Cai Dongfan adjusted the order of surgeries on his own initiative. As the director of the treatment team, he still had this power.
Originally, I had agreed with Zhou Cheng that Zhou Cheng would perform a few manual reductions first as a test for him to evaluate whether Lu Cheng could perform manual reduction alone in the clinic.
However, Cai Dongfan felt that he was thinking a little too much.
He seems to have failed as an examiner.
What the hell is Zhou Cheng? After the anesthesia is completed, click twice and it’s over.
C-arm fluoroscopy, it would be a pity not to wear a plaster...
The result is very good, but I don’t understand the process. How to score this?!
So Cai Dongfan felt that the pace should be slowed down a little.
Hey, don't finish the exam all at once and end up not understanding it yet.
Of course, another reason is that, after all, Director Zeng called him to administer the anesthesia himself, so he cannot treat the other party as a beast.
You are banging, banging, five and dividing by two, and resetting one in one or two minutes. Zeng Yi is exhausted, so it is obviously not suitable.
Although Zeng Yi did not personally perform the anesthesia on stage, he still had to be given some face. We are all human beings and we must rest at some point.
So Cai Dongfan arranged the operation for the intertrochanteric fracture in advance and made some adjustments so that everyone could slow down and relax for a while.
Don't get too nervous.
Of course, even though the order of operations was changed, Cai Dongfan still felt that he had gone back on his word, so he decided to talk to Zhou Cheng.
"Zhou Cheng, for the next operation, I will take your patient with an intertrochanteric fracture first. You did the reduction too quickly. I see that Director Zeng's student is so tired that he is about to curse. Let's slow down a little." Rhythm." Cai Dongfan explained.
Zhou Cheng naturally agreed and said, "Okay, Teacher Cai, I will listen to your arrangements."
Cai Dongfan hesitated for a while, but then said: "Wait a while, you will make the opening for the intramedullary nail."
Intertrochanteric fractures can be fixed with either steel plates or intramedullary nails. Although the names of intratrochanteric nails may be different, they are essentially the same. They are all intramedullary nail fixations.
Zhou Cheng was very surprised and was stunned: "Ah?"
"Don't worry, I will be on stage. I will be the chief surgeon." Cai Dongfan said immediately.
This is actually to give Zhou Cheng the bottom line and help you learn intramedullary nail internal fixation. If you can't do it next time, then let me do it. If you can do it, continue doing it.
"Thank you, Teacher Cai!" Zhou Cheng said quickly.
Cai Dongfan talked to Du Yanjun privately, but Du Yanjun naturally had no reaction.
Cai Dongfan also arranged study opportunities for him in this way, even more than Zhou Cheng. Zhou Cheng helped his teacher so much today, and it would be unreasonable for Cai Dongfan not to express his gratitude.
Originally, he had such opportunities in the previous two stations, but Zhou Cheng snuffed them out.
So Du Yanjun just said: "Teacher, okay, I will help Brother Zhou Cheng prepare for the operation."
Preoperative preparation requires two people. If he didn't do it, Zhang Zhengquan would definitely do it. Du Yanjun wouldn't be so stingy.
Then, Zhou Cheng came on stage.
The standard style places the traction column and perineal resistance, places the pelvis in a horizontal position, adducts the trunk and right lower limb, and at the same time flexes and abducts the unaffected lower limb.
I don’t know how Zhou Cheng did it. After using the traction bed for a while, he went to disinfect and spread drapes.
After finishing the disinfection and draping, Zhou Cheng looked at Cai Dongfan and Luo Yun. Neither of them had any intention of going to the surgeon's position, so Zhou Cheng walked over.
One shouted: "Wash-washing teacher, please get the round knife!"
With the knife in his hand, Zhou Cheng already knew what the surgery was going to do, and he also did the surgery talks himself.
There is no need to ask Cai Dongfan and Luo Yun where to cut!
Wow, the round knife broke through the skin by about 4cm, which is about the length of a ha (looked at separately). Zhou Chengcheng put down the round knife.
Pick up the electric knife and strike it inside!
It directly enters the state of an orthopedic surgeon who has a perfect level of open reduction and internal fixation!
Luo Yun touched Zhou Cheng and reminded in a low voice: "The opening is a little bigger."
Zhou Cheng, who had entered the state, replied directly: "This is already huge! Why do you want it to be so big?"
What do you want to do?
Surgery, what to do!
Can I still make a pot?
Luo Yun felt slightly troubled in his heart.
Am I nia?
What do you want me to do? Should I say that Director Cai won't be able to operate it later?
Cai Dongfan, who was opposite him, frowned.
Forget it, I just want to see Zhou Cheng's anatomy basics, not anything else, I can just expand the incision later.
Zhou Cheng incised the subcutaneous and tensor fascia lata muscle layer by layer!
The greater trochanter of the femur was quickly exposed!
The scene inside shocked Cai Dongfan and Luo Yun!
???
Reset?
Is this the patient in our group who had an intertrochanteric fracture? How did he align the fracture so well?
No, what did this patient go through in the process from the ward to the operating room?
Could it be that Zhou Cheng had just fiddled with the traction bed a few times, causing the displacement to be like this?
Luo Yun was still confused.
Zhou Cheng turned around and saw Luo Yun holding a guide needle in his hand.
Then he picked up the guide needle in Luo Yun's hand and pushed it inside.
Luo Yun had to pull the hook with one hand, so he didn't have much strength, and he was already worried about the restoration of the fracture.
Therefore, Zhou Cheng took away the guide needle, which was originally prepared for Cai Dongfan.
Everyone in Luoyun was numb.
He raised his head in shock and looked at Cai Dongfan with wide eyes.
The meaning is obvious.
Cai Dongfan rolled his eyes and shook his head at Luo Yun.
Zhou Cheng seemed to put the guide pin in very quickly, and the whole process took no more than ten seconds. It seemed that Zhou Cheng had his own unique understanding of the hole-finding movement that others found difficult to operate.
Once it penetrated the soul, it stabbed directly to the distal end of the femur, making a crisp thumping sound.
It's definitely in the bone marrow.
It was visible to the naked eye, so there was no need for C-arm fluoroscopy. Then Zhou Chengcheng shouted: "Hand-washing teacher, hollow drill!"
The core drill expands the marrow.
Luo Yun looked at Cai Dongfan again. This time even the handwashing nurse looked at Cai Dongfan. Cai Dongfan pondered for a moment, looked at the surgical field, and signaled the patrol to hand over the hollow drill!
Zhou Cheng immediately started to ream the marrow. After the reaming was almost to the 12th, he compared the length!
He walked aside, picked up a titanium alloy intramedullary nail with a diameter of 11mmx220mm, and inserted it straight in!
Then he straightened up, took half a step back, and shouted: "Tour, push the C-arm machine!"
This shout immediately shocked Luo Yun. He made a fist with his free right hand, hit Zhou Cheng's left hand hard, and kept looking in the direction of Cai Dongfan.
What I mean is, Zhou Cheng is almost done.
Don't be obedient when you get an advantage, climb up when you grab the rope, drill into a hole when you see it...
You need to know when enough is enough.
Zhou Cheng immediately returned to reality!
When I saw everyone in the operating room looking at me with strange expressions and different emotions, I immediately blamed myself.
We must find ways to eliminate this sequelae in the future.
He took half a step back, bowed slightly, and asked Cai Dongfan: "Teacher Cai, do you think you can push the C-arm machine to see through it?"
The corners of Cai Dongfan's mouth twitched, which was blocked by the mask, and then the corners of his eyes twitched again, and his brows furrowed for about three or four seconds. He walked back and forth into the surgical field for a long time, and then said helplessly: "Tour, push the C-arm machine.
"
Cai·Zhou Cheng's repeater·Dongfan!
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Is this the second or third time?
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