My medical path
Chapter 113 Vocal Navigation
Chapter 113 Vocal Navigation
In the step of polishing the acetabulum, Professor Sha also began to be extra careful.
Because this patient is ankylosing spondylitis, the acetabular bone will be relatively loose.
When grinding, the hand-controlled grinder must be steady and steady.
When grinding the acetabulum, good exposure is key.
Before Professor Sha made a sound, Chen Bo had already brought four acetabular retractors and placed them in four positions of the acetabulum respectively. Ma Shangqu and Pang Minghui grabbed three of them, and he held the most important one by himself.
At this moment, Professor Sha found out that the tight surgical field was suddenly revealed.
"This……"
Seeing such a clear display, Professor Sha was speechless for a while.
The placement of the acetabular retractor is originally the job of the surgeon, and it can only be well exposed if it is placed in a very suitable position with care.
I have to say that so far, this is the most comfortable operation that Professor Sha has performed.
Chen Bo can always prepare for the next step in advance, making Professor Sha feel like a prince who stretches out his clothes and opens his mouth...
This is only the first time that Chen Bo has performed this operation with Professor Sha...
At this time, Professor Sha, who was very comfortable physically and mentally, couldn't help but compare Chen Bo with those assistants who had cooperated with his department for more than ten years, and then Professor Sha remembered that sentence:
Talent is really important, but more important than talent is understanding!
…………
Gathering his mind, Professor Sha began to polish the acetabulum.
At this time, Chen Bo's spirit was also highly concentrated, and the system scan had already started, so he had to monitor the progress of the operation at all times.
The acetabular grinding should be from small to large, and there are angle requirements when grinding.
The average person's acetabulum has about 45 degrees of abduction and about 15 degrees of anteversion.
It is of course ideal to grind the same as the patient's other acetabulum.
At this time, Chen Bo also measured the angle of the other side of the patient, 43 degrees of abduction and 13 degrees of forward leaning, so the patient's abduction and forward leaning should be appropriately smaller...
"Ms. Sha, I measured the angle of this patient's acetabular before the operation was 43 degrees of abduction and 13 degrees of anteversion."
Seeing that Professor Sha was about to start polishing, Chen Bo raised his mouth deliberately.
"Oh? Your kid did a good job, very meticulous!"
Sometimes the angle of the main knife position may not be the most accurate. At this time, the timely reminder of the assistant is very important.
When Professor Sha heard what Chen Bo said, he felt more strings in his mind, and immediately turned down the angle he was going to grind normally.
Not to mention, just such a slight adjustment, Professor Sha clearly felt that the acetabulum polished at this angle should be the most in line with the patient's original bone structure.
"Chen Bo not only has excellent awareness of surgery, but also picks out details to this extent... His excellence is not without reason..."
Professor Sha was very satisfied with Chen Bo.
After the angle is adjusted, with Professor Sha's skill, it is no longer a problem to polish the acetabulum.
At this time, Chen Bo paid attention to it, and after just a few back and forth, the acetabulum was polished, and the size and depth were just right, which shows Professor Sha's skill.
After polishing the acetabulum, Professor Sha installed the acetabular prosthesis again. Only then did he realize that it was too fast!
The step that was expected to be time-consuming was completed in the blink of an eye...
………………
The next step is to open the pulp of the femur, and then install the prosthesis on the femoral side.
This is the last key to this operation.
Installing the femoral prosthesis, it seems very simple...
It is to drive the femoral prosthesis into the femoral cavity like piling, and achieve stability by press-fitting.
But this seemingly simple job contains a high level of technical content.
First of all, the length of the neck left after the osteotomy should be appropriate, which is completely determined by the experience of the surgeon.
After the pulp is opened, the prosthesis installed will be too small and unstable after installation.
If the prosthesis is shortened, it will sink in again, so I can only make up for it with an unsightly lengthened head...
Of course, there is also the problem of angle. The femoral neck also has a very important anteversion angle. If it is not installed properly, it is the same as the acetabulum, which may lead to joint dislocation after surgery.
There is also a key point to test the ability of the surgeon, that is, how much prosthesis to choose and how much force to use when piling...
If it is small, it will be unstable, and if it is large, it may burst the bones and cause fractures...
So at this time, the assistant's work of swinging legs is very important.
When Professor Sha was about to explain how to arrange the patient's legs, he found that Chen Bo had already instructed Pang Minghui to arrange the legs...
And it's in a position he's very comfortable with.
It's like being offered water when you're thirsty, or food when you're hungry. When the surgery was done, Professor Sha was in an indescribably happy mood.
At the same time, Professor Sha didn't realize that in a short period of time, he had already formed a dependence on Chen Bo, so much so that he heard Chen Bo say when piling:
"Mr. Sha, the forward leaning angle can be bigger... the depth can be increased... oh well, it's suitable..."
Professor Sha actually did everything without careful deliberation!
Wang Ruoyun and Lu Shiqing, who were watching from the side, also became numb to hearing, and they both had a feeling of déjà vu in their hearts.
As before, Mr. Chen Bo was in the position of assistant, unknowingly leading the operation...
Professor Sha was the most shocked. He did not expect that Chen Bo's grasp of the operation could be so precise, it was like a moving navigator.
Professor Sha was overwhelmed with the details that Chen Bo pointed out, but he found that what Chen Bo said was really accurate!
According to Chen Bo's opinion, the femoral prosthesis was installed, and it was just right in terms of stability, length and size.
In addition to the fact that the acetabular prosthesis was installed perfectly, Professor Sha can already predict that the patient's postoperative outcome must be very satisfactory.
Facts also proved Professor Sha's judgment. After the wound was bandaged and the patient lay down, Professor Sha put the patient's feet together for comparison.
The length is exactly the same!
It is common to have long or short feet after this operation, and the difference of one centimeter can be considered negligible, but now it is exactly the same...
And after finally taking a picture, I found that whether it is the acetabular prosthesis or the femoral prosthesis, the size is just right, and the angle is the same as the other foot...
At this moment, Professor Sha had to admit in his heart that this was the smoothest and most perfect operation he had performed in such a long time!
………………
"Really don't think about it, study my graduate school? It's a waste for you to stay here..."
After the operation, Professor Sha and Chen Bo walked out of the operating room side by side, and brought up the topic of closed disciples again.
"Mr. Sha, thank you for your kindness, but I really don't have the idea of going to graduate school for the time being, but you will always be my teacher in my heart. If possible, I will apply to be an outer disciple..."
"You boy, do you think I'm a cultivating sect made up on TV? I'm still an outer disciple..."
Professor Sha said a little speechlessly:
"Forget it, you can be called my apprentice outside in the future, but you can't use my name to deceive you..."
"Master, please be respected by apprentice!"
Chen Bo made a gesture to bow, but was blocked by Professor Sha:
"Don't you kid, I want to live a few more years, it's unlucky to beg to you..."
"I am not simply bowing, but saluting in the direction of truth! I am always ready to carry forward..."
Chen Bo said with a serious look.
"You kid, you can tell one, two, three about everything!"
"Hehe~"
"By the way, hurry up and tell me about the B-ultrasound part of the last operation..."
"That's simple, look, this is... this is..."
While Chen Bo was talking, Professor Sha nodded, and the figures of the old and the young slowly disappeared at the end of the corridor...
...............
On the way back to the city, Professor Sha figured out something was wrong:
"This little bastard, just recognized me as a master, and taught me a lesson first..."
(End of this chapter)
In the step of polishing the acetabulum, Professor Sha also began to be extra careful.
Because this patient is ankylosing spondylitis, the acetabular bone will be relatively loose.
When grinding, the hand-controlled grinder must be steady and steady.
When grinding the acetabulum, good exposure is key.
Before Professor Sha made a sound, Chen Bo had already brought four acetabular retractors and placed them in four positions of the acetabulum respectively. Ma Shangqu and Pang Minghui grabbed three of them, and he held the most important one by himself.
At this moment, Professor Sha found out that the tight surgical field was suddenly revealed.
"This……"
Seeing such a clear display, Professor Sha was speechless for a while.
The placement of the acetabular retractor is originally the job of the surgeon, and it can only be well exposed if it is placed in a very suitable position with care.
I have to say that so far, this is the most comfortable operation that Professor Sha has performed.
Chen Bo can always prepare for the next step in advance, making Professor Sha feel like a prince who stretches out his clothes and opens his mouth...
This is only the first time that Chen Bo has performed this operation with Professor Sha...
At this time, Professor Sha, who was very comfortable physically and mentally, couldn't help but compare Chen Bo with those assistants who had cooperated with his department for more than ten years, and then Professor Sha remembered that sentence:
Talent is really important, but more important than talent is understanding!
…………
Gathering his mind, Professor Sha began to polish the acetabulum.
At this time, Chen Bo's spirit was also highly concentrated, and the system scan had already started, so he had to monitor the progress of the operation at all times.
The acetabular grinding should be from small to large, and there are angle requirements when grinding.
The average person's acetabulum has about 45 degrees of abduction and about 15 degrees of anteversion.
It is of course ideal to grind the same as the patient's other acetabulum.
At this time, Chen Bo also measured the angle of the other side of the patient, 43 degrees of abduction and 13 degrees of forward leaning, so the patient's abduction and forward leaning should be appropriately smaller...
"Ms. Sha, I measured the angle of this patient's acetabular before the operation was 43 degrees of abduction and 13 degrees of anteversion."
Seeing that Professor Sha was about to start polishing, Chen Bo raised his mouth deliberately.
"Oh? Your kid did a good job, very meticulous!"
Sometimes the angle of the main knife position may not be the most accurate. At this time, the timely reminder of the assistant is very important.
When Professor Sha heard what Chen Bo said, he felt more strings in his mind, and immediately turned down the angle he was going to grind normally.
Not to mention, just such a slight adjustment, Professor Sha clearly felt that the acetabulum polished at this angle should be the most in line with the patient's original bone structure.
"Chen Bo not only has excellent awareness of surgery, but also picks out details to this extent... His excellence is not without reason..."
Professor Sha was very satisfied with Chen Bo.
After the angle is adjusted, with Professor Sha's skill, it is no longer a problem to polish the acetabulum.
At this time, Chen Bo paid attention to it, and after just a few back and forth, the acetabulum was polished, and the size and depth were just right, which shows Professor Sha's skill.
After polishing the acetabulum, Professor Sha installed the acetabular prosthesis again. Only then did he realize that it was too fast!
The step that was expected to be time-consuming was completed in the blink of an eye...
………………
The next step is to open the pulp of the femur, and then install the prosthesis on the femoral side.
This is the last key to this operation.
Installing the femoral prosthesis, it seems very simple...
It is to drive the femoral prosthesis into the femoral cavity like piling, and achieve stability by press-fitting.
But this seemingly simple job contains a high level of technical content.
First of all, the length of the neck left after the osteotomy should be appropriate, which is completely determined by the experience of the surgeon.
After the pulp is opened, the prosthesis installed will be too small and unstable after installation.
If the prosthesis is shortened, it will sink in again, so I can only make up for it with an unsightly lengthened head...
Of course, there is also the problem of angle. The femoral neck also has a very important anteversion angle. If it is not installed properly, it is the same as the acetabulum, which may lead to joint dislocation after surgery.
There is also a key point to test the ability of the surgeon, that is, how much prosthesis to choose and how much force to use when piling...
If it is small, it will be unstable, and if it is large, it may burst the bones and cause fractures...
So at this time, the assistant's work of swinging legs is very important.
When Professor Sha was about to explain how to arrange the patient's legs, he found that Chen Bo had already instructed Pang Minghui to arrange the legs...
And it's in a position he's very comfortable with.
It's like being offered water when you're thirsty, or food when you're hungry. When the surgery was done, Professor Sha was in an indescribably happy mood.
At the same time, Professor Sha didn't realize that in a short period of time, he had already formed a dependence on Chen Bo, so much so that he heard Chen Bo say when piling:
"Mr. Sha, the forward leaning angle can be bigger... the depth can be increased... oh well, it's suitable..."
Professor Sha actually did everything without careful deliberation!
Wang Ruoyun and Lu Shiqing, who were watching from the side, also became numb to hearing, and they both had a feeling of déjà vu in their hearts.
As before, Mr. Chen Bo was in the position of assistant, unknowingly leading the operation...
Professor Sha was the most shocked. He did not expect that Chen Bo's grasp of the operation could be so precise, it was like a moving navigator.
Professor Sha was overwhelmed with the details that Chen Bo pointed out, but he found that what Chen Bo said was really accurate!
According to Chen Bo's opinion, the femoral prosthesis was installed, and it was just right in terms of stability, length and size.
In addition to the fact that the acetabular prosthesis was installed perfectly, Professor Sha can already predict that the patient's postoperative outcome must be very satisfactory.
Facts also proved Professor Sha's judgment. After the wound was bandaged and the patient lay down, Professor Sha put the patient's feet together for comparison.
The length is exactly the same!
It is common to have long or short feet after this operation, and the difference of one centimeter can be considered negligible, but now it is exactly the same...
And after finally taking a picture, I found that whether it is the acetabular prosthesis or the femoral prosthesis, the size is just right, and the angle is the same as the other foot...
At this moment, Professor Sha had to admit in his heart that this was the smoothest and most perfect operation he had performed in such a long time!
………………
"Really don't think about it, study my graduate school? It's a waste for you to stay here..."
After the operation, Professor Sha and Chen Bo walked out of the operating room side by side, and brought up the topic of closed disciples again.
"Mr. Sha, thank you for your kindness, but I really don't have the idea of going to graduate school for the time being, but you will always be my teacher in my heart. If possible, I will apply to be an outer disciple..."
"You boy, do you think I'm a cultivating sect made up on TV? I'm still an outer disciple..."
Professor Sha said a little speechlessly:
"Forget it, you can be called my apprentice outside in the future, but you can't use my name to deceive you..."
"Master, please be respected by apprentice!"
Chen Bo made a gesture to bow, but was blocked by Professor Sha:
"Don't you kid, I want to live a few more years, it's unlucky to beg to you..."
"I am not simply bowing, but saluting in the direction of truth! I am always ready to carry forward..."
Chen Bo said with a serious look.
"You kid, you can tell one, two, three about everything!"
"Hehe~"
"By the way, hurry up and tell me about the B-ultrasound part of the last operation..."
"That's simple, look, this is... this is..."
While Chen Bo was talking, Professor Sha nodded, and the figures of the old and the young slowly disappeared at the end of the corridor...
...............
On the way back to the city, Professor Sha figured out something was wrong:
"This little bastard, just recognized me as a master, and taught me a lesson first..."
(End of this chapter)
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