Those years when I hung up and upgraded in the hospital

Chapter 251: Use force (please subscribe)

Osteotomy is a professional basic operation in orthopedics. It is an operation that only orthopedic surgeons can touch and cannot be touched by ordinary surgeons.

Its relationship with many operations in trauma surgery is similar to the relationship between suturing and surgery, and it is an integral part.

In fact, it is not a very simple operation, but a major surgical procedure. For example, one part of a certain osteotomy will change depending on the purpose of the surgical procedure.

Just like suturing, it can also be subdivided into simple interrupted sutures, continuous sutures, cosmetic sutures, etc.

If suturing reaches a specialist, there are also tendon suturing and vascular suturing.

The clinical application of osteotomy is mostly in trauma surgery and joint surgery, especially in joint surgery for joint-sparing purposes. It is often used, and when it is combined with joint surgery, the name will change. .

It's called osteotomy and orthopedics.

In pure trauma surgery, the application of osteotomy is actually a variant of bone grafting and other surgeries.

It's like, if a surgeon doesn't know how to do suturing, he basically won't be able to get into surgery.

"Osteotomy, to a certain extent, is a hybrid skill that is a variant of incision and bone removal."

"Osteotomy and orthopedics are actually a combined skill of osteotomy and manual reduction. After flexible application, it needs to be flexibly changed according to the purpose and different anatomical positions."

"Xiao Fang, please try a particularly flexible osteotomy first, such as this bone flap transplant. See if you can design and remove the bone defect model from the iliac crest."

"If possible, next time, let me make a pedicled bone flap to treat bone defects of long bones..." Professor An Luming gave Fang Yun instructions while making room for Fang Yun.

Then he continued: "In fact, in our practice room, in the basic practice operations of debridement and incision, we pay attention to the ability training of shaping and taking shape."

"Well, yes, Teacher An, I noticed it." Fang Yun nodded.

Although he did not train in the practice room when his proficiency was very low, he had finally been in the practice room for so long, had seen it, and then operated it on his own, so he felt that it was no problem.

"But it's different from being in the practice room."

"The cutting and shaping of tofu is very labor-saving because the texture of tofu is relatively soft. It only requires subtle operations in terms of cutting arc and cutting distance."

"Practice in the very basic dimensions of controlling the angle, operating range, and incision arc. But in the follow-up, such as when actually cutting the osteotomy, you need to further refine the strength." An Luming put everything into perspective. The general principles were explained to Fang Yun one by one.

He handed the bone knife to Fang Yun.

He also said: "Don't be nervous. This patient's bone defect is not very large. Even if you fail to remove it right away, at most we can add some other bone grafting materials or remove it again."

Fang Yun held the bone knife in his hand and looked at the shape of the bone defect, which was an inverted triangle trapezoid.

The reason why it has such a strange shape, neither a triangle nor a trapezoid, is because clinical bone defects cannot be normalized, and there are all kinds of weird ones.

And even the shape you preset by yourself is not the perfect fit, it is just the shape you designed!

The iliac bone is the most commonly used material for autologous bone grafting.

Fang Yun looked at his osteotomy experience value. It just recently reached level 3, 2%, and he was a little nervous. After all, he was afraid that it was not good enough.

However, Professor An Luming has already said this. It would be inappropriate for Fang Yun to give in again.

Then he decisively took the first bone knife.

The bone knife is different from the scalpel. The point of force is not the wrist, but the hammer.

The shape of the bone knife is fixed, so the first side of the osteotomy must be decisive and crisp, but the depth of the cut must also be controlled. "Da da da!"

"Da da da." Fang Yun couldn't possibly make a one-time deal.

Therefore, I thrust in very rhythmically and very carefully...

Osteotomy is not as simple as cutting tofu. You can play with the tofu in your hands. Therefore, you must be very careful when cutting the bones. There is basically no chance to repeat it, so you have to take it from another place.

Time passes slowly.

Although everyone is looking at him, Fang Yun has long passed the age of being nervous when being stared at, and he has experience, so such staring will not make him feel nervous.

Fang Yun is just afraid that he is not doing well enough, but not afraid of others' ridicule.

Ten minutes later, Fang Yun finally managed to operate it himself and removed the 'inverted triangular trapezoid' bone body pointed out by An Luming.

Looking at it in the palm of your hand, you can see that the cross section of the cancellous bone is bloody and slightly hollow, which is the same as the flat surface of the pig bone.

And its current shape?

It can only be said that it is quite satisfactory. At least when Fang Yun saw Professor An Luming operating it by himself, it was much better than what he intercepted. His own operating level is probably about the same as Associate Professor Chen Zhiyuan.

He is not the best in the group, so with this operation, he has pushed the overall lower limit of the quality of this surgery, but it is also above the lower limit of similar surgeries in the hospital.

Fang Yun was not very satisfied, and calmly handed the thing to the bent plate, but Xiang Wanqiu's face turned red, and Zeng Tai's breathing became somewhat rapid.

Everyone has different gradients, different progress, and different goals.

Chen Zhiyuan was away and went to see the outpatient clinic again. Xiang Wanqiu said a little shyly: "Professor An, I knew it."

"Xiao Fang's slap is very big, so he might have been rubbed accidentally."

"You have such a big face?" An Luming was actually very satisfied with Fang Yun's operating ability, so he made a joke.

Xiang Wanqiu just wanted to express that he was accidentally injured, but he didn't say that he was arrogant. He quickly shook his head: "I mean, Xiao Fang is progressing too fast."

"From the town hospital, there was no one to guide me and I was able to get to this point by just thinking about it. How can Xiaofang be unhappy?"

"Maybe Xiaofang's girlfriend is not happy." An Luming expressed his happiness with the speed of the car.

Xiang Wanqiu shook his head harder: "You have to ask Xiao Fang about this. I, I can't understand it."

"Brother Tai, do you want to give it a try?" The atmosphere in the operating room was good, so Xiang Wanqiu took over the position of praise.

Zeng Tai's pupils shrank slightly, looked at An Luming, and then said: "Brother Qiu, go first..."

During the operation, the subordinates had no right to speak. Of course, they had no role in driving. Instead, the door was welded shut and no one could get out of the car.

Therefore, no matter how funny it is, you can't laugh too wildly, and naturally you won't be able to answer.

There was no way to explain the shock in my heart. I could only use small movements such as slight swaying of the body and sniffing to cheer for Fang Yun, a young man who joined the team of middle-aged doctors.

Fang Yun, who carries the name of "relatives" and "relatives of Professor An", has finally begun to exert his clinical strength, declaring that the dominance of the younger generation will belong exclusively to him.

(End of this chapter)