Generally speaking, as long as you have the title of expert in the medical field, you are more or less above forty years old. When Zhang Fan showed up at Ma Wentao Hospital, Wang Yongyong's wife almost collapsed. She has no job and relies on Wang Yongyong for everything in the family. If Wang Yongyong does something wrong, the family will be doomed.
But there was no way, Wang Yongyong insisted on doing it, and she had no choice but to worry. Today, there was only one operation for her husband in the hospital. In the corridor outside the operating room, under the dim light, the poor and helpless woman sat alone on the bench at the door and cried secretly.
In the operating room, Zhang Fan sat in the corner and fell asleep, not because he wanted to sleep, but because he was constructing a three-dimensional image of Wang Yongyong's knee joint in his mind. Even if he wanted to make some preparations before the operation, Li Liang would rush to complete them.
The biggest difficulty with old injuries is the reconstruction of scar tissue and blood vessels, which leads to unclear tissue relationships. Scars form in such a small place inside the knee joint, causing swelling and compression, which causes knee joint pain. Moreover, because the blood supply inside the knee joint is not very abundant, So the pain will get worse and worse.
Disinfection, hand brushing, and aseptic operations are the foundation of a surgeon's life. Anesthesia started, and after Zhang Fan adjusted the equipment, he started the operation. This surgery is much more difficult than Guli’s surgery.
The first is old damage, and Wang Yongyong is already quite old. Unlike Guli, who is still in the growth stage, some injuries will be automatically adjusted and improved by the body as time goes by. Compared with conventional surgery, the damage caused by arthroscopic surgery is much smaller, and the recovery is faster in the later period.
Zhang Fan started the operation. First, he had to select a section of tendon and use a scalpel to cut it into the shape and length of the ligament. This was a delicate job, and he had to be patient and repair it bit by bit. If he was anxious, he would either end up with a baby or suffer from shortness of breath. Unmarried Most people can’t do it, they’re too anxious!
Zhang Fan held the mirror and slowly cut it bit by bit. For the knee joint to have flexible range of motion, it must adapt to rotational forces and absorb impact forces, and then be immediately ready to cushion.
The knee joint is a pivot joint. The evolution of the human body is very scientific. When the knee joint extends, it is subject to the locking mechanism of the knee joint, and the rotation of the knee joint is limited. This function determines the stability of the human body. If there is no locking mechanism, A standing human body will turn left and right if it receives a slight impact!
Wang Yongyong was a professional basketball player back then. He exercised a lot and his knee joints often suffered strong rotation or extension, so he not only suffered ligament injuries, but also meniscus injuries.
The current injury is associated pain caused by imbalance of the patellofemoral complex. The purpose of Zhang Fan's surgery was to repair this deformed and damaged tissue.
The degree of injury is not small. If you want to adjust it, you must be very familiar with knee joint mechanics and the entire kinematics of the human body. This is why sports medicine doctors can treat orthopedic diseases, but orthopedic doctors may not be able to treat sports injuries.
Special treatment for special groups of people not only refers to restoring their general living functions, but also must reach a certain level of competition. This requirement is very high.
Almost all the really powerful sports medicine experts are in the United States. The first requirement for sports medicine surgery is to cause as little damage as possible. After all, no matter how precise the surgery is, it may not be able to achieve the original state.
Second, we must consider the special career of athletes. For an athlete who has signed a contract worth tens of millions with a team, doctors without a certain level of technical skills will not dare to do it after an injury. Because surgery not only solves the athlete's pain, but also ensures their career and life, which is really difficult.
The repair and adjustment began. Zhang Fan combined Wang Yongyong's weight to thicken his ligaments. Now he does not need to do extreme sports, but his weight has increased, and due to years of illness, his affected knee joints have been damaged. There is some deformation.
This surgery will test the doctor's extensive evidence-based medicine skills. Chinese medicine is catching up with the West very quickly, but evidence-based medicine cannot develop.
Almost all people working in evidence-based medicine across the country are part-time. Why? It is too time-consuming and money-consuming, and will not be effective in the short term. Evidence-based medicine requires a lot of time and a large number of patients to establish a scientific file, to track the number of patients with a disease all year round, and perhaps to track the disease of this patient. until his death.
In the current economy-centered society, few people can bend down and do this kind of work desperately. Evidence-based medicine has no advantages in the short term, but it is of great significance for the long-term treatment of a disease.
For example, in Wang Yongyong's surgery, does it require thickening or reducing the thickness of the ligament? How can he make his knee joints work better. The establishment of this system requires a country to support development. Relying on a certain hospital or doctor is just a drop in the ocean.
Wang Yongyong's pain can be solved by finding a tertiary orthopedic associate professor, but it is not something doctors in ordinary hospitals can do to restore him to a certain intensity of exercise.
At this time, Zhang Fan, who has a system, has a huge advantage. Future medical care will attach great importance to evidence-based medicine. Zhang Fan had many, many best results that had been successfully summarized for surgery.
Surgery is done very slowly. There is another stage of knowing how to do it and doing it well, which is the stage of hard work. Without a lot of practice, even if you know the result, you will not be able to achieve it.
Zhang Fan has been practicing the system for two years, and there are still many surgeries that he has not yet mastered. You can imagine how complicated medicine is. Li Liang watched the electric knife on the monitor slowly cutting. The knee joint was too complicated and he couldn't understand it yet. If the assistant was Lao Gao, she would discuss with Zhang Fan why she was doing this?
Repair the ligament. There is still debate in the medical community on whether to suture the posterior cruciate ligament, but it has been proven in the future that suturing is necessary. This is the advantage, this is the genius!
Although the operation was slow, it went smoothly. Stopping the bleeding, applying pressure bandage and plaster, and all the follow-up work was done by Li Liang. "Brother, this surgery is too difficult. I didn't understand what was done today during the whole process. I saw you cutting and cutting and sewing and sewing. I really didn't understand."
"Well! This surgery first requires the structure of the knee joint to be engraved in the brain, and then it is a bit difficult to understand the stress-bearing habits of the patient's knee joint. Take your time! Don't be anxious." This process is really not easy. There is no method, there is no system, you can only rely on your own efforts and time to fill it.
If Li Liang works hard and can enter a large tertiary hospital, he may be able to perform this kind of surgery when he is about thirty-five years old. Although he is not up to Zhang Fan's level, he can still achieve an average recovery. But if he wants to In this era, to reach Zhang Fan's level, you have to go to the most advanced hospital, and if you are allowed to do it, you have to be at least fifty years old to reach this level.
Cruel, medicine is so cruel. When technology is mature, doctors also become old. Young scholars in many disciplines can make certain achievements around the age of thirty, but medicine is not good and they only start at the age of thirty.
Those doctors in major hospitals who are so exhausted that they sleep on the floor of the operating room are not just showing off. In fact, there are more pitiful and deplorable things that should not be known to outsiders.
Some of the photos that have come out are nothing more than rarities. Yes, the current medical treatment in China is very dissatisfying, with various drawbacks and hidden rules. But are these things that doctors can decide? Just because these doctors cannot change the cause, we cannot deny those doctors who fought hard to survive the disease. They work really hard.
Was SARS terrible back then? A layman only knows that it will be contagious and fatal, but those doctors who have families and families, knowing that they may die if they go in, write their wills one after another, and walk into the epidemic area without hesitation, are they afraid? Those who are not afraid are fools.
After SARS is over, the reward for doctors who have been to epidemic areas is ten points for their children’s college entrance examination. This is very precious! This is what the child's parents paid for with their lives.
At that time, no doctor said that he had to take off his coat and quit working! No! If the doctors don't kill this disease, who will! It’s really not easy for those working in the country’s special industries. There are many things that cannot be decided by people within the industry.
