Chapter 89 Special Adventures—Help from the Nobles!
Chapter 89 A special adventure - help from a noble person!
After Zhou Cheng returned to the rented house, he ordered takeout and then took a shower.
After taking a shower, the takeaway arrived downstairs. After eating, Zhou Cheng was not in a hurry to conduct a new round of simulations, or to start working on the simulation plan.
Instead, I decided to take a nap first to regain my energy before talking.
Sharpening your sword will not make you chop wood. If you go in the right direction, you will save a lot of time. It is right to be good at making good use of simulated dungeons and constantly digging dungeons to strengthen yourself.
After taking a lunch break for nearly an hour, Zhou Cheng got up and rubbed his face, not daring to snooze.
Taking a nap is just to refresh your mind, not to sleep for a long time. Sleeping to an appropriate level is the best way to restore your spirit. If you sleep for too long, you will feel dizzy.
I checked the thank you value and found that it was still less than 20, so the second simulation copy could not be opened.
But Zhou Cheng is not in a hurry. He may not have fully understood the fractured copy now. If he waits to come back to it later, it will be a waste of time and times.
There are only five existing main skills:
[Open reduction and internal fixation of fractures (perfect level)]
[Closed reduction of fractures (perfect--redefined)]
【Small incision open reduction and internal fixation of fractures (perfect)】
[Bone transfer and transplantation for bone defects (perfect)]
[Joint dislocation reduction surgery (perfect)]
Other theoretical things, such as the understanding of anatomy, are components of these skills or skills that can be analyzed from these skills.
These five skills basically cover both conventional and rare fracture treatment methods.
From a normal perspective, it seems that there is no need to continue digging on the fractured copy.
The treatment for fractures is either surgery or manual reduction.
As for surgery, it is either traditional open reduction and internal fixation, or minimally invasive open reduction and internal fixation. Other than that, from a common logic point of view, there seems to be nothing much to explore.
But actually, that’s not the case——
The treatment of fractures includes conservative treatment and surgical treatment, but surgical treatment is not the only option!
There are other options, but these treatment modalities will intersect with subspecialties other than trauma.
For example, there are some special fractures that are not recommended to be treated with ordinary internal fixation.
For example, the treatment methods for femoral neck fractures and intercondylar ridge avulsion fractures of the tibial plateau in the elderly are different...
To dig out copies, you have to sort out your ideas.
Femoral neck fracture in the elderly is one of the special and quite niche fractures.
Treatment options include cannulated compression screw internal fixation, total hip joint, and partial femoral head replacement.
This is a special fracture, but in terms of treatment options, there will be different choices depending on the age group.
Cannulated compression screw internal fixation is included in the skill of open reduction and internal fixation of fractures.
However, this kind of surgery is only suitable for femoral neck fractures in young and middle-aged people.
For the elderly, the benefits of choosing hollow compression screws are not very high.
This income does not refer to the doctor’s income——
Zhou Cheng slowly wrote down some things he saw in the literature.
The population with the highest incidence of femoral neck fractures is the elderly over 65 years old.
The service life of a femoral prosthesis or total hip prosthesis is generally about thirty years——
Such a one-time operation can basically ensure that the elderly will never need to undergo surgery again in their lifetime, provided there are no special circumstances such as trauma. The artificial hip prosthesis will be enough for this lifetime.
And for young and middle-aged people——
If half or total hip replacement is performed on patients with femoral neck fractures in their thirties or forties, the joint replacement prosthesis will have a service life and they will have to have their joints replaced again in the future, which will increase the number of patients.
financial burden.
Another point is that for total hip replacement or partial femoral head prosthesis replacement, strictly speaking, you can get out of bed and start moving the next day after surgery.
Cannulated compression screw internal fixation of femoral neck fracture requires at least one month of immobilization...
Young and middle-aged people can afford to lie down and wait!
But for the elderly, if they cannot get out of bed for a month, it may last a lifetime.
When the elderly lie down, they are prone to various complications, and their lifeline can already be seen coming to an end——
Of course, for a higher quality of life, you can directly choose joint replacement surgery...
Clinical treatment is not static and procedural.
Different treatment methods should be selected according to individual differences.
Therefore, hemiarthroplasty can be used as the target of the next simulation.
Although this is a joint surgery skill, it can also be used to treat fractures. The purpose is the same as dungeon positioning, so it should not be downgraded...
The second one, tibial intercondylar ridge fracture, the best way to treat it is to borrow a sports medicine arthroscope and treat it under arthroscopy with very little trauma...
After sorting out his ideas, Zhou Cheng still didn't start the simulation immediately. Anyway, he still had enough time, so he looked for some literature related to joint replacement.
Different from the previous simulated small incision open reduction and internal fixation of fractures and bone transfer and transplantation of bone defects, hip joint replacement is now very mature, and there is no need to create anything by yourself.
By learning now and applying it now, Zhou Cheng feels that the speed of simulation should not be slow.
At nine o'clock in the evening, Zhou Chengcai started the simulation.
[Please select the initial skills to carry.]
[Open reduction and internal fixation of fractures (perfect level), manual reduction of joint dislocations (perfect), interpretation of limb muscle anatomy and anatomical muscle strength and shape (perfect). 】
【Start simulation.】
[You have a solid foundation of orthopedic anatomy and quite perfect surgical operations, and you have been appreciated by your superior physician. And you have obtained the permission of your superior physician to carry out manual reduction of joint dislocation in the department. 】
[Because of your perfect performance in joint dislocation reduction, your superior doctor was very surprised. He began to collect patients for you from the outpatient department and emergency department. You received them one by one, and stood firm in the department to perform the manual reduction of joint dislocation.
One person’s heel.]
Well, that's right.
There is nothing wrong with this route choice. Now that I have Cai Dongfan's approval, I can do a lot of things.
[You have triggered a special adventure - help from noble people.]
Um???
What the hell is this?
Special adventure?
[Thanks to the help of noble people, you quickly obtained the surgical permission for open reduction and internal fixation of fractures, and were recommended to go to the top hospital in your province to study for a postgraduate degree in joint surgery. 】
[Your instructor is quite surprised by your basic surgical operation and anatomy foundation, and because the person who recommended you is quite familiar with your teacher, you quickly received special treatment. 】
【You have a long-term first assistant position.】
Is he really a noble person? He seems to be even more stupid than if he doesn’t work hard on his secret skills?
After all, he didn't want to work hard on the route of secret technique. His superiors were trembling with fear. This time, his teacher was willing. That must be different.
[Special adventure - with the help of noble people, you joined a special research group to help you complete the thesis requirements and graduation thesis topics required for graduation. 】
[Six years later, you officially graduated with a Ph.D. and stayed at the school you attended.]
[In the same year, your teacher felt that your heat and size were sufficient and allowed you to perform the first hemiarthroplasty. 】
[Because of your solid anatomy knowledge and surgical operation foundation and long-term first-aid experience.]
[Successfully completed the first operation and acquired the skill - hemi-hip replacement (introductory). Your fellow disciples expressed their praise and recognition for the success of your operation. 】
[You are routinely granted regular surgeon privileges for hemiarthroplasty.]
[The following year, your research group made a major breakthrough, and you occupied an important position in the research group. You were promoted to associate professor, and you also applied for the National Natural Science Foundation of China.]
[You have obtained routine surgical permission for joint replacement, and your teacher gradually lets you do the surgery.]
[Six months later, you received total hip replacement (common). 】
Was he promoted to associate professor so quickly?
It seems that after having a certain foundation, although my qualifications are clumsy, as long as I learn now, my speed is still quite good.
certainly.
This noble man is really very expensive.
I just joined his research group and was taken away on the spot.