Those years when I hung up and upgraded in the hospital

Chapter 62: Fang Yun, the versatile expert (please collect and read)
Ever since Fang Yun knew that the department wanted to develop in the direction of sports medicine, Fang Yun put his experience in arthroscopic surgery into the hands-on slot.

More than a month has passed now, and although it has not yet reached level 3, it is finally useful.

After adjusting the field of view, Fan Youhua began to explore, starting from the patellofemoral joint and reaching the intercondylar fossa. As he did so, Fan Youhua said: "The anterior cruciate ligament is in good shape and has no damage."

"There is occasional synovial membrane, and the fat pad of the knee joint is not thick. The shape of the posterior cruciate ligament is also clear, and the current field of view is not enough."

"Brother Yun, show me the 4-character sign." Fan Youhua ordered after reaching this point.

And Fang Yun also knew that this operation was an opportunity for Chen Shengwu to take the exam for Fan Youhua, so no one came forward to show off, and instead followed Fan Youhua's operation.

The figure-4 sign is a posture that opens the lateral cavity of the knee joint to facilitate observation of the lateral meniscus.

After Fang Yun set it up, Fan Youhua slid the mirror over and started observing from the back corner, all the way to the front corner of the meniscus.

"The lateral meniscus is smooth, with no rupture or damage, and no foreign matter remains in the joint cavity. Local damage to the femoral cartilage can be seen, but no treatment is required."

"Brother Yun, help me with the knee valgus sign again." Fan Youhua smiled, already knowing that Fang Yun must know what he meant.

The valgus sign actually means putting the knee joint in a valgus position and opening the medial cavity of the knee joint. It may be called differently, but the meaning is generally the same.

Fang Yun did as he was told, but Fan Youhua failed to withdraw the mirror in time, so Fang Yun whispered: "You have to return the arthroscope to the intercondylar fossa first, otherwise it will easily cause cartilage damage due to entrapment."

The valgus sign will narrow the lateral space and jam the field scope of the arthroscope.

First, it is easy to break the mirror, and second, it is easy to damage the patient's cartilage and increase the chance of osteoarthritis.

Fan Youhua's young face turned red instantly, and he was a little confused for a moment.

As a result, another 3 minutes later, Fan Youhua said: "The shape of the anterior and posterior angles of the medial meniscus is normal, synovial hyperplasia can be seen in the medial joint cavity, and oblique damage can be seen on the medial edge of the body!"

"Director Chen, please click and take a photo."

In arthroscopic surgery, the damaged part needs to be photographed, and then the patient and family members can visually see what the damage looks like.Why surgery is needed.

Chen Shengwu stepped on the foot-operated photo board.

When Fan Youhua arrived, he gave up his operating position.

Chen Shengwu immediately took it over and said: "The operation process is quite smooth, and the sequence of exploration is also smooth and flowing, but there are some details that need to be paid attention to."

“The first is the issue of where the arthroscope is placed during the rotational position.”

"The second is that when operating, the observation from the back corner to the front corner can be smoother."

While Chen Shengwu was talking, Ding Yuanqiu walked in and gradually approached the display screen of the arthroscope.Then he stood far away from the operating table and smiled at Chen Shengwu.

"Director Chen, let me come over to study."

"Hello Dr. Ding, welcome Dr. Ding." Chen Shengwu was also polite.

Ding Yuanqiu stopped disturbing him and behaved like a student.

And this scene caught everyone's attention.

From this we can see how high-end Chen Shengwu's professional abilities and status are.

Menisplasty, as well as joint debridement, are relatively simple.Chen Shengwu made three strokes, five strokes and two divisions, and the operation was declared over in seven or eight minutes. The joint cavity was once again clean, and the white meniscus was also clean and clear.

"The operation is actually very simple for oblique, non-complete injuries to the body of the meniscus. It's just that the patient needs to pull it a little, so there is not much difficulty in the operation." After finishing speaking, Chen Shengwu put away the mirror. "Xiao Fan made the approach, Xiao Fang, can you make an incision to close it?" Chen Shengwu asked Fang Yun.

Fang Yun thought for a moment and replied: "It should be okay, Director Chen."

However, Chen Shengwu did not let Fang Yun go and asked, "Why did you bring Shi Peite down?"

Spectra is the trade name for sodium hyaluronate.

Fang Yun replied naturally: "Sodium hyaluronate can lubricate the joint cavity, protect the joints to a certain extent, and can reduce pain and the recurrence of postoperative synovitis."

"After menisplasty, you can get out of bed immediately without additional fixation. During this process, it is easy to develop pannus and then develop synovitis."

As Fang Yun spoke, he straightened his knee joint and pressed the patella a few times expertly, causing the remaining saline inside to spurt out from the viewport and operating mirror port of the knee arthroscope.

After the inside of the knee joint seemed a little empty, Fang Yun took the instrument and the nurse handed it over, drew the syringe of sodium hyaluronate, and injected the sodium hyaluronate from the medial and lateral approaches.

Chen Shengwu asked again at this moment: "Why don't you inject it after suturing it? Isn't this a waste of sodium hyaluronate?"

"How do you explain the patient's question?"

Fang Yun knew that Chen Shengwu was deliberately digging a hole for him.

Fang Yun said: "Director Chen, the more synovial fluid in the joint cavity, the better. On the contrary, it will make the pressure in the joint cavity too great."

"If part of the sodium hyaluronate flows out, it means that the pressure inside is too great, and a suitable pressure will naturally remain."

"Injection after suturing, that means feeding too much is not good." Fang Yun replied professionally, and also drove a car by the way.

After this, Fang Yun skillfully used a suture needle to hook the incisions on the inner and outer knee joint sockets, knotted them, cut the threads, applied them with sterile gauze, and then started to apply even pressure bandages with elastic bandages.

In the operation room, Fang Yun first wrapped the patient's foot, then pressed his chest against the patient's sole, and began to wrap it up in circles.It stopped only when it reached about ten centimeters above the knee joint.

After carefully examining the tension of the bandage, he found it was stable and then said, "You can step down now, Dr. Fan, please help me."

At this moment, Longquan Chen Shengwu and others have stepped down, and naturally only Fan Youhua, a young doctor, can help.

The two began to work.

Ding Yuanqiu looked at Fang Yun who was busy on the operating table and said, "Director Chen, this little Fang is really a versatile person."

"He also knows how to perform surgical operations in trauma surgery, sutures in hand surgery, and now he even knows some sports medicine operations. What else do you think he doesn't know?"

Ding Yuanqiu was praising Fang Yun.

But Chen Shengwu said: "He doesn't know how to deal with girls. Let me tell you, some time ago..."

Chen Shengwu told Fang Yun about how he left his girl to go to the Medical Association before going on a blind date when he was in Lizhen, and explained perfectly that Fang Yun was not good at everything.

"Straight man! You deserve to be single." Ding Yuanqiu gave Fang Yun a thumbs up.

Chen Shengwu then chuckled.

Then he said: "Xiao Fang, please cut the synovial plica of the next knee joint."

(End of this chapter)