godfather of surgery

Chapter 61

Song Zimo and Xiao Mo dragged each other for a few minutes.

Professor Zhang put his hand on it and squeezed it gently.

Touch the bone!This is the primary technique of manual bone-setting. Through the skin and muscles, one can feel the bones inside, how many pieces there are, what shape and position each piece is in.

Eight traditional bone-setting methods: touch, pick, end, lift, massage, massage, push, and take; new eight methods of bone-setting: hand touch heart, pull, stretch, pull, rotate and flex, lift, press, and squeeze, rocking touch, and pinching Bone division, top folding and rotation, massage and massage.

No matter the ancient or the modern combination of Chinese and Western, the touch of the hand is the first, which is the foundation of all the technologies behind, without it, the latter technologies cannot be performed.

The so-called technique, everything depends on the perception and manipulation of the hands, and the ancients who survived by experience really brought their experience to the extreme.

The ghost hand teacher Wang Baohe of Wuqiao, the hometown of acrobatics, played the acrobatics of Sanxianguidong, but no one could see the flaws. Foreigners used several high-definition cameras to shoot from different angles, and finally took the video to slow down, hoping to find the flaws. But just can't find it.

method!Can be played to such an amazing level.

Professor Zhang sits upright on the chair, the chair is very stable, and Professor Zhang's hands are more stable.

Through the skin and muscles, he carefully sensed the shape and state of each bone of the ulna and radius, and he knew it all.

Those who can do this step, the whole country is estimated to be able to break the hand index.

Professor Zhang began to manipulate the bone blocks, returning them one by one in a pre-designed order.

Bone pieces with soft tissue attachments are much better for homing, just like morning bulls, which are pulled by ropes and slowly lead the bull into the bullpen.Bone fragments without soft tissue attachment are free, just like a cow without a leash. To let it enter the cattle pen, it can only be driven.It is self-evident which one is easier to drive a cow or a cow.

"Bend, yes! Straighten again, hyperextension, hyperextension again, stop! Back to the straight position, supination, slowly supination, good!"

Professor Zhang directed Song Zimo and Xiao Mo, and they did a good job according to the order. During the activity, Professor Zhang's hands did not stop, looking for opportunities to seize every opportunity to drive the cattle into place.

Compared with the control of the bone block homing in the static state, manipulating the bone block homing during exercise is a more advanced technique. You need to know how to exercise, when the exercise is the opportunity for the bone block to return, and how to control the bone block. Coordinate with movement.

Next door, everyone looked at the screen. Although they didn't understand anything, they knew that what they were watching was a superb stunt.The camera was shot from different angles, and the multi-angle pictures were presented. Some students had followed Professor Zhang with both hands and made movements in the air, as if they were also patients under their hands.

"Okay!" Professor Zhang took his hand away from Li Jingshu's forearm: "Perspective!"

Among the people inside, only Yang Ping was free. He stepped on the foot switch of the C-arm X-ray machine, and the fluoroscopic image of the forearm skeleton immediately appeared on the screen.

The radius was fully reduced, but the ulna was not.

The reduction standard of fractures includes anatomical reduction and functional reduction.Anatomical reduction is to completely restore to the normal state before the injury, without any deviation; while the function can be restored, and the restoration is almost the same, there is a certain deviation, but this deviation will not affect your use, it will not leave any disability.

This ulna does not even meet the requirements for functional reduction.

Professor Zhang shook his head, he has obviously recovered, is it unstable?
Next door, many have never seen a real bone-setting technique.The fractures of the distal radius and the supracondylar fractures of the humerus that I have seen in ordinary times are all simple traction and flexion, and there is no real manual bone setting.

Today, I saw this case of comminuted and obviously displaced double fracture of the ulna and radius, and the radius can be reset so well, which is a real insight into the manipulation of bone setting.

Professor Zhang pondered that for a fracture of the ulna and radius, it is not simply to restore the ulna and then the radius, but to take into account both, otherwise it is easy to lose sight of the other, because the two are a precise whole.

"Xiao Song, come here! Xiao Yang, help to pull!" Professor Zhang commanded.

If he wants to change someone, he may be old, he has not operated for a long time, and the feeling in his hands is poor. Young people's sensory nerves are more sensitive, maybe the success rate is higher, and Song Zimo was brought out by him, so he knows the reset level.

Yang Ping took Song Zimo's position, grasped Li Jingshu's elbow, and maintained traction with Xiaomo.

Song Zimo helped Professor Zhang get up, moved the chair back, and then helped Professor Zhang to sit down again.He stood in the position of Professor Zhang just now and started to reset. In fact, he was eager to try it.

He is competitive, and his desire to perform is too strong. The more Yang Ping can't, the more he has to perform well.He has been a scholar since he was a child, and there is no second word in his dictionary.

There was a little commotion next door.

"Song Zimo can also use bone-setting techniques?"

"I have studied with Professor Zhang for a few years. It's not good, it's amazing!"

"He seems to know everything."

"There's no way, who makes people smart, what can be learned as soon as they are learned."

"He seems to play basketball too."

"No, it's amazing. The main force of the hospital team. Our hospital has won several consecutive basketball championships in the medical system. He has contributed greatly."

"Hey, why is everything so powerful, I'm satisfied with just one thing."

"Forget it, people are more popular than dead people."

Yang Ping maintained the traction force in his hand, looked at Song Zimo, this guy really knows, not bragging.

Song Zimo put his hand on it, ulna!Now to reduce the ulna.He frowned slightly, concentrated his energy, focused on the feeling under his hand, bit by bit.

Others don't actually see anything, they only see the pinching of the hands, commanding the assistant to rotate, bend, and straighten.

"How is it? Xiao Song!" Professor Zhang asked.

Hearing the clicking sound, Song Zimo nodded: "It should be fine."

"Perspective!" Song Zimo said, but found that only he could control the C-arm, so he stepped on the switch.

The picture on the screen is displayed.

The ulna was completely repositioned, and the radius failed.

Despite this, everyone couldn't hold back their surprise that such a comminuted fracture could be reduced by manual manipulation.

Professor Zhang shook his head, still not working.Re-reset, it is not necessarily sure.

Professor Zhang analyzed that the previous reductions may have damaged the soft tissue attachment of some bone fragments, which reduced the stability of the bone fragments, and there were too few cattle to be led and too many cattle.

Too many manual reduction operations can easily lead to myositis ossificans, some local calcification of muscles and become bones. This complication sometimes leaves serious dysfunction and disability.

Professor Zhang looked at the [-]D reconstruction of the CT scan on the reading light again and said, "Let's do the surgery, call Director Han--"

"Don't!" Li Jingshu was still insisting.

"Try again!" Li Jingshu begged.

Professor Zhang shook his head: "I can't try again, the fracture is unstable, and it is difficult to take care of both sides. Try again and it will be the same, increasing the damage."

Song Zimo was a little dazed, and kept staring at the reading light. Professor Zhang said to him: "To successfully reduce this kind of fracture, one person must operate both the left and the right hands at the same time. Rehabilitating the radius. If I used to be okay, I can't now, I haven't done this for a long time."

"Can the two of us cooperate? Simultaneously reset, you restore the radius, and I restore the ulna." Song Zimo asked tentatively without giving up.

Professor Zhang still shook his head: "No, this requires both the left and right hands to perceive and operate at the same time. According to the perception, the hands can be commanded to perform different movements. Two people can't unify the perception information on the hands, let alone command the movements. Besides, the hands have to cooperate with each other. How can two people cooperate so well, just like two people playing the same unfamiliar tune with a piano, the difficulty can be imagined.”

Seeing Song Zimo's stubborn look, Professor Zhang explained: "If 30 years ago, I could reset both hands at the same time, but I can't now. This kind of simultaneous reset of both hands is not enough to operate at the same time. The movements of both hands are completely different, and they all have to follow the predetermined plan. Planning to go is like writing different characters with two hands at the same time. It is easy to say, but it is very difficult. I really can't do it now. Let's do it!"

"Fight each other?" Song Zimo thought of a word.

Professor Zhang nodded: "Yes!"

Director Ouyang's surgery may have been completed. If you have time, come and have a look.

His graduate student immediately went up to report the situation: "This one has to be fought against each other."

Director Ouyang brought back memories when he heard this word.It was more than ten years ago. His senior brother's ulna and radius were comminuted and fractured, which was obviously displaced, and he was determined not to undergo surgery.At that time, I went to the traditional Chinese medicine hospital to find an acquaintance to reset, but failed, I had to ask my tutor for help.

The tutor found a centenarian old lady in the imperial capital through a relationship, and asked the senior brother to go to the imperial capital immediately. At that time, Director Ouyang accompanied the senior brother.

That [-]-year-old old lady used the left-right stroking technique to anatomically reset those messy bones, which scared Director Ou to repeat the scene in his head for a few days.

Director Ouyang often mentioned this to the graduate student, so the graduate student knew about fighting each other.

Hearing this new word, a doctor next to him couldn't help but ask, "Zhou Botong's left-right stroke technique?"

The graduate student said: "It's basically the same. The left and right hands control the bone blocks independently and take different routes. Moreover, it is very difficult to coordinate well and take care of both sides. Don't look at this technique for bone setting, just pull and pull; the really powerful, inside Kung fu is great, it all depends on the kung fu of the hands.”

"Oh, Professor Zhang should know. He has specialized in research before, and I heard that he has worshipped many masters."

"It's estimated that it will be done in the past. I haven't done it for so long, and I don't know if it will work now."

(End of this chapter)