My medical path

Chapter 22 Completion of the first ligament reconstruction

"Here comes the sharp knife!"

Chen Bo held out his hand.

Although Lu Shiqing fell into super embarrassment because of Chen Bo's words, a sharp knife was still firmly handed over to Chen Bo.

A small opening was made at the eye of the knee, arthroscopic instruments were inserted through the small opening, and the position of the anterior cruciate ligament was found on the monitor.

It is indeed broken!

As for the source of reconstructed ligaments, the most popular one is to use his own hamstring tendon for braiding, and Chen Bo still follows this standard.

A sharp knife was used to make a small opening in the lower part of the knee joint. This small opening was used to remove the tendon and the screw to fix the tendon later.

Lu Shiqing saw the small opening made by Chen Bo, which was less than one centimeter, and then stretched the pliers in, and immediately pulled out the two small tendons.

Does this work too?
Deputy Director Zhao Donglai performed a few of these surgeries, all of which were performed by her, and she knew it very well.

When Deputy Director Zhao opened the incision, it was about four centimeters long, and it took a long time to carefully separate the two small tendons after the incision was opened.

Pang Minghui, who cooperated with Chen Bo for the first time, also had bright eyes.

He was also on stage during Deputy Director Zhao's operation. He felt that taking the tendon was never as easy as this time.

Moreover, the opening is so small that it is about the same diameter as a tendon, so there is no vision at all.

How did Dr. Chen manage to remove the tendon all at once?

As for Ma Shangqu, the most relaxed surgical assistant in the world, he is now an audience on stage.

So when Chen Bo handed him the tendon that had been taken out, he hadn't reacted yet.

"Why are you in a daze, weave tendons!"

Chen Bo looked at Ma Shang and said with interest.

"Heaven, earth, mother, sister Zhiling, I finally have a job to do!"

Ma Shangqu, the most relaxed surgical assistant in the world, burst into tears at this moment.

After removing the tendon, the next step is to drill the bone tunnel. This step is also the key to the success of the entire operation.

Chen Bo needs to drill a bone tunnel at both ends of the kneecap (femur and tibia) to accommodate the new tendons.

The entrance and exit of this bone tunnel are very particular.

Most doctors drill holes in an approximate location based on experience, so every doctor and every patient performs different operations.

This is also a common difficulty in orthopedic surgery, so there are not many doctors in county-level hospitals who can do this surgery well.

When Deputy Director Zhao drilled this bone tunnel for the first few patients, he drilled it many times before he managed to find a position that he thought was good.

But after reviewing the film after the operation, it was only barely meeting the requirements, and it seemed to be a long way from the best.

Chen Bo's system has now entered the diagnostic expert area, and the panel can clearly show the connection position of the broken anterior cruciate ligament stump fiber and bone.

This is so important!

With this function, anyone who is not blind can make the hole there.

And because the entrance and exit are clearly displayed, Chen Bo can completely keep the broken tendon stump.

Relatively speaking, reconstruction with disability preservation is now the most difficult method of this operation.

"Chen Bo, did you drill the hole without cleaning the stump?"

Seeing Chen Bo directly pick up the drill and drill it, Zhang Yu asked.

Ma Shangqu and Pang Minghui were also very puzzled.

They have participated in many academic conferences, and have also seen many great gods whose names appear in textbooks perform operations on online videos.

Those who can do disability reconstruction are all experts. Now they actually saw this operation in their own hospital. One can imagine their surprise.

Lu Shiqing also discovered that Chen Bo's way of doing things is different from that of Deputy Director Zhao Donglai.

The latter will clean up the stump, while Chen Bo will keep it completely.

After the hole was drilled, a channel was opened inside the ligament, but the peripheral part of the stump was completely preserved.

As a result, when Chen Bo introduced the braided tendon into the tunnel for fixation, the ligament presented to everyone was just like the original ligament of the patient.

Of course, there is another advantage to retaining the stump, which can better preserve the local blood supply.

After Chen Bo quickly drilled the bone tunnel in the femur and tibia, he saw that Ma Shangqu was still weaving tendons, so he had to stop and wait for him.

Ma Shangqu is quite proficient in weaving tendons, and the quality of the weaving is not bad. After waiting for a while, the tendons are also woven.

"You pull the tendon!"

Seeing that Ma Shangqu had braided the tendons, Chen Bo said to him.

"I?"

Ma Shangqu thought he heard it wrong, so he turned his head and glanced at Chen Bo, and he got a positive look from Chen Bo.

"My God, am I so important today? Is such an important step also entrusted to me to complete?"

Ma Shangqu suddenly felt a little unreal.

It seems simple to pull the ligament into the pre-prepared bone tunnel, but it is actually not easy.

If the strength is weak, it may not be able to pull in, and if the strength is too strong, it may be directly pulled and fractured.

So if Chen Bo can entrust this job to him, then he really trusts him and gives him a chance...

Secretly grateful to Chen Bo, Ma Shangqu slowly pulled the tendon into the bone tunnel according to Chen Bo's guidance...

"stop!"

At a certain moment, under the system scanning and monitoring, Chen Bo saw that the tendon had reached the predetermined position, and he immediately stopped Ma Shangqu from continuing to exert force.

Ma Shangqu slammed on the brakes following Chen Bo's voice.

"Try to turn the loop!" (If the loop can be turned normally, it proves that the tendon has reached the predetermined position), Chen Bo said to Ma Shang interestingly.

Ma Shangqu tried according to Chen Bo's instructions, and he was in the right place!
Immediately afterwards, Chen Bo pre-tensioned and screwed to fix it...

After a set of movements, the clouds flow smoothly and there are no redundant movements.

Before the onlookers could react, they found that Chen Bo was already sewing his wound.

Lu Shiqing specially checked the time this time, the whole operation took a total of 10 minutes!
Such a perfect presentation, every movement is very standard, there is no hesitation or interruption in the middle process, and it is done in one go.

Like the anesthesiologist and Lu Shiqing in the same operating room, nothing but shock was shocking.

You must know that Deputy Director Zhao Donglai, who has done the most surgeries, completed the fastest one in an hour and a half!

And now two 10 minutes!
The point is that even if Zhang Yu and the others are specialist doctors, they will let you find the defects of this operation like a dead end.

In the end, I can only say that Ma Shangqu's knitting speed is too slow, and Chen Bo waited for him for 3 minutes!

And Pang Minghui, who cooperated with Chen Bo for the first time, was able to hold the mirror this time. Ma Shangqu felt that this kid was much luckier than me.

It was only after I performed the third operation that I lost the title of the most idle surgical assistant!

Zhang Yu, who was watching from the audience, had already quietly uploaded the video of the surgery, titled—Reconstruction with disability, the whole process took 20 minutes.

This operation conquered everyone in this operating room.

For Chen Bo, this is already a very simple matter.

What he is interested in now is how to have an in-depth discussion with Shiqing and the others on the physiological structure of men and women.

"Shiqing, you reacted very quickly just now. I was just teasing Zhang Yu. I didn't expect that what you said really made sense... Well, killing two birds with one stone is also applicable to women?"

Chen Bo looked at Lu Shiqing and said narrowly.

"You, you rascal!"

Lu Shiqing's embarrassment that had just calmed down was awakened again, and her face flushed with shame.

Everyone who was still immersed in Chen Bo's exquisite operation just now had the same thought at this moment——

"Chen Bo, you rascal!"

(End of this chapter)