This is just the first step.
The next operation is more difficult. The surgeon needs to hold the patient's affected limb in the two 90-degree position as mentioned above and then slowly "shake" the affected limb, that is, rotate it internally and externally, so that the dislocated posterior femoral head can slide back into the acetabulum. This is called manual reduction.
In order to maintain two 90-degree postures, as the doctors from the Second National Association of Orthopedics said, it is best to add a third person to help. The second assistant is mainly responsible for pulling the surgical sheet.
This surgical sheet is wrapped around the base of the patient's affected thigh when the patient is in the preparatory position with the leg raised 290 degrees. The second assistant pulling the sheet helps the surgeon avoid 290-degree displacement during the "shaking reduction" operation.
It is easy to imagine that it is extremely difficult for a person to continuously keep two joints at 90 degrees, which is almost impossible.
Can manual reduction be performed if there is only one doctor?
From the above description, it is not impossible. All you need to do is use an orthopedic traction device and let the traction device play the role of an assistant. This was mentioned in the previous article when Dr. Chang performed the operation. The invention of orthopedic devices was also born out of necessity.
At present, there is no need to use any equipment on site, because a group of orthopedic surgeons are on standby here to provide free professional manpower for surgery at any time.
But Dr. Wen said that they are not needed for the time being and only Dr. Xie is needed. Do you think they can be convinced?
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Doctor Wen Junbao said to his cousin again: "Are you going to use acupuncture to relax the patient's muscles again?"
One of the purposes of the "surgeon" lifting first is to make the muscles of the patient's affected limbs more relaxed.
Dr. Wen Junbao's speculation about the cousin's motive for acupuncture seems to make sense. Dr. Wen Zihan seems to have difficulty explaining it to his cousin.
Chinese medicine is not something that a Western doctor can understand immediately. Although I know that my cousin and Dr. Qi are good friends, Chinese medicine is like a mountain between two different fields, and Dr. Qi is not very knowledgeable about acupuncture.
In comparison, Brother Fu was much smarter than his eldest cousin. After being taught a lesson by her last time, he did not ask any more questions.
How about thanking your sister for helping her talk?
Sister Wen's personality is like Dr. Song's unwillingness to explain, but Xie Wanying understands. Genius Dr. Song and Sister Wen feel that others will not understand even if they explain. She, Dr. Xie Wanying, is a bit nagging, not afraid that others will not understand.
After all, she has been a doctor in two lifetimes, and she knows that sometimes the so-called explanation is not for the purpose of making people understand but for increasing their confidence in the surgeon. Therefore, it is not necessary to say that people understand, but you can just say that they half understand. Anyway, what a genius does is unreasonable.
Who do you think she learned this from?
Doctor Cao Yong in the operating room across the room was about to sneeze.
"Acupoints are special places where the qi of the internal organs and meridians are infused and exited. Shu means 'infusion', which means infusion or transfer, and xue means pore. Acupuncture at this place can draw qi in." Doctor Xie Wanying helped the "chief surgeon" to explain.
A group of people looked at her in surprise.
You said that since she is not an orthopedic surgeon, it would not be very professional for her to be an assistant. But the fact that she can help the "chief surgeon" at this moment clearly shows her professionalism as the assistant to Wen "chief surgeon" better than anyone else on the scene.
"Is that what you mean?" Wen Junbao and others hurriedly turned around and asked Doctor Qi Donglai.
Qi Donglai thought about it again and again, but he couldn't understand how a Western medicine doctor, Dr. Xie, could see through the work of Chinese medicine faster than Dr. Qi, a Chinese medicine doctor.
The unreasonable Dr. Xie is also a genius.
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