medical simulator

Chapter 89 Special Adventure - Help from the nobles!
After Zhou Cheng returned to the rented house, he ordered takeaway first, and then went to take a shower.

After taking a shower, the takeaway arrived almost exactly downstairs.After eating, Zhou Cheng was not in a hurry to carry out a new round of simulation, or started to make a simulation plan in a hurry.

Instead, he decided to take a nap first, so that he could recharge his energy before talking.

Sharpening a knife is not a mistake in chopping firewood. If the direction is correct, it will save a lot of time. It is right to be good at making good use of the simulated dungeons and constantly digging dungeons to strengthen yourself.

After a lunch break for nearly an hour, Zhou Chengcheng got up, rubbed his face, and didn't dare to snooze.

Naps are only for nourishing the spirit, not for prolonged sleep. Sleeping to an appropriate level is the best for the recovery of the spirit. If you sleep for too long, you will feel dizzy.

After looking at the thank you value, it is still less than 20, and the second simulation copy cannot be opened.

But Zhou Cheng wasn't in a hurry, he didn't even have a thorough understanding of the fractured copy, if he waited to come back later, it would be a waste of time and times.

There are only five main skills currently available:
【Open reduction and internal fixation of fracture (perfect level)】

[Closed reduction of fracture (perfect - redefined)]

[Open reduction and internal fixation with small incision for fracture (perfect)]

【Bone transport grafting for bone defects (perfect)】

【Joint Dislocation Reduction (Perfect)】

Some 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 include conventional and rare fracture treatment methods.

From a normal point of view, it seems that there is no need to continue digging in the fracture instance.

The treatment of fractures is nothing more than either surgery or manual reduction.

In terms of surgery, it is either traditional open reduction and internal fixation, or minimally invasive open reduction and internal fixation. Besides, from the ordinary logic point of view, there seems to be nothing to explore.

But actually, it’s not like that——

The treatment of fractures includes conservative treatment and surgical treatment, but surgical treatment is not the only option of internal fixation surgery!

There are other options, but these treatment modalities will intersect with subdisciplines other than trauma.

For example, there are some special fractures that are not recommended to be treated with ordinary internal fixation.

For example, the femoral neck fracture of the elderly and the avulsion fracture of the intercondylar ridge of the tibial plateau have different treatment methods...

If you want to dig out the dungeon, you have to clarify your thinking.

Femoral neck fracture in the elderly is one of the special and rather rare fractures.

Treatment options include internal fixation with cannulated compression screws, total hip arthroplasty, and partial femoral head replacement.

This is a special fracture, but in terms of treatment options, there will be different options depending on the age group.

Cannulated compression screw internal fixation is included in the skill of fracture open reduction and internal fixation.

However, this operation is only suitable for young and middle-aged femoral neck fractures.

For the elderly, the benefits of choosing hollow compression screws are not too high.

This income does not refer to the doctor's income--

Zhou Cheng slowly wrote down some things he read from the literature.

The population with the highest incidence of femoral neck fractures is the elderly population over the age of 65.

The service life of femoral prosthesis or total hip prosthesis is generally about 30 years——

Such a one-time operation can basically ensure that the elderly will never need to undergo surgery again in the absence of special circumstances such as trauma. The artificial hip joint prosthesis is enough for this lifetime.

And for young and middle-aged people——

If three or 40-year-old patients with femoral neck fractures undergo hemihip or total hip replacement, the prosthesis for joint replacement has a long service life, and they will have another joint replacement in the future, which will increase the patient's life expectancy. economic burden.

Another point is that for total hip replacement or partial femoral head replacement, strictly speaking, you can get out of bed and start activities on the second day after the operation.

Cannulated compression screw internal fixation for femoral neck fractures requires immobilization for at least one month...

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 be a lifetime.

The elderly are prone to various complications when lying down, and their lifeline can already see the end——

Naturally, for a higher quality of life, you can directly choose joint replacement surgery...

Clinical treatment is not static and streamlined.

According to individual differences, choose different treatment methods.

Therefore, hemiarthroplasty can be used as the next simulation target in the follow-up.

Although this is the skill of joint surgery, it can also be used to treat fractures. The purpose is the same as the positioning of the copy, so it should not be downgraded...

The second one is the tibial intercondylar spine fracture. The best treatment method is to borrow sports medicine arthroscopy and deal with it under arthroscopy. The trauma is very small...

After sorting out his thoughts, Zhou Cheng still didn't start the simulation immediately. Anyway, there was still enough time, so he looked for some literature related to joint replacement.

Different from the previously simulated open reduction and internal fixation with small incisions for fractures and bone transport and transplantation for bone defects, the arthroplasty of the hip joint is now very mature, and there is no need to create anything by yourself.

Learning now and using it now, Zhou Cheng felt that the speed of simulation should not be slow.

At nine o'clock in the evening, Zhou Cheng started the simulation.

[Please choose the initial skill to carry. 】

[Fracture Open Reduction and Internal Fixation (Perfect), Manipulative Reduction of Joint Dislocation (Perfect), Limb Muscle Anatomy and Interpretation of Anatomical Muscle Strength and Deformation (Perfect). 】

[Start the simulation. 】

[You have a solid foundation in orthopedic anatomy and perfect surgical operations, and you have been appreciated by the superior physician.And you have obtained the permission of the 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, and began to search for patients from outpatient and emergency departments, and you caught them one by one, and stood firm in the department. .1 heel. 】

Well, that's right.

There is nothing wrong with this route choice. Now that I have been approved by Cai Dongfan, there are many things I can do.

[You have triggered a special adventure -- the help of noble people. 】

Ok? ? ?
What the hell is this?

Special adventure?

[Because of the noble person's help, you quickly obtained the surgical permission for open reduction and internal fixation of fractures, and was recommended to go to the top hospital in your province to study for a postgraduate degree in joint surgery. 】

【Your instructor was quite surprised by your surgical operation and anatomy foundation, and because the person who recommended you is quite familiar with your instructor, you soon got a special reception. 】

[You have a long-term first assistant position. 】

Is this really noble?It seems to be more dick than not wanting to work hard on the secret technique?

After all, if you don't want to work hard on the route taken by the secret technique, your superiors are trembling. This time, your teacher is willing, so it must be different.

[Special adventure——the help of noble people, because you joined a special research group, it helped you complete the thesis requirements for graduation and the topic of the graduation thesis. 】

[Six years later, you officially graduated with a Ph.D. and stayed in the school you attended. 】

[In the same year, your teacher felt that your heat and size were sufficient, allowing you to carry out the first hemiarthroplasty. 】

[Because of your solid knowledge of anatomy, surgical operation and long-term first-assistant experience. 】

[Successfully completed the first operation, and acquired the skill - half hip replacement (introductory), the brothers in your division, expressed their praise and recognition for the success of your operation. 】

[You have routinely obtained the authority of the general surgeon for hemihip replacement. 】

[The next year.The research group you belong to has made a major research breakthrough, and you occupy an important position in the research group. You were exceptionally promoted as an associate professor, and at the same time applied for the National Natural Science Foundation of China. 】

[You have obtained the routine operation permission for joint replacement, and your teacher gradually let go of the operation. 】

[After half a year, you received a total hip replacement (common). 】

Was he promoted to associate professor so soon?

It seems that after having a certain foundation, although my aptitude is clumsy, as long as I learn it now, the speed is not slow.

of course.

This nobleman is really expensive.

He was taken away on the spot just because he was in his research group.

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(End of this chapter)