After hearing what Yin Wensheng said, everyone started to murmur.
They are all engaged in surgery. Of course, the fewer implants in the body, the better.
For K-wires on fingers, the needle tail is usually left outside the skin. Because the skin tissue of the finger is very thin, the needle tail is not suitable to be left in the skin. When the fracture is almost healed, it can be removed directly, which is very convenient.
But this finger, including the first metacarpal bone, is densely filled with steel needles, like a steel needle caterpillar. Because it needs to cover the skin flap, it is impossible for the steel needles to stay outside the skin, but there are so many, even if the needle tails are bent , if left in the skin, it will also seriously affect the blood supply of the skin flap, and the skin flap cannot fit the bone surface well, which will seriously affect the blood supply of the bone, leading to osteonecrosis, non-healing of the fracture, and ultimately the failure of the operation.
"I'm not optimistic about the prognosis of this surgery!"
"Yeah, there are more than twenty K-wires. I can't imagine any good way to deal with them."
"The skeleton has been established, and there is also tendon transplantation. Kirschner wires will also affect the movement of the tendon. Is it necessary to wait until the fracture heals before doing the tendon?"
When everyone was wondering how Jin Cheng's surgery would proceed.
Jincheng has already started cutting Kirschner needles.
On the big screen, Jin Cheng held needle-nose pliers, pressed against the bone surface, and cut off the K-wires one by one.
"What is he doing? Aren't you going to take out these steel needles?"
Some people were confused, while others slapped their thighs hard.
"I understand! He really doesn't plan to remove these Kirschner wires. You see, those steel needles are all matte and must be made of titanium alloy. They will have no impact on the patient's future magnetic resonance examinations!"
"Yeah, if you remove all the needle tails, it won't have any impact on the skin flap. As long as you can save your fingers, it's not a big deal if those steel needles stay in your fingers!"
"Awesome! Our thinking is simply too rigid. Do we have to take out the K-wire? It's totally fine not to take it out!"
"Hey, it's easy if you figure it out. If you don't figure it out, you'll be stuck at this step!"
Five minutes later, Jincheng finished cutting off all the Kirschner wires and smoothed the ends of the needles with a drill.
Dean Zhou looked at it, nodded repeatedly, and said with a smile: "This phalange has been perfectly formed, just like a good bone. From a distance, you can't really see any fractures!"
Director Luo laughed and said, "I think Jincheng's Kirschner needle technology has reached its peak, reaching the realm of transformation!"
Everyone looked at Director Luo in surprise. Your evaluation is too high!
Director Luo shook his head and said: "Let me ask, looking at the whole country, how many people can reach this level?"
Everyone was stunned, and after thinking about it carefully, they really didn't think anyone could do it so perfectly.
This kid Jin Cheng is too scary!
Yin Wensheng sat behind them, his face calm, but he felt strong uneasiness in his heart. Did Jin Cheng perform an operation? How could he have such surgical ability?
After Han Yue had the operation, she saw the WeChat group message and rushed over immediately.
At this time, she was standing in the back row, her beautiful eyes filled with shock.
The operation I had just performed was perfect. I thought my level of Kirschner needle injection was already very good, but the work in front of me has reached the height of art. Compared with him, I have not graduated from elementary school. He Already graduated with a PhD!
His academic performance has been better than that of his peers since he was a child. No matter which grade or stage he is in, he is a super academic. From the beginning to the end, he is always the child of others in the eyes of others.
But the ability that Jincheng showed in just a few days constantly frustrated her and hit her somewhat arrogant heart.
The surgery continues.
The second step is reconstruction of the extensor tendon.
The extensor tendon does not require as much strength as the flexor tendon, so it does not require a particularly large tendon to repair.
Jin Cheng removed half of the muscle fibers from the palmaris longus muscle of his left wrist and quickly reconstructed it successfully.
The ability to suture tendons also amazed everyone.
At this point, the muscles and bones have been built.
Begin harvesting the skin flap.
I saw Jin Cheng disinfecting the patient's right foot.
"Can skin flaps be taken from the feet?" someone murmured.
"What are you talking about? You'll find out later on!"
The disinfection and spread was soon completed.
Under everyone's surprised gazes, Jin Cheng began to incise the skin on the inner arch of the patient's right foot.
"Can skin flaps be harvested at this location?"
Dean Zhou turned to look at Director Yan Li of the Restoration and Reconstruction Department.
Director Yan shook his head and said: "I have dealt with skin flaps in my life, and I have never seen anyone take a free flap here. It is too thin, and the blood supply of the flap is a problem."
Everyone nodded and could only admire Jin Chengyi's courage.
After a while, Director Yan praised again: "He has a great idea! Take a skin flap from the inside of the arch of the foot. The skin on the sole of the foot is resistant to wear and tear, and the skin on the instep has good ductility, which is very suitable for the thumb. After this flap is made, the function of the thumb will be improved by at least 30% compared to other parts!"
Everyone was completely impressed by Jin Cheng's unconventional thinking, which really kept bringing surprises.
In operating room No. 8.
Jin Chengtian's eyes were wide open and he could clearly see the blood distribution in the patient's soles. He quickly cut a strange-shaped skin flap and disconnected the neurovascular bundle.
Xu Yang and Xie Yalun came on stage, took a piece of skin from their thigh and transplanted it to the defective area of the right foot. The wound from the thigh skin was sutured directly.
The microscope moved over.
Jin Cheng and Zhao Xiaogang began to perform vascular anastomosis of the skin flap.
Under the microscope, Jin Cheng's operation was smooth and smooth, with almost no jitter. Zhao Xiaogang's cooperation was quite tacit, and an artery and a vein were anastomosed quickly.
"Do you want to loosen the tourniquet and check the blood supply of the skin flap?" Zhao Xiaogang asked.
"No need." Jin Cheng shook his head and said, "Continue to sew the nerves!"
"The nerves also need to be sutured?" Zhao Xiaogang was puzzled. In general skin flap transplantation, there are no suitable nerves that coincide with the blood vessels.
And this flap happens to be accompanied by a sensory nerve and blood vessel.
"The feeling of the fingers is also very important. If there are nerves, of course they need to be sewn."
Zhao Xiaogang nodded hard and continued to concentrate on cooperating with Jin Cheng.
Soon, the nerve suturing was completed.
"Loosen the tourniquet!"
Upon Jin Cheng's order, circulating nurse Jiao Yang deflated the tourniquet on his right upper arm.
"呲呲......"
As the tourniquet pressure decreases, blood begins to recirculate.
Surgery live broadcast room.
Everyone opened their eyes wide, wanting to see if the blood supply of the skin flap was satisfactory.
After more than ten seconds, the free flap began to gradually turn from white to red, and blood dripped from the edge of the flap.
"Successful!" Someone shouted.
Everyone breathed a sigh of relief.
Soon, Jin Cheng wrapped and fixed the skin flap on his finger and sewed the edge.
Everyone was surprised to find that this skin flap accurately reconstructed the skin tissue of the thumb and thenar eminence.
"Is this tailor-made? It fits too well!"
Dean Zhou turned to Director Yan Li and asked with a smile: "How is the level of his skin flap?"
