Wei Shangquan, who was closest to Mr. Xie, was sweating. He thought that he would come to Shouer for internship and thought that he was destined not to come to orthopedics. Not to mention that he had not done the preparatory homework for orthopedics. Even if he had done the homework in this area, he would never be like Mr. Xie.
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Mr. Xie has never been to an internship in orthopedics, right? Can you know how to operate just by reading a book?
No, no, no, she had only seen some manipulation diagrams in orthopedic books and some orthopedic teaching videos. As mentioned last time, elbow joint fractures are quite common, especially supracondylar humeral fractures, which are relatively common knowledge points in orthopedics.
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While she was doing it, she was observing Teacher Liu's eyes. Teacher Liu didn't say it was wrong, so she continued to do it.
Doing this kind of three-dimensional positioning of the human body can be regarded as her strength. She has seen and analyzed the children's films, and has a relative sense of the three-dimensional picture in her mind. Combined with the fact that she has been in the surgical internship for so long, the more opportunities she has to come into contact with the human body, such as Tan
The teacher said that the more you practice, the stronger your hand will become. Now, she only needs to hold and touch the child's muscles, and pictures of related muscle group activities can emerge in her mind.
The last key step came, to correct the front and rear displacement, and then bend the elbow 130 degrees. Seeing her slowly and carefully completing this movement, the crowd of onlookers wanted to take a breath in their hearts, and exclaimed in amazement. Thinking back
She was in slow motion just like a movie shot, giving people a magical feeling like two separate objects coming together.
Shanshan's little mouth shrunk into a small O shape: Sister is really casting magic.
My wife is so awesome.
"Okay, Teacher Liu." Xie Wanying asked the teacher to check all the steps.
When Liu Huaiyu heard her voice, he just came to his senses like everyone else. He quickly walked up and carefully inspected the position of each bone in her restored elbow joint.
Teacher Liu, who is like an artist, touched left and right. After touching, a look of a meditator flashed between his eyebrows: "Hmm, huh."
The final judgment must not be made by touch, but must be combined with instrument inspection.
The X-ray machine is ready to be turned on. It is necessary to fully examine the elbow joint from several directions to see if it is correct. The doctor rotates the C-shaped arm around the child's elbow joint for examination.
The see-through image made everyone open their eyes to look for flaws. After searching and searching, no flaws were found, which was really surprising.
If you look at the anatomy of the humeral condyle in children, you will find that it is very complicated. The front is the coronoid fossa, and the rear is the olecranon fossa. The bones are very thin, and some are just like membranes. The overall shape is different from that of adults, which is flat.
.Due to this complicated reason, it is difficult for doctors to find the correct position for reduction after incision. In addition, the surgical area is actually operated within the elbow joint and it is easy to produce heterotopic ossification. What is heterotopic ossification, that is, when the elbow joint is not growing?
Bone tissue appears in places with bones, such as in muscles, which can further develop into myositis ossificans.
Surgery is difficult, and it is definitely more difficult to find the correct reduction without percutaneous incision. Unexpectedly, this classmate achieved the accurate reduction position in one go. This accurate reduction position is not that the single finger returns to the normal position of the elbow joint, but
It needs to be fixed with a slight valgus. Otherwise, this area will easily develop cubital varus as it grows.
