Those years when I hung up and upgraded in the hospital

Chapter 53: The Thickness of Basic Skills (Please collect and read)

"Brother Qiu, is this all you need for this operation?" Fang Yun was a little shocked after hearing what Ding Yuanqiu said about the fibula osteotomy.

In Fang Yun's view, when osteoarthritis of the knee requires surgical treatment, the surgical methods involved should be extremely complicated. However, he did not expect that the osteotomy of the fibula is so simple and simple. purely.

Ding Yuanqiu smiled: "Under normal circumstances, the tibia and fibula are the load-bearing bones that support the knee joint. The fibula is part of the lower leg and is responsible for supporting the weight of the body and bearing part of the load on the knee joint during walking and movement."

"However, in patients with medial condyle osteoarthritis of the knee, this loading can lead to joint pain and damage. By amputating part of the fibula, it can reduce the load it places on the knee, allowing the load to be distributed more evenly across the knee. The rest of the joint.”

“One of the main principles of fibular osteotomy is to reduce inflammation and pain by changing the load distribution of the knee joint.”

"It's so simple to operate." After anesthesia, Ding Yuanqiu just exposed the opening, took out the fibula, and cut off the two-centimeter bone in the middle and upper third of the bone.

The bone stump was sealed with bone wax, the skin was sutured, and the patient was sent out of the operating room.

There are no fancy operations at all, nor any advanced technology.

If we were to describe it more simply, it would be incision, osteotomy, and suturing.

Gone.

Ding Yuanqiu dared to perform such an operation entirely because of the suppression at the cognitive level, not from the operational level.

After all, Fang Yun was not a professional doctor in joint surgery before, and he knew very little about the treatment of joint surgery. Although he had some theoretical knowledge, it was only theory and was mostly used for diagnosis and treatment?

You know, this surgery is so simple, even Fang Yun can do it.

During the operation turnaround, Ding Yuanqiu said during a break: "The indications and purpose of fibular osteotomy must be strictly communicated with the patient."

"Not a cure, just symptomatic relief."

"Fibula osteotomy can only reduce knee joint pain and improve the patient's walking ability and joint function. Reduce pain and improve the patient's quality of life. It does not cure osteoarthritis."

“In terms of indications, they are mainly moderate to severe arthritis on the medial side of the knee, special joint deformities, and special instability of the knee joint.”

"Know the indications and treatment objectives well, and just do this, and the patient's symptoms will be relieved."

"Oh! Thank you Brother Qiu for the popular science." Fang Yun nodded.

I have gained a bit more knowledge. When I go back later, I will check the corresponding information, understand the principles more clearly, and understand the indications more thoroughly. Then I will master this surgery.

Ding Yuanqiu smiled indifferently: "This is just an information gap, it's not a big deal."

At this time, Director Peng Nanbo said with a smile: "If you are a bold artist but not skilled enough, you will not even dare to perform an osteotomy. If it is not done well and the postoperative symptoms are not relieved, wouldn't it be troublesome?" ?”

Peng Nanbo is reminding Fang Yun not to think that the operation is simple and not difficult, but to despise it.

The fact that Ding Yuanqiu knows that he can do this is in itself a display of skill.

"The next one for gluteal muscle contracture is actually relatively simple to operate. Doctor Fang, do you want to give it a try?" Ding Yuanqiu suggested after finishing his words.

Fang Yun was eager to try after hearing this.

But after thinking for a moment, Fang Yun still said: "Brother Qiu, you should do this surgery. I can give you a head start in advance and expose your vulnerability."

Gluteal contracture, also known as injection gluteal contracture.

It is mainly an iatrogenic disease and has certain historical factors, that is, it is caused by repeated injections of drugs into the buttock muscles.Due to too many cases, my country has gradually reduced intramuscular drug injection.

If you don’t pay special attention to and treat it when you are young, you will still come to the doctor in your youth.There are two main difficulties. One is that it is troublesome to go to the toilet and the squatting posture is rather strange.The second is that when sitting, I cannot cross my legs.

Moreover, this patient had gluteus maximus contracture. If he was not skilled in partial resection of the contracture, he could easily cut off blood vessels and nerves.

Although it can be done and it can be done according to the principle, there is no need to rush now.

Ding Yuanqiu turned around with some disappointment and said, "Doctor Fang is quite cautious. Then I'll do one side, and Dr. Fang will do the other side, right?"

In fact, he didn't want to do such a minor operation, but it seemed that the doctors at Longxian People's Hospital didn't have a deep understanding of such minor operations and minor diseases.

Peng Nanbo and Long Quan both nodded: "You can have this."

The two directors were very panicked.

Firstly, this Ding Yuanqiu was killed by the Medical Society, and no one knew what his strength was. Secondly, after Ding Yuanqiu came down, he took too much care of Fang Yun.

They are also a little guilty.

I'm afraid that the two young men did something wrong...

Soon, the patient was already in the operating room.

Gluteal muscle contracture is a contracture of the gluteus maximus muscle, so the operation is less difficult.Because the location is relatively superficial.

Take the side-lying position, and after sterilizing and draping, you can feel the shape of the contracture band.

Ding Yuanqiu said: "Come, touch and see, these cord-like strips are contracture bands, just cut off 2-3 centimeters of them, and then do rehabilitation exercises..."

When Fang Yun heard this, he reached up and pressed it carefully. He could indeed feel a hard rope-like lump.

Gluteal muscle contracture is a disease that does not require X-ray diagnosis. It can be diagnosed through typical symptoms, special appearance, snapping sign and circle sign.

However, the doctor in charge of this patient was not Fang Yun, but Huang Xuepei from Director Peng Nanbo's team. Therefore, Fang Yun had only seen him and had never done a physical examination.

Even if you are a doctor, you can't touch the buttocks of other patients if you are not the bedside doctor?

Just like this, Fang Yun felt an indescribable touch even though he was wearing gloves!

Very regular.

In an instant, Fang Yun's expression suddenly changed.

If he remembered correctly, he could feel the rhythmic beating through palpation. It couldn't be gluteal muscle contracture at all, but a hemangioma he had undergone surgery before.

Gluteal muscle contracture complicated by hemangioma? ? ? !
"How's it going? Did you touch it?" Ding Yuanqiu raised his chin and asked, with an aunt-like smile.

Fang Yun's expression immediately changed, he lowered his voice and turned his head: "Director Peng, did this patient not undergo any auxiliary examinations before the operation?"

"I seem to feel a beating blood vessel, which may be complicated by a hemangioma."

Fang Yun's words made the smile in Ding Yuanqiu's eyes freeze instantly!

Peng Nanbo and Long Quan also looked sideways——

After looking at each other, and considering that Fang Yun was always very cautious, Peng Nanbo hurriedly said: "Tour, bring the color Doppler ultrasound machine from the operating room!"

(End of this chapter)