"It seems so—"
"It should be——"
This is not written in the textbooks.
A lot of the latest medical knowledge comes from research papers published by peers. When Dr. Chang Jiawei realized who said this, he immediately said, "Yingying is absolutely right. She has read more papers than anyone else."
So you guys are really not as good as Dr. Jiang. Dr. Xia Dongxian felt speechless and anxious.
Whether it is surgery or manual reduction, it is better to decide early rather than delay. Doctors’ procrastination is the worst for patients.
Orthopedic surgeons feel wronged. In the past, if this case was difficult to reposition, they would have done surgery immediately without any hesitation.
The main reason is that the parties involved have special identities.
"I think the success rate of manual reduction is very low." The second director of the orthopedics department said sincerely.
...
...
Since we have mentioned the six-hour golden period, let’s continue to prove it based on data.
"The biggest problem is the broken bones," other orthopedic surgeons said.
"Do you know these issues?" Doctor Xia Dongxian asked Junior Sister Xie again. In short, Junior Sister Xie's opinions have always been different.
Dr. Xie Wanying said: "The anatomical structure of the hip joint makes it easy for CT scans or radiographs to miss small bone fragments. Even if they are not missed, if the fragments cannot be restored to their original position during reduction, surgery is required to remove the fragments."
Generally speaking, if the bone fragments are not left in the joint cavity, they can be absorbed by the human body on their own and will not have much impact and do not require surgical removal.
However, in this case, the fracture fragments are just the opposite and are easily retained in the joint cavity, causing the huge impact mentioned above.
The orthopedic surgeons nodded and indicated that Dr. Xie Wanying certainly understood the situation.
"So, in order to achieve correct reduction in complex cases like this, it is generally necessary to first do three-dimensional reconstruction based on various examination results. But this issue is not the focus today," Dr. Xie Wanying continued to add.
In other words, we have thought before that if orthopedic surgeons may not be able to perform 3D reconstruction, Dr. Xie's talent in this area should be able to fill the technology gap.
This is indeed the case, but this is not what the orthopedic surgeons are rushing to discuss, because based on their rich clinical experience, they have already inferred from the current films that there are fracture fragments in the patient's joint cavity.
The orthopedic surgeons on site are truly a group of famous doctors.
It’s not that they don’t have Dr. Jiang’s courage. It’s that based on their clinical experience and skills, they decided that this patient would need surgery sooner or later, and it would be better to have surgery early than late.
After hearing this, people outside of orthopedics finally understood.
"That's the problem," said Dr. Xia Dongxian. "They didn't think they could push the fracture fragment back to its original position."
Doctor Qi Donglai had mentioned this before. He couldn't do a "blind" push without hurting any nerves during the process.
"You said it was a little less." Dr. Tao Zhijie said to Dr. Xia.
Dr. Qi Donglai's words have another deeper meaning, which is now revealed by Dr. Xie's supplement.
The complexity, importance and terrible side effects of posterior hip dislocation combined with femoral head fracture prove that this "blind" push is even more difficult: to relieve the "blind" push of fragment damage and nerve compression. Unfortunately, the location of the fracture fragments in today's case is too tricky, making it extremely difficult.
No wonder the second director of the orthopedics department thought Dr. Qi couldn't do it after he came.
This highlights what Dr. Xie Wanying emphasized at the beginning: Sister Wen’s skills are indispensable.
Dr. Xie talked about what Dr. Wen’s unique understanding of mechanics is.
Xia Dongxian looked at Dr. Fu and wanted to ask again: Do you know?
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