"Theoretically, the rear fork has the ability to repair itself, but the anterior cruciate ligament does not have the ability to repair itself and requires surgical intervention."
"However, the self-healing potential of the posterior cruciate ligament also has its inherent limitations..."
"In most cognitions..."
Professor Mo sorted out the entire reconstruction of anterior and posterior cruciate ligaments from shallow to deep, and Zhou Cheng and others nodded frequently.
However, even though Professor Mo came to give the lecture, Zhou Cheng still heard from Professor Mo's class that there were many blanks left and problems and directions that could be pursued.
This made Zhou Cheng smile involuntarily. Well, his heart is really getting bigger and bigger now. It seems that such doubts and thinking patterns have become instinctive.
According to the rules, class starts first, and then bedside rounds are conducted. After the room rounds are completed, the operation begins.
Professor Mo did not hesitate or waste time. After completing the ward inspection, he led Peng Peng and others directly into the operating room.
Peng Peng instinctively wanted to help and become an assistant, but was rejected by Professor Mo.
"If you don't come to be an assistant, this small class has nothing to do with you. Just get out of the way." Professor Mo was very merciless and hit Peng Peng mercilessly.
It seems that the previous incident where Peng Peng was beaten by a group of students was very embarrassing and made him very disliked by Professor Mo.
Peng Peng smiled twice, then smiled awkwardly at Zhou Cheng and others, silently stepped back a few steps, and leaned against the wall of the operating room, sitting upright and obediently.
I almost squatted down to draw circles and count ants.
In fact, Peng Peng felt very embarrassed and unconvinced.
Although, he also felt that the young people in this small training class were quite good, and they were a small group of extremely talented people.
However, whether it is Yu Heng or Zhou Muyun, it is like this. At most, it is much better than when he was their age, but it is not much better than myself, right?
Why, my teacher ran out and replaced me.
Peng Peng was a little unconvinced, so his eyes focused more on the culprit - Zhou Cheng.
It was precisely because of Zhou Cheng's 'appearance' that his 'teaching career' was temporarily put on pause.
While I was playing with Yu Heng, Zhou Muyun and others, Zhou Cheng was playing with me?
What do you think of this? Why shouldn’t it be something a student can do?
Well, no, if you have the ability and strength, you can do it. What do you mean by benchmarking against me?
Zhou Cheng still had an amiable expression, chatting and laughing among the crowd very harmoniously, and seemed to be involved in the issue of how to allocate the three surgeries this afternoon——
That's mainly what happened.
In the first section, the surgical arrangements for the three surgeries are: Peng Peng is the surgeon, and Zhou Muyun and Zhen Xing are the assistants.
The second surgery was performed by Yu Heng!
The third surgery was performed by Zhen Xing.
In the second section, Peng Peng is the surgeon, with Zhou Muyun and Zhen Xing as assistants.
The surgeon who performed the second surgery was originally Su Min, but was replaced by Zhou Cheng.
The surgeon who performed the third surgery was Zhou Muyun!
Counting it all together, of the first six surgeries today, Zhou Muyun and Zhen Xing participated in a total of four of them as chief surgeons and assistants!
Zhou Cheng, Su Min and Yu Heng only participated in two surgeries in total, which was a little unfair!
Professor Mo took the initiative to bring this up and said: "So I think so, I won't be on stage for the last three surgeries. Su Min, Yu Heng, Zhou Cheng, your team is responsible for two surgeries. Su Min,
Zhou Muyun, Zhen Xing, the three of you are responsible for an operation."
"What do you think of this proposal?"
Zhou Cheng and others all looked at each other.
Professor Mo was quite looking forward to it. His eyes stayed on Zhou Cheng for the longest time, but he didn't say it clearly.
In fact, Professor Mo's current division just sounds quite fair.
But, who are Zhou Cheng and others?
There are a total of nine surgeries today. If one surgery requires three people, then there are 27 people. The total number of students is only 5. Even if there is an additional teacher, there are only 6, and it is completely impossible to divide them equally.
Soon, Zhou Muyun gave the most correct answer: "Professor Mo, if you follow the algorithm you just calculated, then the number of times Teacher Peng Peng participated is four times, and there are five of us in total, then you should be next
Participated in all three surgeries.”
"Only in order to make twenty-seven people have an average chance of being evenly divisible by five."
"So, Professor Mo, for the sake of fairness, you still have to go on stage for each of the next three surgeries. Teacher Peng Peng has already used up all the times you can do without going on stage."
Zhou Muyun seems to be serious, but in fact he is a thief.
Are you kidding me? Professor Mo wants to step down and watch?
How is that possible? Observing an operation and formally participating in an operation are completely different perspectives and identities. On the operating table, even if you are an assistant, he will help you even if you scold you. If you are in the audience, you will learn to be scolded.
If you don’t get something, you will never do it!
Moreover, the next surgeries are of very high level. Although the three hospitals will definitely be responsible if the problem is revealed, it is best to speak up only when he is on stage to maximize the error tolerance rate.
Professor Mo's expression was a little ugly at the moment. What he wanted to do more was to take a closer look at what Zhou Cheng was like from the perspective of a bystander. But what he didn't expect was that he had generously given up the opportunity.
A kind act.
It was Zhou Muyun, a "computing master", who used the perspective of frequency to counter his words.
If we want to talk about equal opportunities, then this can only be the most equal.
After Zhou Muyun said this, Su Min immediately thought of another question, but this matter was about him, so he did not really speak, but whispered in Zhou Cheng's ear for a while.
Zhou Cheng's eyes suddenly widened slightly, and he asked Su Min in a low voice: "Is this okay?"
However, all Zhou Cheng's actions were in the eyes of Professor Mo and others. When Tan saw Zhou Cheng making such a big move all of a sudden and still whispering, Professor Mo asked: "If you have any ideas, just tell me in person."
Come out and let’s discuss it together.”
"What do you say in private?"
Hearing this, Zhou Cheng turned his head and said, "Professor Mo, Su Min just said that according to Professor Mo's thinking and Zhou Muyun's calculation method just now, you will have to perform the three surgeries twice this afternoon.
.”
"In this way, you performed the surgery twice, and Teacher Peng Peng performed the surgery twice, for a total of nine patients. For the remaining five patients, each of the five of us performed the surgery once."
"I think what Su Min said makes sense." Zhou Cheng said in a calm voice, but Professor Mo and Peng Peng's eyes grew wider and wider.
Zhou Muyun and Zhen Xing also looked slightly stiff. In other words, these three cases are only related to Su Min as the surgeon? They have nothing to do with the rest of us?
Professor Mo heard this and said, "I just made a suggestion. Are you starting to make serious calculations now?"
"Learning lies in acquiring knowledge, not in the so-called formal fairness. Since no one has any better suggestions, let's continue with our own arrangements!" Professor Mo finally changed the subject, which can be regarded as taking a step back.
.
Then he looked at Zhou Muyun and Su Min and gave them a meaningful look.
Zhou Muyun must have figured it out, but he didn't bring it up, which must be selfish. Su Min knew that everyone might have figured it out, but he was the only one to tell Zhou Cheng secretly, which proves that this
Su Min?
Is your mind really quite 'delicate'?
Is it possible that he is not a man but a woman?
…
Professor Mo wants to conduct traditional teaching, so if he wants to see Zhou Cheng perform the surgery again today, he can only use his own privileges.
Because after he had one operation, the remaining two operations should logically be performed by Zhou Muyun's group and Su Min's group, one for each person.
But because there are only two people in Zhou Muyun's team, it is impossible to truly achieve a perfect average. Only one person can perform two surgeries. But if Professor Mo gives up his own surgery, there will be two more people to perform one surgery.
Surgery will not appear to be a special exception...
No one will doubt Professor Mo's strength, whether it is his teaching ability or his professional strength.
Although Zhou Muyun and Zhen Xing are not Professor Mo's subordinates, this is also their first cooperation.
But during the subsequent anterior cruciate ligament reconstruction surgery, the cooperation of the three people was very stable, and the operation process was methodical and fast and orderly. Professor Mo, in particular, was extremely smooth in all the procedures during the surgery!
Let’s start with a microscopic examination. The procedure for microscopic examination is very detailed, but not cumbersome. It covers all the knowledge points that need to be mentioned, but does not go into too much detail.
After the microscopic examination, during the process of removing the autologous tendon, we acted quickly and the tendon removal process was decisive and straightforward, without any sloppiness.
The work of braiding the tendons was naturally handed over to Zhou Muyun, and he explained it in detail when he took Zhen Xing to deal with the tibial and femoral tunnels.
The positioning method of the femoral side adopts the isometric reconstruction method of the stump.
Isometric means that the lengths are equal, and correspondingly there is isotonic reconstruction. Both have their own advantages and disadvantages, but the isometric reconstruction is currently more popular.
Calculation of loop steel plate, calculation of tibial and femoral angles...
Everything is perfect!
Because of the tendon removal and tendon braiding, the operation time was finally fixed at forty-nine minutes. It was the slowest of all the operations today.
However, for the entire operation, a knee arthroscopic anterior cruciate ligament autologous tendon transplantation reconstruction can be completed within an hour, which is already very fast. If high quality must be ensured at the same time, then only
It can be of extremely high level.
How dare you go so fast.
Any surgical speed without surgical quality is meaningless. As a professor, Mo Chengkong would not give up the quality of his surgery for such speed.
"This is done. We can immediately see on the operating table that the patient's current range of motion in all directions of the knee joint is stable."
After the operation, Mo Chengkong began to use the patient's knee joint and began to move in all directions. The large degree of movement and the degree of deviation of the movement angle were as if this Mo Chengkong was different from the Mo Chengkong who had the previous operation.
Chengkong has a grudge, as if he is deliberately trying to find trouble.
It's like I want to break the ligament that was just rebuilt.
But it is a pity that Mo Chengkong knows very well that the reconstruction surgery he performed is very solid. Unless it is a violent injury, such torsional and non-violent factors cannot cause breakage or detachment of the loop steel plate.
.
Because you have confidence, you are bold enough!
At the end of the operation, this was definitely a very high-standard teaching operation on knee arthroscopy and anterior cruciate ligament autologous tendon graft reconstruction.
After the operation, Mo Chengkong glanced at Zhou Cheng and others and said: "The key points of the anterior cruciate ligament reconstruction surgery are these. The first is to do a good microscopic examination, and the second is to..."
As he talked, Zhou Chenggong noticed this Mo Chengkong and began to focus on himself.
It was as if everything he said was being spoken to himself.
Zhou Cheng looked around and saw that he and others were standing in a pile. Therefore, no matter who Mo Chengkong was looking at, they were actually looking in this direction. It was not that Mo Chengkong was looking at him intentionally.
.
And just after Mo Chengkong summarized all the key points, the second operation was about to begin.
This time, it was the turn of Zhou Cheng, Su Min and Yu Heng's team.
And because this time the anterior cruciate ligament reconstruction is a common surgery in the department, although it is not easy, Su Min is not so afraid. After the patient came in, he started to do it in a regular manner.
Zhou Cheng and Yu Heng are both working as assistants.
They are all very skilled, and even Yu Heng and Su Min have no idea that Zhou Cheng is actually a person in the real world!
After he no longer had such burdens and felt that it was natural, Zhou Cheng's mentality gradually became slightly more relaxed. He looked at Zhen Xing and Zhou Muyun before focusing on the operation.
Naturally, Su Min was the main surgeon during the surgery.
However, after the anterior cruciate ligament tendon removal surgery, the surgical team needs to be divided into two. One side is to continue the femoral and tibial channels, and the other side is to suture and weave the autogenous tendon.
Zhou Cheng and Yu Heng discussed it for a while, and Yu Heng actually took the initiative and said: "Zhou Cheng, Su Min and I are not as good at basics as you. You can weave tendons, and Su Min and I can learn more about it?"
Yu Heng's words made Zhou Cheng slightly stunned.
This Yu Heng actually shows weakness?
When Peng Peng said he was at his worst, wasn't Yu Heng like this?
Yu Heng then said: "If you think it's not possible, then I will braid the tendon."
Zhou Chengcheng hurriedly said: "It's okay, I just thought I heard it wrong and didn't react. I'll go."
To be honest, Zhou Cheng came here just out of curiosity. Who really needs someone to teach a simple technique?
Zhou Cheng feels that he may be a little disappointed this time, and there will not be much professional improvement, but it will definitely improve his horizons.
Because if he hadn't come here, Zhou Cheng would definitely not have known that there really were geniuses like Yang Yifeng and Luo Yun, and there were more than one or two.
…
Peng Peng and Mo Chengkong still paid more attention to Zhou Cheng, but they saw that Zhou Cheng did not assist in operating the femoral and tibial channels, but turned around to do the work of braiding the tendons.
.
Somewhat disappointed.
Braiding tendons is just a very basic and simple job with no technical content. Compared with building femoral and tibial channels, it is far behind.
Although it is also a very important part of the operation process, but?
Forget it, let’s pay attention to the surgeries of Su Min and Yu Heng.
…
Because the proportion of operations in surgery is different, although both Peng Peng and Mo Chengkong knew that Zhou Cheng had strong operational abilities, they could not ignore one thing and forget the original intention of this small class teaching.
It is a tutor, and it is a non-profit tutor. Otherwise, it would not only recruit five people, and the tuition fee for each person is only 5,000!
Therefore, what neither Peng Peng nor Mo Chengkong knew was that just after Zhou Cheng walked to the stage dedicated to braiding tendons, several people in a certain place were focused on a certain display screen.
"Looking at the way the tendons are braided, is it different from what we see every day?"
"This is?……"
Each operation has its specific professional name and its adaptability.
The official name of the operation Zhou Cheng is performing now is the tendon braiding and suturing method.
Indications: Suitable for knitting and suturing two tendons with slightly different or equal thicknesses, mostly used for tendon transplants.
Use a knife to poke a small hole in the transplanted tendon, use vascular forceps to pull the broken end of the transplanted tendon out of the hole and sew it up; then use a blade to poke another hole slightly distally, in a direction perpendicular to the front hole, and sew it up.
The broken end of the transplanted tendon is pulled out from the hole and sutured, the excess part is cut off, and the transplanted tendon is buried in the transplanted tendon...
However, this is a more traditional surgical operation using tendon braiding and suturing. Basically, this braiding method is currently quite popular in China.
What Zhou Cheng suddenly brought out here is quite fresh.
"What is this child's name? Is there any corresponding information?" Mr. Gui asked his assistant.
There are only five people coming this time, so there is no need to deliberately look through the files.
"His name is Zhou Cheng. He comes from Hunan Province. He was strongly recommended by Yang Yifeng who was originally invited by Hunan Province. I have reported to Mr. Gui that since you and Xiao Yang are old acquaintances, I know that he is not a person who serves the powerful.
I think this kid is pretty good, and he might not even come to this training." It was Mr. Gui's assistant who spoke.
But in fact, he is the current director of the Sports Medicine Department, currently the deputy chairman of the Kyoto Sports Medicine Professional Committee, the deputy chairman of the Chinese Sports Medicine Professional Committee...
"Are you from the School of Medicine Affiliated to Xiangnan University?" Mr. Gui asked.
In the previous generation when he was active, Peking University and Southern Hunan University were still a famous saying widely circulated in the country. In the past, when leaders were in Hunan Province, in addition to the accompanying doctors from the Health Bureau, most of the accompanying health doctors from Hunan Province were
It is handled by Shonan University Affiliated Hospital.
It's an old school with a solid foundation. It's not surprising at all that one or two freaks and monsters pop up occasionally.
On the contrary, if it continues to decline like this, it will not be the development direction and trend that this ancient medical school should have.
"Looking at the information, it's not true." The other person narrowed his eyes and said.
"No?" Mr. Gui's tone was strange.
Another person thought seriously: "I will never remember such an important thing incorrectly, unless the information is wrong. This Xiao Zhou is not a student of the Shonan University Affiliated Hospital. This is something I admire quite a lot."
To be able to have the nerve to give up the spot to others is truly unparalleled.
"Let's go to the operating room." Mr. Gui thought for a moment before saying.
The other person's tone was immediately very startled: "Mr. Gui, didn't our arrangement only come forward on the fourth day?"
"What else are there for the next three days?" What I want to say is that Mo Chengkong has just come on stage, I haven't shown up yet, and the new director of our department, who is your student, hasn't shown up yet either, so let's just rush in like this
out?
Isn't it a bit inappropriate?
Otherwise, how should we arrange the course arrangements for the next few days?
Mr. Gui said: "It's time to go out. Since we have set up a game and these children have come to play, don't break your promise and pretend to be sophisticated."
"Young people are terrible, you still don't know how to admit it!" Mr. Gui's upper and lower lips slowly rubbed together, and he walked outside, and then went straight to the operating room.
This made the middle-aged and small man a little unhappy. What the hell?
I still haven’t learned how to admit that life is scary?
No, Mr. Gui, why don't we be so evil and make things so mysterious? Although this Zhou Cheng is somewhat capable, he is also a bit unclear, why don't you tell me directly?
Isn't it a bit inappropriate?
…
Mo Chengkong suddenly noticed that people started to come into the operating room.
He was just wondering if some ignorant intern had gone to the wrong operating room and barged in accidentally. When he was about to say something, he found that the door of the operating room was pushed open wider and wider, and finally he walked out.
A large group of people.
They were crowded together, and in the front row was an energetic-looking old man with slightly white eyebrows. Behind the old man, there was a fat man with greasy wrinkles at the corners of his eyes, who was slightly bent over.
He tried his best to be as tall as the little man next to him, but he was still looking down at him...
After Mo Chengkong and Peng Peng saw these people coming, they immediately realized what was going on. Mo Chengkong quickly went up to say hello: "Mr. Gui, director, director!"
Since both of them are directors, the only difference between the old director and the new director is that there is no need to separate them so much.
"Well, you continue." Mr. Gui waved his hand towards the operating table, indicating for everyone to continue.
Peng Peng hurriedly washed his hands and put on his clothes, while Mo Chengkong quickly found time to grab his director and asked: "Director Pin, what is going on? Is it me?"
Mo Chengkong didn't say it clearly, but he pointed at himself, obviously asking, am I too high-profile?