Chapter 373 Who is more powerful?!

Lu Cheng's words made Zhou Linli and Peng Shanquan's eyes light up a little.

The foundation of orthopedics lies in trauma. The trauma operations that trainees are exposed to are debridement, suturing and dislocation reduction. The most direct and quick way to feel the value of a doctor is the reduction of joint dislocation.

When they were taking orthopedic courses, they heard the substitute teacher say that dislocation reduction surgery can quickly relieve patients' pain. This is what they want to see, but among their classmates, basically

No intern has ever really seen anything like this.

There are not many patients with dislocations coming to the Second Xiangya Hospital. Secondly, even if there are such patients, they may be handled in the outpatient department or emergency department, and there is no opportunity for interns to observe and learn in the department.

Now they happen to be following Lu Cheng, and Lu Cheng is the chief resident, and is specifically responsible for emergency consultations. Now that the orthopedics department is restructured, the trauma center is responsible for this area, so there are a lot of things they can come into contact with.

If you can learn it in just half a month and be able to operate one or two examples yourself, the gains will be huge.

Zhou Linli licked his lips with some emotion and said: "Teacher Lu, there are many methods that can be used for joint reduction surgery. Do we need to find some meta-analysis or systematic review articles to review them carefully?"

A college master like Zhou Linli would seek answers from teachers, websites, libraries and various literature when he encountered problems as early as the beginning of normal courses. It was this true spirit that allowed him to discover a lot

The direction and loopholes, published a highly rated article.

Peng Shanquan actually works very hard in his studies, and his current grades are among the best in his grade. However, due to his "innate" disadvantage of slightly lower scores in the college entrance examination, he can only study in the seven-year bachelor's and master's program.

However, since the beginning of school, Peng Shanquan has been pursuing early graduation. Now, he has prepared all the materials needed for graduation, including articles, grades, etc., and he only needs to wait for the department to be selected as a graduate student.

After completing the graduation defense, you can apply for early graduation.

It's just that the choice of this direction is related to the department he will work in in the future, so it is very important, and he needs to be cautious.

"The names recorded in the literature are all the names of reset techniques. The specific techniques may need to be collected on some relatively niche websites."

"Let's do this, Senior Brother Zhou, we can do these two things separately. You are responsible for collecting literature, and I will find the details of these methods, and then combine them with anatomical knowledge to interpret them first, and then verify them with Teacher Lu.

.Do you think it’s okay?”

"Or I can find the corresponding literature, and you can do it." Peng Shanquan understands the cooperation of team learning very well. He knows that one person cannot do so many things at the same time in a short time, but if someone cooperates, then learning

There will be much more content and directions.

This is the initiative and keen sense of people who can learn.

Zhou Linli nodded, looked at Peng Shanquan, and said, "I can do it, just follow what you said, Shanquan."

The eight-year system and the seven-year system are separate. Zhou Linli is the best among the eight-year system, so he does not pay attention to whether the results are better or worse in the five-year system or the seven-year system. He is more interested in

Pay attention to what you are doing, what you want to do, and what you will do in the future, instead of being envious or jealous or letting other people's achievements affect your mentality.

However, when Lu Cheng asked questions before, Peng Shanquan was able to supplement his foundation. This proves that Peng Shanquan's basic knowledge is also very solid, at least in the area of ​​orthopedics, the content and areas he is interested in.

, maybe not weaker than yourself, or even stronger than yourself!

An intern with such preparation must not be underestimated. He can have such a reserve of knowledge. If you cooperate with him, at least you will not be cheated and you can trust him.

Peng Shanquan and Zhou Linli seemed to have divided everything up after going back and forth!

Dong Zhen felt a little anxious after hearing this, and quickly puffed up her chest and asked: "Senior Brother Zhou, Senior Brother Peng, I also want to do something for you. Do you think I can do something to help you?"

As an intern, Dong Zhen felt that she was just an intern from another school who came to the Second Xiangya Hospital. She originally felt a little arrogant when she came in, but following the internship circle of Zhou Linli and Peng Shanquan destroyed her confidence.

A little bit, but she didn't want to just lie down.

It's just that she wants to join in and squeeze into the same circle as Peng Shanquan and Zhou Linli, but there are still many things she needs to make up for.

The time to make up for this is definitely not short, but if you don't work hard all the time, this will be a gap that you won't even be able to cross in your lifetime. Dong Zhen naturally doesn't want to fall to that point.

Xie Jian, as a graduate student at the moment, and also a graduate student in orthopedics, suddenly felt as if he was the one doing the trick among these four people.

In fact, he didn't even have the same opportunity as Dong Zhen to get acquainted with Zhou Linli and Peng Shanquan, so he could only lick his lips and ask shamelessly: "I can actually do something."

In fact, after going through this circle, Lu Chengcheng basically had a rough understanding of the basic skills of these people.

Zhou Linli and Peng Shanquan are standard academics. They know how to break down problems and solve them step by step. Moreover, even if they encounter a problem they have not understood before, they also know how to find the answer to the problem.

, and the steps to design the answer.

But, although Zhou Linli and Peng Shanquan seem to have completely dismantled and divided the problem, there are actually many things. Xie Jian and Dong Zhen can both help and make suggestions, but their

The knowledge reserve has not reached this level yet, so I don’t know what content is missing.

I don’t know, I don’t know, Lu Cheng heard this, and Lu Cheng didn’t know if Zhou Linli and Peng Shanquan could hear it, but he is the teacher now, and teaching without distinction is what Lu Cheng should do.

Duty.

Since both Xie Jian and Dong Zhen want to join in and provide directional guidance, it is what he should do. Lu Chengcheng said: "Since Zhou Linli checked the literature on meta-analysis and systematic review related to reset,

, Shanquan needs to find the specific steps of the reset technique.”

"Xie Jian, Dong Zhen, you can look for possible complications during reduction failure and collect the mechanisms of complications. We can't just look at the success rate and ignore those cases where reduction fails. They

The reasons that led to the failure are also what we need to pay special attention to."

"In addition to failed cases and the corresponding mechanisms, we can also do a statistical analysis, that is, when performing reduction techniques, under anesthesia or non-anesthesia, whether it is accompanied by fractures, and the indications and contraindications of different reduction techniques.

You can collect these aspects in detail."

"If the materials are collected properly, you can work together to publish a very good meta and system review."

"There are still some specific problems. Based on what you find, we will deal with and solve them at that time, and conduct a second interpretation of the collected materials."

In Lu Cheng's words, naturally the main purpose is to find a direction for Xie Jian and Dong Zhen who don't know what to do, but in fact, it is to give them a systematic summary of one aspect of knowledge and let them know

How to deal with a problem and what to focus on!

Start by solving problems to clarify what needs to be solved, what needs to be paid attention to, and what should be thought about for each problem.

These things are not only applicable to current problems. When you encounter similar problems in the future, if you are interested, you can also go into such depth!

Xie Jian and Dong Zhen were immediately overjoyed and looked at Lu Cheng gratefully, saying, "Thank you, Teacher Lu, we know what to do."

"It's good if you know what to do. Let's start with the surgery now."

"Does any of you know how to disinfect?"

Xie Jian and others shook their heads.

Lu Cheng could only sigh helplessly. Among the four of them, Xie Jian was only in his first year as a graduate student and in his second month as a professional graduate student. The other three were all interns and might have gone to other departments for disinfection before.

work, but now this is an orthopedics department, and maybe they don’t even know the scope of disinfection.

Lu Cheng could only personally lead them through the disinfection process around the lower limbs and thighs again!

Disinfect the linens with just a splash of water!

Then, after Lu Cheng asked the circulating nurse to prepare all the equipment packages that should be prepared, he directly asked the hand-washing nurse for a sharp knife.

The cut the sharp knife made through the skin was not very long, so Lu Cheng asked the hand-washing nurse to bring a hole opener!

The full name of femoral intramedullary nailing can be closed reduction and internal fixation of femoral fractures, or open reduction and intramedullary nailing.

Lu Cheng naturally chose a smaller opening because he now knew the contents of the fracture.

The hand-washing nurse obviously knew the process of intramedullary nailing very well. She hesitated and said, "Are you going to speak directly now?"

When she usually set up a stage with Li Dongshan, Li Dongshan would make a very precise incision in the skin before choosing to open it. That is, he would incision the femur from the greater trochanter to the medullary cavity, and then use an expander.

Expand the opening.

"Well, open your mouth now, prepare the medullary expander, prepare the guide needle, the 'golden finger'!"

Lu Cheng gave instructions while taking the mouthpiece.

The opener is a cone drill that enters the medullary cavity. The medullary expander is used to enlarge the bone hole entering the medullary cavity and the proximal end of the medullary cavity so that the intramedullary nail can enter. The golden finger is actually a cavity tube with a guiding function.

It is used for fracture reduction after the guide pin passes the broken end of the fracture!

Lu Chengdu knew these steps well and was naturally not afraid of them.

The nurse who washed her hands didn't say much. Lu Cheng's surgeon was authorized by Li Dongshan. She could only remind and remind him that this was the Second Xiangya Hospital and she would not do anything to question the surgeon.

He quickly gave the mouth opener and the mouth expander to Lu Cheng, who passed by in less than a minute.

He stretched out his hand again and said: "Guide needle, thank you for your hard work!"

"Don't you want to see it through?" The scalp of the nurse who washed her hands was a little numb. The normal procedure must be to see it through first. In this process, she could take a breath.

"The medullary cavity was seen through the opening, and the marrow was expanded!"

The expander and mouth opening device on the handwashing nurse's side have not yet been returned to their positions. So I was a little flustered, but I still handed over the guide needle!

His eyes wandered around Lu Cheng's body!

Lu Cheng asked Zhou Linli to stand under the operating table where the patient's feet were, and said, "Lin Li, I need you to help me with traction while I insert the guide needle. Can you complete it?"

Zhou Linli let out a sigh. He glanced at Lu Cheng and found that Lu Cheng was still very serious, so he said, "Teacher Lu, let me give it a try."

Lu Cheng said: "You now use the 'sled style' to traction the affected limb longitudinally. Hold the ankle of the affected limb firmly with both hands, keep your spine straight, straighten your arms, and lean your back against the back of the chair for longitudinal traction."

"You can take advantage of your own body weight, which can increase the force of traction and reduce fatigue. In this position, you only need to maintain 20°-30° of hip flexion. By longitudinally tracting the proximal and distal fracture ends

The alignment can usually be corrected."

"You first do what I tell you, and then I will ask you to make adjustments at any time. Do you remember it clearly?"

"Do you want me to say it again?"
To be continued...