In any case, orthopedic surgeons are experts in orthopedics and understand the effort required by the "main surgeon" and assistants better than laymen in orthopedics.
There is not only one way to reduce a dislocated hip.
Anterior dislocation and posterior dislocation require different treatment methods due to their different anatomical positions. Even for posterior dislocation, there are three common treatment methods for doctors to choose from.
Like the question mark method and the lifting method, the patient lies flat on his back and the assistant is to stabilize the patient's pelvis.
In the third Stinson technique, the patient lies prone on the bed with both lower limbs suspended in the air, and the assistant is also responsible for helping to stabilize the patient's pelvis.
There is a third method that is obvious in these three methods, which shows that pelvic fixation is not an easy task.
The simplest understanding is that when the patient's body is completely still using the question mark method and lifting method, it may not take much effort for the assistant to fix the pelvis. But the question is, is it still easy to fix the pelvis when the "main surgeon" is performing the reduction operation?
Because the human body is a linked machine, when one part moves, other connected parts will definitely move with it.
From this most basic principle, we can see that it makes sense for the on-site orthopedic surgeons to emphasize that operators and assistants must have sufficient strength.
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The current patient is in a supine position.
The orthopedic surgeons on the scene judged that the surgeon might have intended to use the question mark method or the lifting method.
Considering the risk of femoral neck fracture with the question mark method, the orthopedic surgeons on site once again unanimously concluded that the "surgeon" should prefer the lifting method.
His guess was correct. His cousin Wen Junbao and others were famous orthopedic doctors, not inexperienced medical students. Therefore, Dr. Wen Zihan and Dr. Xie Wanying definitely did not intend to look down on this group of seniors.
The doctors at the National Association of Orthopedics Department No. 2 said, "I don't know if they have never done similar cases. In our department, if we use the lifting method to reduce this type of posterior hip dislocation, it usually takes three people."
Colleagues in the second orthopedic department raised three fingers and complained to Dr. Chang Jiawei in the third orthopedic department: "You have never been to our department to see a doctor, right?"
Can someone who has never seen her say that he is an orthopedic surgeon and guarantee that she is capable?
Doctor Chang Jiawei was filled with anger.
He was born in Taipei and had never been to the National Association for Internship. He went directly to work in the Orthopedic Department 3 of the National Association and did not know many specific details of the Orthopedic Department 2.
However, he had interned in the relevant department of Beidu, so how could he not know about such a situation?
Here we need to first outline the entire process of the Czochralski method.
First, as mentioned above, the assistant should place both hands on the anterior superior iliac spines on both sides of the patient to stabilize the pelvis.
Another difficulty mentioned above is that during the operation, the assistant has to concentrate on helping to fix the pelvis and put in his utmost effort, leaving him with no spare energy to help the surgeon do other things.
The "main surgeon" does the lifting method like this. Lifting, you know it's necessary to lift and pull, so when the main surgeon is operating, one hand holds the patient's injured limb at the ankle, and the forearm of the other hand is placed near the popliteal fossa at the upper end of the patient's affected calf, lifting the affected limb. Just lifting is not enough, it must be pulled upwards. Orthopedic work is not about lifting and pulling casually. It is a medical science with a therapeutic purpose. Like other surgical operations, it requires precision in various operations.
The "surgeon" lifts and pulls until the hip and knee joints of the patient's affected limb are flexed to 90 degrees, that is, maintained at right angles.
The difficulty is highlighted here. You have to know that the patient is under general anesthesia, just like a person who is dead in sleep. When a person who is dead in sleep does not cooperate with the doctor, the body is in a "hard and rigid" state. Do you think it is strenuous or not during the doctor's lifting process?
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