The operation did not go smoothly. Although enough succinylcholine was used, Zhuang Tao's ankle was still difficult to reset smoothly. The reason why it was difficult to reset had nothing to do with Zhuang Tao personally. It was purely because the reset of this part itself was difficult.
more difficult.
Ligaments within the human body have two main functions. In addition to connecting adjacent bones, they also limit joint movement.
Of course, bigger is not better for joint movement. Tough ligaments can limit joint movement angles to a great extent and keep joints in a relatively stable state.
Although Zhuang Tao's ligament completely failed in maintaining a stable state, it seemed to suddenly wake up and prepare to prove that it is not useless in another job.
"I...fuck!" The crosstalk scene had long since turned into a carpenter wrestling competition. The two orthopedic carpenters responsible for the reset were as tired as their grandsons. The operation lasted for thirty-two minutes, and the two carpenters together had already cursed
Nearly two hundred swear words were exchanged. However, the reset was still not completed. Several attempts by the two of them failed in the final twist.
"Tell me about you two, huh? (Second tone)" Zheng Guoyou's hair was trembling with anger, "I usually tell you to keep fit and exercise, and when you have something to do, you go to the clinic to get some equipment.
Is the outpatient service useful? Now I can’t even pull my ankle back!”
Xiao Guo, who was responsible for fixing Zhuang Tao's calf, was also sweating from exhaustion. He said carefully, "Director Zheng...these two doctors are very powerful..." When the joints are repositioned, Xiao Guo must ensure that Zhuang Tao's calf is secure.
He remained motionless. For more than half an hour, he felt like he was about to crush Zhuang Tao's calf.
"Director Zheng, this won't work." Dr. Pascal and Xu Yourong were dumbfounded and couldn't say a word. Sun Lien carefully put forward his suggestion, "How about doing open reduction?"
Zheng Guoyou frowned and thought for a while, then shook his head and said, "It's still too slow to recover that way. Let's try another way." He unceremoniously pushed away the orthopedic surgeons who were still resting around him, and moved closer to the orthopedic surgeon who was wiping his sweat.
Beside Xiao Guo.
Xiao Guo is bending over, accepting the care of Director Xiao. After all, after coming to the operating room, of course he cannot have the habit of wiping his sweat with his sleeves in the emergency room. And in the operating room, only Director Xiao used to do it.
Get through this.
Director Zheng didn't care much as his wife wiped the young male nurse's sweat. Anyway, looking at Xiao Guo's trembling look, rather than being jealous, Comrade Old Zheng sympathized more with his wife, who was usually not gentle at all. Her
Tenderness is basically a precursor to rage.
Sure enough, Director Xiao Lilong wiped the sweat from Xiao Guo's head and muttered, "Tell me, why does your young man grow so big? Huh? My old lady has to stand on tiptoe to wipe your sweat! Go down.
Stay down!"
Xiao Guo was already bending down. When Director Xiao said this, his height shrank from 1.98 meters to 1.8 meters and then down to 1.6 meters. He half-crouched down.
"Xiao Guo, you will change positions with those two guys later." Zheng Guoyou pointed at the two orthopedic surgeons behind him. "The two of them are not strong enough, and it is difficult to grasp the timing of exertion when they work together.
You do the reset."
"Me?" Xiao Guo, who was 1.6 meters tall, was so frightened that he became 2 meters tall and jumped up. "Director Zheng, this is inappropriate..."
Zheng Guoyou didn't care, "With me watching from the side, what are you afraid of?" He pointed at Zhuang Tao lying on the operating table and said seriously, "If you don't do it, he will have to get a knife and then reset.
There will definitely be ligament damage in the joints.”
Xiao Guo blinked his eyes, not knowing what to say. He looked at Sun Lien with pleading eyes, and Sun Lien waved his hands at him, "I am still a graduate student and have to lead a treatment team. Our hospital is about
That’s the style.”
After receiving this answer, Xiao Guo could only agree to Zheng Guoyou's request resolutely. He was not afraid that his behavior would be inappropriate. As Lao Zheng said, he was responsible for it. Xiao Guo was more worried.
Fortunately, the reduction was easy with his own strength. But he was a little unsure about how to minimize the patient's intraoperative damage while ensuring the success of the reduction.
"Xiao Sun, come here and help." Zheng Guoyou called Sun Lien over again, "You and the two of them hold down the patient's body." He pointed to Zhuang Tao's thigh, "You hold down the thigh."
Other nurses in the operating room also came to help, and the five of them held Zhuang Tao's thigh together. Xiao Guo carefully held Zhuang Tao's foot, held the bottom of Zhuang Tao's ankle with his right hand, and pinched it with his right hand.
He grabbed Zhuang Tao's right foot, turned his back to Zhuang Tao, and clamped his calf with his right elbow and body.
"In a moment, you first go in your own direction and pull his feet with a long force." Director Zheng gave the final explanation on the side, "Then you can feel his feet rotate in your hands."
Xiao Guo nodded nervously, "What then?"
"Then?" Zheng Guoyou said with a bad smile, "Of course we can't let him succeed!"
After a joint is dislocated, under the pull of the ligaments, there will be squeezing and friction between the dislocated joints. In severe cases, the bones and joints on both sides may even get stuck with each other. Therefore, when resetting the joint, the first thing to do is
It means traction in place. Only by traction in place can the bite strength of the bone joints be reduced as much as possible, so that the tissue between the joints will not be easily injured during the reset.
"You have to continue to pull, and when I call out, you have to twist against the direction of rotation of his ankle." Zheng Guoyou danced and demonstrated the movements to Xiao Guo. "After you finish twisting, you will feel obvious pain on your hand.
Then this position..." He pointed at the concave ankle bone under Zhuang Tao, "will bounce up. Then you can let go. After letting go, move his body again.
As for the ankle, as long as there is no special twist in the movement, it can basically be confirmed that Chen Gong has been reset."
"Director Zheng, is it really okay for me to do this?" Xiao Guo asked nervously, "I'm afraid I'll screw someone up..."
"Don't be afraid." Director Zheng chuckled, "Human joints are strong. If they can be broken so easily, then it's okay!"
Sun Lien stood aside and raised his eyebrows, "Director Zheng, do you want to stop thinking about it? Our Director Liu still plans to keep him in the department."
"I'm not poaching Liu Tangchun." Director Zheng waved his hand, "Stop talking nonsense and take action quickly!"