Song Zimo and Xiao Mo pulled each other for several minutes.
Professor Zhang put his hand on it and squeezed it gently.
Feeling the bones! This is the primary technique for manual bone setting. Through the skin and muscles, one must be able to feel the bones inside, how many there are, the shape and position of each bone.
The eight traditional bone-setting methods: touch, connect, end, lift, press, massage, push, and hold; the new eight bone-setting methods: touching the heart with the hand, pulling and stretching, rotating and flexing, lifting and pressing the end, swaying and touching, and pinching and squeezing
Bone separation, head folding and turning, massage and massage.
Regardless of ancient times or modern combinations of Chinese and Western, the touch of hands is the first priority. This is the basis of all subsequent technologies. Without it, the subsequent technologies cannot be implemented.
The so-called technique, everything depends on the perception and control of the hands. The ancients who relied on experience to survive really took their experience to the extreme.
Teacher Wang Baohe from Wuqiao, the hometown of acrobatics, performed the acrobatics of Three Immortals Returning to the Cave, but no one could spot the flaws. Foreigners used several high-definition cameras to shoot from different angles, and finally slowed down the video in the hope of finding flaws.
But I just can’t find it.
Technique! It can be played to such perfection.
Professor Zhang is sitting upright on the chair. The chair is very stable, and Professor Zhang’s hands are even more stable.
He carefully felt through the skin and muscles, and he knew the shape and condition of each bone of the ulna and radius.
For those who can do this, the whole country can only count on their hands.
Professor Zhang began to manipulate the bone blocks and return them to their places one by one according to the pre-designed order.
It is much better to return bones with soft tissue attached to them, just like pulling a cow. The cow is slowly led into the stall with a rope. Bones without soft tissue attached are free, just like a cow without a rope.
The only way to get it into the cattle pen is to drive it. It is self-evident which one is easier, driving the cattle or leading the cattle.
"Bend, yes! Then straighten, overextend, overextend again, stop! Return to the straightened position, supinate, slowly supinate, good!"
Professor Zhang directed Song Zimo and Xiao Mo, and they followed the order very well. During the activity, Professor Zhang's hands did not stop, looking for opportunities and seizing every opportunity to drive the cattle into position.
Compared with just controlling the bone block to return to its original position in a static state, controlling the bone block to return to its original position during exercise is a more advanced technology. You need to know how to move, when the movement is the opportunity for the bone block to return to its original position, and how to control this bone block.
Return to position with movement.
Next door, everyone looked at the screen. Although they couldn't understand anything, they knew that what they were watching was a superb stunt. The camera shot from different angles, and multi-angle pictures were presented. Some students were already following Professor Zhang with their hands in the air.
He makes movements as if he is also a patient under his hands.
"That's it!" Professor Zhang took his hand away from Li Jingshu's forearm: "Perspective!"
Among the people inside, only Yang Ping was free. He stepped on the foot switch of the C-arm X-ray machine, and a perspective image of the forearm bones immediately appeared on the screen.
The radius has been completely restored, but the ulna has not met the requirements.
The reduction standards for fractures include anatomical reduction and functional reduction. Anatomical reduction is a complete restoration to the normal state before the injury, without any deviation; while functional reduction can be restored to almost the same level, with a certain deviation, but this deviation will not affect the fracture.
Your use will not leave any disability.
This ulna has not even met the requirements for functional reduction.
Professor Zhang shook his head. He has obviously recovered. Is it unstable?
Many people next door have never seen real manual bone setting. The distal radius fractures and humeral supracondylar fractures that we usually see are simple traction and flexion, which cannot be said to be real manual bone setting.
Today I saw this case of a pulverized and obviously displaced double fracture of the ulna and radius. The radius can be restored so well. This is a real experience of manual bone setting.
Professor Zhang pondered that for a fracture of the radius and ulna, it is not just about resetting the ulna and then the radius, but also taking into account both, otherwise it is easy to focus on one and lose sight of the other, because the two are a closely coordinated whole.
"Xiao Song, come here! Xiao Yang, help pull!" Professor Zhang commanded.
He wants to change to another person. Maybe he is old and hasn't operated for a long time, so the feeling in his hands is poor. Young people's sensory nerves are more sensitive and may have a higher success rate. Moreover, he brought Song Zimo out, so he knows the reset level well.<
/p>
Yang Ping took over Song Zimo's position, grasped Li Jingshu's elbow, and maintained traction with Xiao Mo.
Song Zimo helped Professor Zhang stand up, moved the chair back, and then helped Professor Zhang sit down again. He stood in Professor Zhang's position and began to reset. In fact, he was already eager to try.
He is competitive and has a strong desire to perform. The more Yang Ping can't do something, the more he has to perform well. He has been a top student since he was a child. There is no word second in his dictionary.
There was a little commotion next door.
"Song Zimo also knows how to set bones?"
"I have studied with Professor Zhang for several years. I am not good at it, but I am very good at it!"
"He seems to know everything."
"There is no way, who can make people smart enough to learn anything at once."
"He seems to be able to play basketball."
"It's not that he's good, he's awesome. He's the main force of the hospital team and our hospital has won several consecutive medical system basketball championships. He's indispensable."
"Hey, why are you so good at everything? Just let me be so good at just one thing."
"Forget it, it's annoying to compare people to each other."
Yang Ping maintained the pulling force on his hand and looked at Song Zimo, this guy is really good at it and he is not bragging.
Song Zimo put his hand on the ulna! Now he needs to reset the ulna. He frowned slightly, concentrated his energy, and focused on the feeling under his hand, bit by bit.
In fact, others can't see anything. They can only see the manipulation of the hands, directing the assistant to rotate, flex, and straighten.
"How is it? Xiao Song!" Professor Zhang asked.
Hearing the clicking sound, Song Zimo nodded: "It should be fine."
"Perspective!" Song Zimo said, but found that only he could control the C-arm machine, so he stepped on the switch.
The picture on the screen is displayed.
This chapter is not over yet, please click on the next page to continue reading!
The ulna is completely reset, but the radius is gone again.
Despite this, everyone could not restrain their surprise that such a shattered fracture could be reduced manually.
Professor Zhang shook his head, but it still didn't work. Even if he resets it, he might not be sure.
Professor Zhang analyzed that the previous reductions may have destroyed the soft tissue attachment of some bones, reducing the stability of the bones. There were too few cows to pull and too many cows to drive.
Excessive manual reduction operations can easily cause myositis ossificans, where some parts of the muscles become calcified and turn into bones. This complication sometimes leaves serious functional impairment and disability.
Professor Zhang looked at the three-dimensional reconstruction of the CT film on the reading lamp again and said: "Let's do the surgery, call Director Han -"
"Don't!" Li Jingshu still insisted.
"Try again!" Li Jingshu begged.
Professor Zhang shook his head: "We can't try again. The fracture is unstable and it's difficult to take care of both sides. If we try again, it will still be the same, which will increase the damage."
Song Zimo was a little confused and kept staring at the reading light. Professor Zhang said to him: "To successfully reduce this kind of fracture, a person must operate with both hands at the same time. The left hand can restore the radius, and the right hand can restore the ulna, or vice versa, the left hand can restore the ulna, and the right hand can restore the ulna.
Radius bone resurfacing. If it was before, I could do it, but now I can’t. I haven’t done this for a long time.”
"Is it okay for the two of us to cooperate? We can do the reduction at the same time. You can restore the radius and I can restore the ulna." Song Zimo asked tentatively without giving up.
Professor Zhang still shook his head: "No, this requires both left and right hands to sense and operate at the same time, and command different movements of both hands based on perception. Two people cannot unify the sensory information on their hands, let alone command movements; besides, both hands must cooperate with each other.
How can two people cooperate so well to achieve such a seamless performance? It’s like two people playing the same unfamiliar piece of music on the same piano. You can imagine how difficult it is.”
Seeing Song Zimo's stubborn look, Professor Zhang explained: "Thirty years ago, I could still reset both hands at the same time, but now I can't. This kind of simultaneous reset of both hands does not just require simultaneous operation. The movements of both hands are completely different and must be performed as scheduled.
It’s like writing different words with two hands at the same time. It’s easy to say but very difficult. I really can’t do it now. Let’s have surgery!”
"Left and right fighting each other?" Song Zimo thought of a word.
Professor Zhang nodded: "Yes!"
Director Ouyang may have completed one operation. If you have time, come and take a look.
His graduate student immediately went up to report the situation: "This requires mutual fighting."
When Director Ouyang heard this word, it brought back memories. It was more than ten years ago. His senior brother's radius bone was crushed and fractured, and it was obviously displaced. He was determined not to undergo surgery. At that time, he went to the Traditional Chinese Medicine Hospital to find an acquaintance to reset the bone, but failed. He had no choice but to do it.
Ask your mentor for help.
The mentor found a centenarian old lady in the Imperial Capital through connections and asked the senior to go to the Imperial Capital immediately. At that time, Director Ouyang accompanied the senior there.
The hundred-year-old woman used the left-right fighting technique to forcefully dissect and reset the messy bones, which frightened Director Ou so much that he played the scene over and over in his head for several days.
Director Ouyang often mentioned this matter to the graduate student, so the graduate student knew about the fight between left and right.
Hearing this new word, a doctor next to him couldn't help but ask: "Zhou Botong's left-right reciprocal stroke technique?"
The graduate student said: "It's basically the same. The left and right hands control the bones separately and take different routes. And they have to coordinate well and take care of both sides. It's very difficult. Don't look at this bone-setting technique, it's just a simple pull; the really powerful thing is inside.
The great skill lies in the skill of the hands."
"Oh, Professor Zhang should know it. He has studied it before, and I heard he has had many masters."
"I guess I did it before. I haven't done it for so long, and I don't know if it will work now."