At noon, Xiao Su and I had dinner in the cafeteria, and then slept in the duty room of the department all afternoon.
Including the usual daily rewards, the points have reached 51,000 points, and the surgical training can be pushed forward.
Yang Ping spent 10,000 points to purchase 500 cruciate ligament reconstruction surgeries, and another 20,000 points to purchase 500 knee joint multi-structure reconstruction surgeries, with 21,000 points left. He stayed in the system space for more than ten days before completing it.
Training for these one thousand surgeries.
There are a lot of surgical training packages in the mall. Almost everything you want is available. As long as you have enough points, you can buy any quantity. The only disadvantage is that the training has advanced steps. You must go step by step. You can only move to the next step after completing an advanced training.
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Yang Ping completed surgical training, and then conducted anatomy training in the system space, using anatomical knowledge to train the brain's human body composition.
It was past four o'clock in the afternoon when he woke up. Song Zimo was drawing pictures in the office. He drew the reconstructed structure on the picture of the five-jointed knee joint injury. After drawing one picture, he crossed it out and started drawing again.
"I have done four-link reconstruction for ordinary people and five-link reconstruction for professional athletes. This balance is really difficult to master. How can the starting and ending points of these ligaments be accurate? How can the tension be adjusted with so many ligaments?"
Song Zimo was very upset.
This kind of surgery involves many reconstructed structures, including double bundles in the front fork, double bundles in the rear fork, three posterolateral structures, and three posteromedial structures. The joint capsule needs to be repaired, the lateral retinaculum of the patella needs to be loosened, and the medial retinaculum needs to be tightened.
After rebuilding so many structures, we are not finished yet. We still need to adjust the tension of these structures to satisfaction and adjust each other to balance.
Not to mention doing it, any doctor who specializes in sports medicine will feel swollen when he sees this surgery. Most of them have no intention of doing it. In the face of this kind of surgery, the confidence accumulated by most doctors will be shattered.
Not to mention that Song Zimo encounters very few cases on a daily basis, even Su Nanchen from the First Department seems to be unable to cope with it. After all, the number is too small and it is difficult to gather a small number into a large number. Only a national sports medicine center like the Imperial Capital Third Hospital can gather a large number of cases.
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For example, Song Zimo was able to win the quadruple reconstruction of ordinary people, and Su Nanchen's quadruple reconstruction of professional athletes was only one step away from the big guys of the Imperial Capital's three academies. It was not easy, and they were already extremely talented.
"You will be able to see one by then. Let Jiahui prepare all the instruments. This operation is a bit big. Prepare at least 10 allograft tendons for reconstruction." Yang Ping told Song Zimo.
"As soon as the patient came in, I notified her, and she had already prepared the equipment. I prepared twenty allograft tendons. The ones from the Shanxi Medical Tissue Bank are from our hospital's supplier catalog. They can be used directly in sports medicine.
The center uses theirs. Huang Jiahui has a cold and a high fever and is receiving infusions in the emergency department. I asked her not to follow the stage. She is very persistent and must come." Song Zimo made the preparations for the operation flawless and did not use Yang Ping at all.
Worry.
"Did the Singaporean's surgery go well?" Yang Ping asked with concern.
Song Zimo is very confident: "It went very well. The review film is out. Take a look at it when you have time. I drew a three-dimensional reconstruction diagram before the operation to simulate dead bone curettage. During the operation, all dead bones should be scraped clean." p>
"Not bad!" Yang Ping gave a thumbs up.
Song Zimo was a little embarrassed: "I have to learn something from you. My spatial positioning ability is not that bad compared to yours."
This is indeed a major surgery. Watching Yang Ping's surgery will make you addicted. It feels like a new village has a bright future. Director Han is addicted now. Comprehensive Orthopedics has only been open for a long time, and the five-joint injury reconstruction has been moved out.
On Saturday, Xiao Su did not go home. Yang Ping accompanied Xiao Su to play tennis on the court of the hospital. Xiao Su was a professional, but Yang Ping had only been exposed to it in college and knew a little bit about it. Naturally, he was completely abused by Xiao Su and let him go again.
Xiao Su became a coach for a while.
On Sunday, Xiao Su went home. Yang Ping stayed in the house, reading and studying, and borrowed some information on Hai Fu Dao to study.
On Monday, Director Han arrived at the operating room early. He usually only comes to take a look after the operating room is opened.
"Xiao Wu, adjust the video system better. I will take pictures when the time comes. I will make a poster about this operation and hang it on the wall of the ward. This operation and the reconstruction of multidirectional instability of the shoulder joint are equally difficult in sports medicine.
The biggest surgery." Director Han sat there and directed Xiao Wu.
During the last anterior cruciate ligament reconstruction, the intercondylar notch was formed. It was like a sculptor carving, grinding and grinding the drill, and unknowingly, a perfect intercondylar notch was created.
Director Han watched the surgery video several times. He firmly believed that Yang Ping had learned carving and also specially practiced carving the intercondylar fossa with a grinding drill. Otherwise, how could he have done it so perfectly?
Director Han's guess is correct. Yang Ping has practiced it before. It's just that in the system space, the surgery can be practiced casually. If he fails, there will be no adverse consequences. The worst he can do is to do it again. As long as there are points, it will continue to flow.
As long as you have enough points, you can have as many cases as you want, let alone five cases of injury, six cases, seven cases, or eight cases. Cases that you may never encounter in reality will be simulated for you. In the system, I actually used a drill to practice forming the intercondylar fossa. Before the practice, I read a lot of books on carving and thoroughly understood the principles of carving. Then I used the drill as a carving knife and the patient's intercondylar fossa as a blank to perform the human body.
Engraving.
Now, if Yang Ping is asked to do bone carving for cosmetic surgery, he can definitely use this trick to establish a plastic surgery signboard.
Xiaowu is very interested in these medical equipment. He is more familiar with this video system than the manufacturer's engineers. There was a problem with the video system last time. It is said that there is a bug in the software. The manufacturer sent people to check it. It's just that
I said sorry a few times with a smiling face, but the video was still stuck and the problem was not solved. Xiaowu finally solved it.
Huang Jiahui no longer had a fever, but she looked very haggard. She stood guard next to the equipment cart. Yang Ping passed by her equipment cart. She bowed: "Hello, Teacher Yang!"
"The cold is gone and the fever is gone. If not, go back and rest. It'll be fine." Yang Ping said with a smile.
Huang Jiahui thought that she was really lucky to meet a doctor with such a good temper. Last time she was late, she didn't have much dissatisfaction.
The reconstruction of the front and rear forks is similar to the last surgery. The eight strands and double bundles used in the front forks are anatomically reconstructed. Only by anatomical reconstruction can the function be restored to the maximum. The rear fork ligament is also anatomically reconstructed with double bundles. The principle of the surgery is similar, but the bone tunnel is
The location is just different.
This surgery, how should I say, has reached the point where it is as light as a piece of cake. It is a major surgery and it feels like a minor surgery. If you don’t know, you will think that you are doing a minor surgery.
After the anterior and posterior cruciate ligaments are reconstructed, we begin to reconstruct the posterolateral and posteromedial structures. There are three posterolateral structures that need to be reconstructed: lateral collateral ligament, popliteus tendon, and popliteofibular ligament. There are also three posteromedial structures: medial collateral ligament and posterior oblique ligament.
,popliteal oblique ligament.
After reconstructing these eight structures, the joint capsule must be repaired, the lateral retinaculum of the patella must be loosened, and the medial retinaculum must be tightened to correct the trajectory of the patella.
These ligaments cross each other vertically and horizontally, from the femur to the tibia, or from the femur to the fibula. Each one is implanted into the bone tunnel. The shape must be precise, the tension must be appropriate, and each other must be taken into account. You cannot focus on one and lose the other. Even if one is not done well,
If it is looser or tighter, the operation will be compromised, and compromise means failure.
In the dazzling state, the rustling sound of the electric drill stopped, and the allogeneic tendons were passed one by one, turning into ligaments on the patient's body. The implanted tendons were densely covered in the front and back.
It was very relaxing for the person doing it and very comfortable for the people watching. After doing it, the stability of the knee joint was tested. The stability was very good. The tension and balance were really perfected in one go. Song Zimo had 10,000 question marks in his mind. p>
The patient was pushed out by Xiaowu Zhang Lin. This time the fat man was very conservative, fearing that the operation would take a long time and require a large amount of anesthesia. When the patient went out, the leg undergoing surgery was still numb.
Song Zimo came over secretly and said: "Where do you do so many surgeries like this? Can you give me an answer that can convince me? Don't be too fantasy."
Yang Ping was copying the video and took a picture: "Do you know Gaussian?"
"Do you know, does this surgery have something to do with Gaussian?" Even with Song Zimo's IQ, he didn't guess the mystery of this statement.
Yang Ping stopped operating the mouse: "When Gauss was nineteen years old, he was studying at the University of Göttingen. His tutor routinely assigned him three questions every day. On this day, the teacher only assigned two questions, but due to a mistake, he was
A small slip of paper was tucked into his textbook. There was also a question on the small slip of paper. Gauss could solve the first two questions easily. Only the question on the small slip of paper found it difficult for him and he spent a whole night on it.
, he solved the problem. When he handed in the homework to his tutor the next morning, he felt a little guilty and blamed himself. He said to his tutor, I actually worked all night to solve the third question you assigned me.
I have failed you in cultivating me. After reading his solution process and results, the tutor stared at Gauss for a long time and said in a trembling voice, this is a mathematical unsolved problem for more than two thousand years. Archimedes did not solve it, and Newton did not.
You didn’t solve it, but you solved it in one night?”
Yang Ping finished copying the video and pictures and stood up. Song Zimo had been petrified. The answer lies in this story.
Yang Ping patted him on the shoulder: "There are people who can do surgery after reading it once, like you; there are also people who can do the surgery perfectly just by reading the book once, like me, believe it or not?" p>
"The secret is just one sentence. For reconstruction of a single structure in this kind of surgery, the position of the tunnel is the most important. For reconstruction of multiple structures, the position of the tunnel and balance are indispensable. How to adjust the balance depends on your talent. Don't read a few words in the book.
A centimeter, it’s useless. Find the balance yourself. I guess you can understand what I’m saying today after you make a few.”
Yang Ping asked Su Nanchen for an email address on WeChat and sent him the video of the operation. It was not to show off, but to give him a reference. His patient will soon undergo a similar operation.
