Li Zheng checked the patient's affected limb. The arterial pulse was normal, and the calf and foot were slightly swollen. This was normal and the blood circulation had not yet fully recovered.
Duan Jianhui also came over and touched the dorsalis pedis artery. The pulse was strong, there was no obvious blood stasis under the toenail and subcutaneous tissue, and the venous return was unobstructed, which indicated that the popliteal artery and vein transplantation was very successful.
Duan Jianhui looked at Zhu Qidong and said, "This patient had a blood vessel transplant performed by Dr. Li yesterday. You didn't see it at the time. If you had, you would have believed that Dr. Li's transplant technology was no worse than that of the Provincial People's Hospital!"
Zhu Qidong smiled faintly, disagreeing. After all, large blood vessel transplants didn't require a microscope, and the difficulty level was significantly lower. However, it was impressive that a doctor at the county hospital could perform a blood vessel transplant. He had only learned it through further training.
Zhu Qidong also came over to check it out and nodded, saying, "Large blood vessel transplantation is a relatively basic technique in microsurgery, but it's still quite difficult. You're quite capable to be able to do it."
Chen Dayong curled his lips and didn't bother to pay attention to him.
Li Zheng didn't talk to him either, as he didn't need his approval of his level.
Several people came to the bedside of cousin Li Weidong again.
Li Zheng asked Zhu Haiping to open the gauze on the wound.
Li Zheng looked at the wound on his calf where the bone had pierced it, and it had basically healed.
"Zhengwa, your brother Weidong is much better now. When can we be discharged from the hospital?" asked the third aunt.
Li Zheng nodded and said, "It's almost done. I'll be discharged tomorrow and have the stitches removed at the health center in a few days."
"Oh, that's great! I can finally be discharged from the hospital. I was almost suffocating!" Li Weidong smiled and was in a good mood.
"Li Zheng, what kind of patient is this? Why are so many Kirschner wires used?" Duan Jianhui asked curiously.
"Open tibial fracture is not suitable for steel plate application. It can be fixed directly with Kirschner wires and then externally fixed with plaster." Li Zheng replied.
Duan Jianhui was a little surprised. It was the first time he heard that for tibial fractures, only Kirschner wires could be used. Steel plates could not be used, and external fixators could also be used.
"That would be very unstable and prone to nonunion in the later stages!" said Duan Jianhui.
Zhu Qidong was standing aside, feeling extremely happy.
This is simply nonsense. They don't even understand the basic surgical principles. However, this is also in line with the style of grassroots hospitals. They want to do all kinds of surgery and perform them very crudely.
Li Zheng shook his head and said, "Not only are there Kirschner wires, but there are also two intramedullary needles. Stability is no problem."
Duan Jianhui frowned and said, "There are also intramedullary nails? Our hospital hasn't even introduced them yet!"
"It's not a professional tibial intramedullary nail. I just use a bone needle to insert it into the medullary cavity to fix it, which serves as an intramedullary nail. It is definitely not comparable to a professional one." Li Zheng replied.
"Oh? You did it yourself. Can I see the video?" Duan Jianhui became interested. It was the first time he saw someone do this.
Li Zheng gestured and his third aunt took the film out of the cabinet.
Duan Jianhui took a look at the preoperative film and gasped.
With this level of comminution, a steel plate is indeed not suitable, but an external fixator is definitely an indication.
When he saw the post-operative film, he was completely stunned.
Two round bone needles cross through the inside of the bone, interlocking and fixing the broken ends just right. The surrounding bone fragments are completely fixed by large and small Kirschner wires!
The post-operative film looks very comfortable.
"Doctor Li, your Kirschner wire technique has reached perfection!" Duan Jianhui exclaimed and handed the film to Zhu Qidong.
Zhu Qidong took a look and was amazed.
If I were to do this myself, I would definitely not be able to achieve such a perfect level. I wouldn't even think of using this method.
This fully reflects the characteristics of grassroots hospitals: spending little money to achieve great things.
"How about this operation? Do you like it?" Duan Jianhui said with a smile.
Zhu Qidong nodded and said, "Very good. You are very familiar with the principles and techniques of using Kirschner wires."
Duan Jianhui chuckled and said, "I told you, don't look down on doctors in grassroots hospitals. Many of them have their own unique skills that can amaze you!"
Chen Dayong curled his lips and said, "Don't be so self-righteous. Regarding this operation, who in your city hospital would dare to do this without a C-arm fluoroscopy?"
"What? No C-arm machine?" Duan Jianhui exclaimed in surprise.
Zhu Qidong was also shocked. How could it be possible without a C-arm machine!
Chen Dayong chuckled and said, "Why, Director Duan wants to provide our hospital with a unit?"
Duan Jianhui remembered that Guang'an County Hospital did not have a C-arm machine.
He instantly broke out in a cold sweat.
If it could be done so well with perspective, I could accept it, but there is no perspective!
"Li Zheng...you...are you typing blindly?" Duan Jianhui began to stutter a little.
"That's right, it's blind typing!" Chen Dayong answered proudly.
Li Zheng also nodded.
Duan Jianhui swallowed, took a deep breath, and praised, "Doctor Li, although it's hard for me to accept it, but with the film in front of me, I have to admit that your Kirschner wire technique is truly unparalleled!"
Zhu Qidong was holding the film and was deeply shocked.
Even with a C-arm, only Kirschner wire masters can do this, and it would be difficult for the people of the province to find such a person.
Without a C-arm, does he have X-ray vision?
Seeing that they both looked a little silly, Chen Dayong grinned and gave them some more shocking information.
"Take a closer look at the film. What are the characteristics of the bones?" Chen Dayong deliberately kept the suspense.
Zhu Qidong looked at the sunlight for a while. The bones were very regular and there was nothing special about them.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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