I have used your operation method to complete a case of multiple ligament reconstruction of the knee joint, and the effect is beyond expectation.Now among my patients, there is a special case, I have sent the case data to your email, see the attachment, if possible, please give advice, thank you very much!Robert in New York.

Since the review began, Yang Ping has communicated with Robert several times through emails, and now he has sent the case information. It seems that Lao Luo is also a true technical madman.

Yang Ping generally likes this kind of people. The screen of the mobile phone is too small, and it is still inconvenient to watch videos and pictures. Yang Ping opens the mailbox on the computer in the office, downloads the files in the attachment, and then kills the virus habitually.

The hospital's information department has issued several notices on the intranet, do not open emails casually, especially overseas ones, and routine anti-virus must be performed before opening to prevent blackmail virus from being recruited.

Be careful with the Wannian ship. This is a mail from the United States. It is better to kill and kill viruses.

The computer is connected to a professional electronic screen for reading images, and the MRI images are very clear. This is a very rare case of a five-year-old boy with a knee joint injury and multiple ligament ruptures.

In the system space, Yang Ping has done a lot of this kind of surgery, more than this one. This kind of case, in the system space, can be regarded as a very common case, but in reality, Yang Ping has never encountered it.

The difficulty of this case lies in the fact that he ruptured multiple ligaments in the knee joint, and he is a growing child. The reconstruction of multiple ligaments itself is very difficult. In addition, it is a child, and the difficulty is superimposed.

Children are not small adults. Children's bodies are growing and developing and have their own characteristics. Children of different ages have their own characteristics. Children's surgery should not be viewed as a miniature version of adults.

For a five-year-old child, the entire operation must not damage the epiphysis, otherwise the knee joint and even the left lower limb will have developmental deformities.

The adult epiphysis line has already been closed, so there is no such thing as an epiphysis. Adults do not need to consider the epiphysis, whether it is tunneling of the tibia and femur. If the operation for children is performed according to the adult surgical method, the tunnel will pass through the epiphysis .

Therefore, for this kind of surgery on children, the starting point and ending point of the ligament cannot be placed in the original anatomical position, but the position must be changed, bypassing the epiphysis, and placing it in a special position.

In this way, the starting point and insertion point of the ligament are changed, and all anatomical data related to the normal ligament cannot be used. In this special case, it is very difficult to simulate the normal ligament function.

The surgically implanted tendon simulates the normal ligament function, not only to obtain initial stability, but more importantly, to take into account his future growth and development trend.

After the tendon is implanted, it is dead for a period of time, and activation takes time; after activation, for a long time, the growth rate of the ligament does not match the growth rate of the knee joint; after passing this mismatch period, it enters the matching period, The stability at this time is the ultimate stability.

The growth of this ligament is not linear for a long time to the growth of the knee joint, and the relationship is very complicated.

If you can’t take this into consideration, after the operation, the knee joint will return to an unstable state in a short time, requiring a second operation to adjust the tension of the ligament; Perform a third operation.

Endless surgery until adulthood, can not achieve satisfactory surgical results; in this bad process, the negative impact of instability on the growth and development of the knee has quietly produced, and is permanent.

This is why Robert, the master of sports medicine, has been unable to come up with a satisfactory surgical plan for a long time.

There are very few medical devices and implants for children's sports medicine on the market, and only one American company is making such products——OrthoPediatricS, the only company in the world that focuses on children's orthopedic implants.

In China, children's sports medicine equipment is temporarily blank.For Yang Ping, the problem lies in medical equipment and consumables, not technology.

"Dr. Robert, congratulations on the success of your first operation. The case information you sent has been studied. In this case, the operation needs to be performed as soon as possible. The longer the delay, the more profound the damage will be on the growth and development of the knee joint. The operation is very complicated. , there are many factors involved, and many factors are related to growth and development, and are in a dynamic state. However, the operation is not difficult. If the operation is to be successfully completed, the assistance of OrthoPediatricS is needed, but their current products are not suitable for this patient, and they need to be used Its flexible production line is specially designed and manufactured for patients with a set of personalized instruments and implants. Yangping is located in G City."

When Yang Ping replied to the email, he didn't know whether it was the influence of the system space or he was too focused on medicine. Now he likes to be straightforward, talk and do things, and don't bother to go around the corner, so as to avoid wasting time.

Yang Ping turned off the electronic screen for reading the films. It seems that when he has time, it is necessary to write a paper on the reconstruction of shoulder and knee ligaments in children, so as to popularize relevant knowledge for everyone.

If this knowledge is in reality, it will take decades for countless doctors to accumulate it, but Yang Ping can quickly gain experience in the system space, and sublimate the experience into theory for everyone to use. This is a wonderful thing .

"My God, that's great! My coffee spilled all over the floor, my computer keyboard, my clothes and my pants when I heard the news. Fortunately, it wasn't too hot. OrthoPediatrics, has been with me Close contact, independent production of equipment is not a problem. If it is convenient, can we cross the Pacific Ocean, sit together, drink coffee, and talk about this case. If God can give me a little more grace, I can watch Dr. Yang’s operation Even better, I saw on the official website of your hospital that Dr. Yang’s department requires Chinese level [-] for international advanced students. Unfortunately, Robert can’t meet the requirements in a short period of time. Can you visit Dr. Yang as a short-term academic exchange? One week ? No, if not, three days? If three days is not enough, one day is fine. Robert Jr. is in New York, typing with one hand and clearing the coffee table with the other.”

Could it be that the American was waiting for the email, and played the email exchange to the instant effect of WeChat communication. Just a few minutes after the email was sent, Robert replied to the email.

"As for the academic exchange, I can't give a definite answer. I'll ask the teaching secretary of the department to contact you. Yangping is in G City."

Yang Ping called Zhang Lin to the office: "Zhang Lin, now there is an American doctor, Dr. Robert from the New York Hospital for Special Surgery, who wants to come over to learn surgery. He said that he can't pass the Chinese Level [-] for the time being. Can he use it as a short-term academic exchange? How many days will you be in our department?"

"According to the regulations of our department, international students must have passed CET-[-]. There is no language restriction for academic exchanges, but they can only observe, not participate in clinical work, and cannot go to the operating table." Zhang Lin is very serious, and now he puts this The job was done decently.

Yang Ping gave Zhang Lin Robert's e-mail address: "About academic exchanges, you can contact Robert directly, and see how to arrange it according to the system."

Zhang Lin wrote down the mailbox, a Xiao Gao came, and now a Xiao Luo is coming, he has a lot of courage on his shoulders.

"Dr. Yang, the foreigners come one after another. My burden is not light. If you don't strictly manage them, if these people are lazy and can't learn anything, then they will smash our brand. If the management is too strict, I'm afraid These foreigners say that I am unreasonable and oppressing them." Zhang Lin explained his difficulties.

Yang Ping smiled, this kid is in a bit of a state now: "Manage how you want to manage, whether you are right or wrong, as long as you follow the system, you will be fine."

"In this way, I can rest assured that you can leave Robert's matter to me." Zhang Lin got Shang Fang's sword.

In the future, those who study and communicate will definitely be indispensable. Many of them are still technical masters.

In the doctor's office, some regular trainees were chatting enthusiastically when they saw Zhang Lin coming over: "Mr. Zhang, there is some news."

In Zhang Lin's place, is there any news?I want to hear it.

"The lawsuit between Director Zhu and Wang Ge, the second trial will start next Monday." A Gui Peisheng showed Zhang Lin his mobile phone.

Not long ago, everyone was having dinner together, and Director Zhu was entertaining guests. Naturally, everyone began to care about Director Zhu's affairs. After doing a boring search, I saw this news.

"Let me see about it." Zhang Lin knew about the news a few days ago, but he was busy recently and didn't have time to broadcast it.

This news was actually broadcast by this Gui Peisheng first, but Zhang Lin is not thinking about it now, the teaching secretary is what needs his energy.

"Director Zhu sued Wang Ge for using fake news to infringe the right of reputation, and the first-instance judgment: Appraised by the health department, Director Zhu's surgery complied with the norms and was not at fault; after investigation by the court, Wang Ge's news violated the principle of seeking truth from facts and was fake news. The court ruled that Wang Ge apologized to Director Zhu in court and published in the newspaper, and compensated 2 yuan for reputation loss and mental injury. Wang Ge refused to accept it in court, questioned the identification results of the health department, and refused to reject the identification results of his own fake news Admit it, you have to appeal, and enter the second-instance procedure. According to the news, the two have been in a lawsuit for five years, so why haven't there been any reports." Gui Pei was suspicious.

"Do you think the original judgment will be upheld in the second trial?" Someone asked worriedly.

"Everyone believes that the law will uphold justice for Director Zhu." Some people are very confident.

Director Tian's phone call, there is an important matter to discuss, and it is not convenient for him to come, so Yang Ping asked Yang Ping to go to the Overseas Chinese Building when he had time.

Yang Ping and Director Tian have a very good relationship. He has something to do and he is in such a hurry, so naturally he will not neglect and rush to the Overseas Chinese Building immediately.

(End of this chapter)