medical simulator

Chapter 86 Are These Two Films TM Related?

Yang Yifeng went to the ward with the mentality of studying and collecting case materials, and he really had no other thoughts in his heart.

When writing a novel, the character material and story material in it are equally important.

The character is the soul, and the story is the flesh and blood.

They all come from life and are higher than life.

If you can thoroughly understand some things in reality, and then infiltrate them into the story, there will be an indescribable chemical reaction...

of course!

In addition to reporting the mentality of learning, Yang Yifeng also wanted to know exactly what happened to Zhang Zhengquan's few surgeries that Zhang Zhengquan had always thought about himself.

Yang Yifeng has always thought so. When a person really understands an industry, he will be more afraid.

Especially in the field of medicine, the more you study it, the more difficult and frightening you feel.

Except for a few careless people, those who do not know are fearless, and those who are ignorant are innocent...

Fracture is first and foremost a disease.

Healing requires treatment.

There are options for treatment.

Divided into conservative treatment and surgical treatment.

Conservative treatment is - no treatment or manual reduction + plaster external fixation.

Surgical treatment is - surgical open reduction plate or intramedullary nail internal fixation + plaster external fixation.

There is no distinction between high and low treatment methods. It does not mean that surgery is more advanced than manipulative reduction, or that manipulative reduction is more advanced than surgery.

Any of several treatment methods are actually parallel, but it depends on which one is suitable for you.

However, the results of treatment are high and low.

How is the outcome of the treatment? There are more objective evaluation criteria——

The effect after treatment depends on the level of the surgical team.

This can be seen, and in front of knowledgeable colleagues, you can't hide it even if you want to.

If it is just to pursue the speed of treatment, or to show off the large number of patients he treats, this is a very bad thing.

Whether a doctor's level is high or not, as far as surgical treatment is concerned, is definitely not determined by the speed and number of operations——

The first patient Yang Yifeng saw was the special fracture patient he had participated in. This morning, he reviewed the postoperative X-ray plain film.

Because he has already participated in the whole operation, there is no need to give the patient a physical examination, he knows the condition of the patient.

After resetting, recheck the results, which are quite satisfactory.

Barely reached the standard of conservative treatment, nothing special to see.

If the rest of the patients are also like this, then it's really meaningless.

The course of conservative treatment, although fast.

But if you ignore the quality of the treatment simply for the sake of the speed of treatment, then it is completely a matter of discarding the basics——

Surgery cannot be performed purely for the purpose of completing the operation or for the volume of the operation.

Then see the second patient and communicate carefully with the patient's family members.He got the consent, and handed the film to Yang Yifeng on his own initiative, and looked at him eagerly——

Immediately, he asked with anticipation: "Doctor, is our operation successful? How is it?"

Patients cannot be required to know much about medicine, because their evaluation and understanding of surgery is based on success and failure.

Yang Yifeng took a quick glance and found that this patient was a patient who had undergone PFNA, and his eyes immediately picked up.

Have you seen the only patient who underwent surgical intervention so quickly?
Stretching out his hand, he said, "I'll watch the film first. I'll talk to you guys later."

"Hey, good! Good."

At the same time, as a very professional orthopedic surgeon, Yang Yifeng began to conduct a professional evaluation of the effect of the operation from the perspective of imaging examination.

This is the plain pelvis + lateral view of the femur.

The first thing to check is whether the intramedullary nail is in the bone marrow and whether it has been poked out.

If it is found that the intramedullary nail is poked out, then there is no need to comment, just go to the second palace as soon as possible to avoid greater medical accidents.

The postoperative intramedullary nail is in place!
This is the first thing you can see, whether it is in the bone marrow cavity or not.

Look at fixation again.

If the internal fixation device is loose, then the operation is completely meaningless. It just inserts a foreign object into the patient's body and has no therapeutic effect——

Several locking screws penetrated the cortex.

connected to the femur.

The fixation is to rely on the connection and the screw...

Fixed well!

Quite good, Yang Yifeng nodded slightly.

Then it is to look at the degree of fit between the intramedullary nail and the bone marrow cavity.

It's like an ant bird trying to tease an elephant. One gave you his body, but the other didn't realize it...

The model selection of the intramedullary nail is very important!
This requires proper assessment during reaming.

can be seen.

The intramedullary nail fits perfectly with the bone marrow cavity!
In this way, the evaluation of the internal fixation device comes to an end, and the fracture itself is the next thing to look at.

The imaging evaluation after fracture is to look at the alignment of the fracture line!

Huh?
TM's fracture line?
Yang Yifeng shrank his pupils and pushed his glasses at the same time, his eyes were almost rounded, and even stars appeared in front of his eyes.

A looming fracture line finally appeared in front of him.

Oh, but finally found you.

This insignificant fracture line!
Simply.

Good-looking and ugly.

Hate and love--

After finding it, Yang Yifeng took off his glasses immediately,
He blinked to relieve the tiredness in his eyes that had just struggled to see.

Almost thought I was blind.

And almost blind.

Put your glasses back on and continue your objective assessment.

Anatomical reset——

This is definitely an extremely rigorous anatomical reduction!
The reason why it is extremely useless is the most, Yang Yifeng still has some reservations.

Yang Yifeng felt a little appalled in his heart——

Ordinary fracture open reduction and internal fixation!

From a scientific point of view, it is impossible to achieve a perfect fusion of fractures.

The rigorous degree of anatomical reduction actually only exists in theory.

Unless it is a very special fracture!

Basically, for all fractures, there should be a little bit of alignment after surgery and the alignment is not very good!

This is the difference in surgical quality between different orthopedic surgeons performing fracture internal fixation in the same way.

Of course, a few fractures with poor alignment, or a displacement of less than 3mm, does not hurt Daya, and the patient can recover very well.

Except for taking it out for peer review and comparison, patients and ordinary doctors can't see any difference.

In the process of fracture healing, there is relatively strong plasticity.

but?
Rigorous anatomical reduction is still the pursuit of all orthopedic surgeons when treating fractures.

Anatomical reduction in the clinical sense should actually be called a functional reset close to anatomical reduction——

It cannot be called complete anatomical reduction.

However, the postoperative plain film results of this patient have achieved excellent quality anatomical reduction!

If evaluated from the postoperative plain film, the quality of this operation is very high!

Yang Yifeng turned to look at the patient, and asked, "Are you still in pain? 娭毑 (another name for grandma)?"

The old man shook his head and said with a smile, "I had a little pain last night, but it doesn't hurt now. There is this..."

Her face was very relieved, and at the same time she raised the analgesic pump brought back from the anesthesiology department.

"I would also like to thank you doctors. When I didn't have surgery before, the pain was really unbearable. It's all due to your doctors." The old woman expressed her gratitude very sincerely.

Yang Yifeng nodded and said, "This is what we should do. Shall I watch your pre-operative film again?"

The patient's family members immediately took the initiative to search for Yang Yifeng from under the mattress, and they found it quickly.

When Yang Yifeng saw it, his scalp felt a little numb.

Holding two films in his left and right hands, they became messy under the wind of the air conditioner.

The brain shut down on the spot.

???

Are these two films TM related?

PS: In revision, the next chapter will come out soon, only for quality, on the basis of quality, and then pursue quantity.And also fine-tuned the previous ones.

Book friends who want to read it can read it, but it will not affect subsequent reading!

(End of this chapter)