godfather of surgery

Chapter 533 Camel Man

The impatient director did not break his promise, he gathered all the resources of the hospital to treat Dashun.

Dashun suffered from severe hypoalbuminemia and needed human serum albumin. The capital hospital lacked human serum albumin. He urgently dispatched [-] bottles of human serum albumin to the Royal Hospital in Muscat.

The Capital Hospital did not have a nutritionist, so Dean Aleph temporarily invited a nutritionist through his contacts to prepare enteral nutrition for Dashun.

Every day, he personally participated in Dashun's daily report meeting on his condition.

Dashun's luck was also relatively good. For several days in a row, he was allowed to enjoy the entire ICU by himself.

On the fifth day after the operation, the body temperature returned to normal.

On the sixth day, Dashun woke up.

On the seventh day, the endotracheal tube was removed.

On the eighth day, he opened his eyes and began to speak.

In order to thank Dean Aleph and the capital hospital, Yang Ping took Robert, Li Zehui and Dodge to hold a planned tenth surgical training class in the hospital.

After a training session is over.

Dean Aleph heard that Yang Ping's main specialty is orthopedics, and immediately recommended a very rare case to Yang Ping: camel man!

The patient lived in Dhofar Province and had been to the Royal Hospital for treatment. Because of the difficulty of the operation, no doctor in Oman dared to perform the operation.

The doctors of the Royal Hospital also sent the case information to some doctors in Europe and the United States for remote consultation, but there has been no result.

"Fei Da, Fei Da!"

Dean Aleph called Fei Da, the director of orthopedics department:
"Go get that little girl's information!"

The first visit to this case was at the Dhofar Capital Hospital. The capital hospital was powerless and recommended her to the Royal Hospital. Finally, the Royal Hospital conducted remote consultations with European and American doctors. After a round trip, the girl returned to Dhofar. circus.

Nobody would do this kind of surgery!

Director Fei Da came to the meeting room with the film from his office. He hung the film on the reading light, and everyone gathered around.

This is a bone reconstruction image from a full-body CT scan.

At first glance, the entire skeleton resembles that of a reptile.

"Dorsiflexion?"

Yang Ping recognized this strange image at a glance.

"That's right, this is dorsiflexia, has Professor Yang seen it?"

Director Fei Da, who is in his 50s, has participated in many academic seminars on this case.

He has also participated in online consultations with European and American experts.

However, there is only thunder but no rain, researches come and go, and there is no clear surgical plan.

Yang Ping shook his head, this kind of case is rare in the world, how could he have seen it in reality.

"When I was doing orthopedics, I studied the literature of such cases, so I am very familiar with it."

In fact, there are very few literatures on such cases.

"The doctors at the Royal Hospital have contacted some experts in Europe and the United States. They don't have a suitable solution. It would be easier to deal with the dorsiflexion of the knee joint. Unfortunately, her deformity is too complicated. To help her walk upright, no one has surgery. experience."

The number of cases in the world can be counted on one hand, no one has experience, it is normal.

Knee flexor disease, commonly known as "camel man", the knee joints of both lower limbs are reversed, turning back and forth.

In this way, the patient cannot walk like a normal person, but can only crawl with his limbs like an animal. The whole body is shaped like a camel, hence the name.

Yang Ping pointed to the CT reconstruction image on the reading light screen and said:
"Severe dysplasia of the bilateral hip joints, dorsiflexion of the knee joints, varus deformities of the ankle joints, varus deformities of the feet, and arched deformities of the femur and tibia and fibula. If the ability to walk normally is to be restored, the hip and knee joints need to be repaired. Artificial joint replacement, orthopedic fusion of the ankle joint, orthopedic remodeling of the arch of the foot, osteotomy of the femur and tibia and fibula, relocation of the nerves and blood vessels of the knee joint from the front to the back, and the alignment of the entire lower limbs. Reconstruction, let the body weight go down along the spine, pass through the bilateral sacroiliac joints, pass to the femoral head, and then follow the vertical force line of the lower limbs to reach the mechanical center of the bilateral arches."

This operation, the replacement of the knee joint alone, requires superb surgical skills.

Not to mention a series of operations combined to accomplish a common goal: walking upright!
The combination of this operation becomes extremely complex around the upright lines of force.

"Soft tissue balancing in the knees and hips? Acclimatizing the body to an upright position?" Robert asked.

Yang Ping nodded: "It took millions of years for humans to evolve from crawling on all fours to walking upright. Now we need to use an operation to help her stand upright. The difficulty can be imagined. It is not simply straightening the limbs, straightening them. To be able to adapt to the function of walking upright in the end is the core of the problem, and the whole process requires a careful surgical plan."

"She has hope to stand up?" Dean Aleph was curious.

"Using digital simulation technology, conduct biomechanical modeling of the entire bone, then use the model to find the line of force, print out the complete bone with 3D printing technology, and then try the operation, and constantly verify whether the line of force that the computer is looking for is correct in multiple attempts. Optimum, find the reconstruction method of the optimal line of force, all operations are optimized around the core of the line of force, of course, in order to achieve the goal, the artificial joint must be customized."

Yang Ping roughly stated the operation plan, but as for the details, he is still uncertain.

"Professor Yang has performed many seemingly impossible operations, such as half-body rescue in trauma surgery, folded people in spine and joint orthopedics, and multi-ligament reconstruction of shoulder and knee joints in sports medicine."

Robert believes that Yang Ping is omnipotent, and Yang Ping will definitely do this kind of operation.

Orthopedic orthopedic surgery, this is Yang Ping's specialty surgery.

Dean Aleph just wanted to ask Yang Ping if he was sure about the surgery, but Yang Ping said:
"Where is this girl, bring her to show me, there is great hope in standing up."

Dean Aleph and Director Fei Da have never heard such confident words. The impatient dean said:
"We will contact her immediately and send a car to pick her up. She is working in a circus in our city of Salalah. Fei Da, you go pick her up in person. Right now, let Professor Yang see her in the afternoon."

Director Fei Da knew that the dean was impatient, so he didn't dare to delay for a moment, and immediately went to execute it.

After the lecture, Yang Ping visited Dashun in the ICU. The nurse raised the head of the bed and began to feed him porridge.

After watching Dashun, Ershun took Yang Ping and the others to lunch.

When I arrived downstairs in the inpatient building, I met several people waiting for Ershun.

These people are all Omani soldiers.

They got the news that Dashun was recovering from his injuries in Dhofar Capital Hospital, so they came to visit Dashun, but Dashun was in the ICU and couldn't visit him, so everyone asked Ershun about his condition.

Er Shun told the soldiers that he was grateful for their concern, and that his brother had woken up and his condition was relatively stable.

Sending off these soldiers, Er Shun told Yang Ping that these were his brother and his students, members of the special forces of the Omani army.

Yang Ping wondered how their brothers still had contact with the Omani soldiers.

Er Shun said that the brothers practiced Wing Chun since they were young, and later practiced Sanda. After graduating from high school, they joined the army. After joining the army, they were selected to join the special forces.

Hua'an Golden Shield Security Company often has fighting exchanges with the local military and police. Dashun and Ershun easily defeated the opponent's masters in the exchange with their excellent skills. Several champions challenged the brothers, and they were all defeated by them. Two strokes knocked down.

So in the military and police circles in the Middle East, they are somewhat famous. Many countries ask them to teach Wing Chun to special forces or special police. Of course, this is a non-governmental exchange.

Yang Ping felt strange, Wing Chun?Doesn't it mean that traditional martial arts have declined and have no actual combat ability? Why are the special forces of these countries interested in Wing Chun?
Er Shun said proudly: "Professor Yang, Wing Chun is not well-known in China, but it is very famous abroad. A Wing Chun disciple named Liang Ting spread Wing Chun to the whole of Europe. Liang Ting is a special skill in many European countries. Military instructor, the special forces fighting technique in many European countries is Wing Chun. For example, the fighting technique of German special forces is Wing Chun. Wing Chun is also the only traditional Chinese fighting technique that has been modernized. Carrying all kinds of weapons and carrying heavy loads makes it difficult for many competitive fighting techniques to exert their power. On the contrary, Wing Chun is very suitable for this kind of heavy-duty fighting. In Germany, Wing Chun has almost become their national art. Liang Ting’s German disciple Boshi Tie , Known as the world's number one master of Wing Chun, undefeated in [-] stand-up fights, once publicly challenged the Gracie family, no one dared to challenge, this guy's improved Wing Chun is very brutal!"

Yang Ping has never heard of such glory in traditional Chinese martial arts, and he is quite interested:
"When will you teach me, I also want to learn boxing for fitness and self-defense."

"Professor Yang, if you want to learn, I will teach you tomorrow."

Er Shun has always regarded Yang Ping as a lifesaver, and saving his brother's life is equivalent to saving his own life.

During lunch, Ershun told Yang Ping a lot of stories about Wing Chun overseas. Yang Ping listened with great interest, and Yang Ping asked Ershun to teach him Wing Chun when he was free. Yes, he also asked Er Shun to teach him how to shoot when he had time.Man, who hasn't dreamed of playing guns yet?

In the afternoon, in the orthopedic ward of the Capital Hospital, Yang Ping saw that girl.

She wears a traditional Omani outfit and walks by crawling on all fours.

(End of this chapter)