In the spring of 1987, Li Zheng, a world-class surgical titan, unexpectedly reborn as a useless doctor at Guang'an County People's Hospital, was publicly announced to be dismissed by the de...
Dean Zhang glanced at him sideways and said coldly, "Professional is amazing? How do you know they are not professional?"
Xiang Yuanzhong was very unhappy with Li Zheng for poaching patients from their department, so he bluntly said, "Different fields are like different worlds. Although clinical doctors need to learn everything from surgery, internal medicine, gynecology, and pediatrics, if they don't put their knowledge into practice, it's just empty talk. Relying on a little theoretical knowledge, they dare to perform such a difficult operation. I can only say that the more skilled, the more courageous they are!"
Dean Zhang smiled faintly and said, "Some doctors don't need much practice to reach heights that others can never reach in their entire lives. So, don't worry!"
Xiang Yuanzhong knew that Dean Zhang would only be in office for a short time, so he didn't show too much awe. He laughed and said, "Then I'll have to admire him! If you encounter any difficulties, I'll still be happy to help!"
His words made most people in the operating room feel uncomfortable, but Director Zhang ignored him, and others didn't say much either. After all, the outcome of the operation was the key.
Li Zheng and Chen Dayong were concentrating on making preoperative preparations.
Bao Youshan was a little embarrassed, but he was thick-skinned and pretended not to hear. He raised his legs with a grin, as if all his attention was on his legs.
"Doctor Bao, hold on for a while, the sheet will be ready soon!" Li Zheng encouraged.
An adult man's thighs are not light, and it takes a lot of effort to lift them up by one person.
"It's okay, I'm used to lifting my legs, and this leg isn't that heavy!" Bao Youshan gritted his teeth, his arms already starting to tremble.
Xiang Yuanzhong watched from the side and sneered in his heart, "You Bao Youshan, I didn't see you so active when you were in surgery. Are you trying to betray me?"
Soon, the sheet was laid, and Bao Youshan finally had his hands free. He quickly shook his aching arms and went out to wash his hands.
Zhu Haiping also came to the operating room. Li Zheng asked him to observe first and then took him to the next operation.
Zhu Haiping naturally had no objection.
The operation begins.
Li Zheng asked Chen Dayong to hold the ankle joint and pull the calf downward, while he himself touched and repositioned the fracture site.
Everyone saw Li Zheng squeezing quickly and deftly. After a while, the broken bone that was originally a little uneven now looked like a very natural leg.
"4.0 K-wire."
Li Zheng stretched out his hand, and Lin Xiaomei handed the electric drill and Kirschner wire to him.
The so-called 4.0 refers to a diameter of 4 mm. The professional tibial intramedullary nail used by Li Zheng in his previous life generally had a diameter of 8-15 mm.
A diameter of 4 mm is definitely not enough.
Li Zheng installed the Kirschner wire on the electric drill, penetrated the bone from bottom to top, and initially fixed the fracture ends.
“Squeak…”
The somewhat sore sound of an electric drill echoed throughout the operating room.
Then we changed the direction and inserted another one to cross-fix and stabilize the fracture.
Then drive two more needles from top to bottom through the medullary cavity. In this way, there are four steel needles, which are basically strong enough. However, the force arm is not long enough, and it must be fixed with plaster, so functional exercises cannot be performed in the early stage.
"2.0 K-wire."
Li Zheng reached out again, and Lin Xiaomei handed it over immediately.
"Start fixing the fracture fragments." Li Zheng reminded Chen Dayong.
"Brother, is the broken end fixed?" Chen Dayong asked.
Bao Youshan shook his head. In his opinion, Li Zheng was just beating randomly. There was no way he could get it right in one go. Director Xiang often beat the bones into a sieve, and it was not necessarily a good beating.
Li Zheng nodded and continued the operation without explanation.
Xiang Yuanzhong was also watching from the side, shaking his head and whispering, "Oh, without X-ray, you can't tell if the fracture is displaced, if the broken ends are separated, or if the force line is rotated. You're just fooling yourself!"
His voice was neither too loud nor too soft, just enough for Dean Zhang to hear.
Zhang Dehai said calmly, "Whether you're deceiving yourself or not, you'll know after you check the X-ray film immediately after the operation!"
Xiang Yuanzhong curled his lips, feeling that there was nothing more to see and wanted to leave.
Dean Zhang said in a deep voice, "You don't always have the opportunity to watch Li Zheng's surgery. I suggest you watch the whole operation. It will definitely surprise you."
Xiang Yuanzhong smiled faintly and nodded. Since he had nothing to do in the morning, he might as well continue to watch and see if he could make another flower.
Each subsequent insertion of the steel needle by Li Zheng was completed in one go without any delay.
Soon, 10 small steel needles were inserted into the calf, and each fracture fragment was fixed with at least two Kirschner wires.
"Hard cut!"
Li Zheng bent the needle tail and cut it off with a pair of scissors. The needle tail remained outside the skin and could be directly removed after the fracture healed.
"Bandage it and prepare the plaster!"
Li Zheng handed the equipment on the stage to Lin Xiaomei.
"Brother, are you done?" Chen Dayong was really not used to it.
In the city hospital, a simple tibial fracture with plate fixation takes at least an hour to heal. A more complicated fracture would take even longer.
The surgery took less than 15 minutes! It felt so unreal.
Li Zheng nodded and said, "Kirschner wire fixation is very easy, saving the trouble of skin incision and suture."
Xiang Yuanzhong scoffed after hearing this. He didn't say anything sarcastic, but his smile spoke volumes about his attitude.
Bao Youshan was also speechless. Kirschner wires may seem simple, but they require the most touch in orthopedic surgery, because they have to penetrate into the bone through the skin and flesh. The direction and depth of the needle all depend on the surgeon's spatial perception ability. It is much more difficult than putting on a steel plate. The steel plate is cut open to expose the fracture, and then installed and screwed in. A carpenter can learn it after a few more lessons.
If it weren't for the previous case of shoulder dislocation, Bao Youshan would definitely think that Li Zheng knew nothing about fractures. However, after observing the entire surgical process, he found that every operation Li Zheng performed was extremely standardized and professional, and he was proficient in the use of instruments. Watching him operate, he even felt a sense of pleasure, which he had never felt from any other doctor.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!