Chapter 83

Lao Wang Ninja agreed to the operation. I can't help it. Sometimes the dispute of sentiment can really be bad. Chen Qi hurried to arrange the preoperative preparation. He hurried away. He was afraid that Wang Dehua would go back.

In less than ten minutes, the news that Zhang Fan wanted to perform knee arthroplasty spread all over the second Department of orthopedics. Although the Department looked calm, the doctors from top to bottom kept waiting.

At that time, the new director of the first Department of orthopedics had just come on stage, and there were many disputes in the Department. Therefore, Zhang Fan's first operation did not cause any big waves at that time, but the second Department of orthopedics was different, and the main treatment was brought out by Wang Dehua. At present, the Department can still maintain a balanced and step-by-step work.

But today is different. All inpatients in the first Department of orthopedics begin to do knee arthroplasty. Does that also mean that the second Department of orthopedics is too rigid, or the main treatment level of the second Department of orthopedics is not good? People have a sense of crisis. The back wave pushes the front wave, and the front wave dies on the beach. In technical units, latecomers are particularly common. And it's also cruel. You're old and qualified. The other party is seven or eight years younger than you, but you must obediently respect him because he's the director.

You may not care about the Dean, but you have to pay attention to the director you see every day. He is related to your direct interests. This is a big hospital. The directors are almost the oldest. There are almost no doctors older than the directors. Even there are doctors who don't have a strong sense of existence.

Tea vegetable city is a large-scale third-class hospital. The cruelty of competition among department directors can't be realized before a certain age. This is the sadness of middle-aged people. If you don't work hard, you may be excluded and ignored in the future. If you work hard, you may leave silently or hide in the corner with scars. From then on, you won't make a sound, just like a spectator, Quietly watch the rise of an era.

In the morning, the morning meeting of the second Department of orthopedics was extremely depressed. The original lively discussion does not exist. Simple surgical arrangements and simple formulation of plans are waiting and preparing. Wang Dehua also has no psychological meeting. He is inexplicably agitated today. The uniform white coat in the conference room makes him feel agitated and extremely agitated.

When the operation starts, the operation is arranged. As long as there are no special circumstances, it can not be stopped. First, all departments have been prepared for the operation, and second, it is impossible to explain to the patient and his family. After Lao Wang washed his hands, he hung his hands on his chest and said nothing. In front of him, Zhang Fan was so young, so sharp and orderly.

The more standard Zhang Fan's actions are, the more uneasy he is. "Am I jealous?" Lao Wang shook his head involuntarily, "I don't think so. How old is he? He's a little boy. Maybe I'm tired. I haven't even enjoyed my annual break after three years of director! It's time to rest! "

"Director, let's go." Zhang Fan was ready, but Lao Wang was still sitting on the anesthesiologist's stool in a daze. Chen Qi shouted.

"Oh, OK, let's go." Speaking, he woke up from a daze and quickly stood in the position of Yizhu. He was not used to it. He had not stood in this position for many years. He was used to the position of Zhang Fan.

The knee joint is the largest and most complex joint in the human body. As the saying goes, people grow old before they grow old, which means the knee joint.

Why is knee arthroplasty difficult? Because it bears the weight of the human body, many factors should be considered when reconstructing the knee joint.

The first is the problem of force line. If the force line fails to do the anatomical position, the body will skew and the spine will deform for a long time. Second, we should consider an angle, both external rotation angle and internal rotation angle. A little carelessness will miss a thousand miles.

If you are not quite familiar with the anatomy of the knee joint, the simplest preoperative positioning can not be done well. It takes several days to memorize all kinds of force lines and angles. In terms of proficiency, Zhang Fan is not worse than Wang Dehua, but also more familiar. Zhang fan can practice at any time in the system, and the fidelity of simulated surgery can be confused with the real.

Insert the intramedullary guide into the medullary cavity, close to the femur, measure the straightening space and install the external rotation device. Osteotomy, test and install prosthesis, and check force line, stability and flexion and extension function. Rinse, remove bone cement and recheck.

The elderly are reimbursed for their expenses. The instruments are the best imported materials and instruments that the municipal hospital can contact at present. They are very easy to use. Zhang Fan also likes to use this imported instrument, which is very convenient.

The operation went very smoothly. Lao Wang was sweating. He was frightened by Zhang Fan. At the beginning of the operation, he kept staring at the blade in Zhang Fan's hand. As long as there was something wrong, he was ready to stop at any time.

As a result, from beginning to end. Zhang Fan is more beautiful than him, and he is more familiar with the anatomy of joints than him. He is really as skilled as a cook. With a sharp blade, he cuts the muscles, avoids large blood vessels, and gently cuts the ligaments. The incision is straight. Each step of alignment, alignment and angle measurement is very familiar, and each step is perfect.

Not to mention that ten years ago, even now, he could not reach the degree of familiarity and perfection of Zhang Fan. He opened his mouth slightly and wanted to talk. He did a good job. Can only mechanically follow Zhang Fan's action and cooperate passively.

Chen Qi, who was not operated on, stood on the small stool behind Zhang Fan. He was a bystander and saw more clearly. His position was as clear as the eye of God, clearer than that of two AIDS and three AIDS. Although he cooperated with Wang Dehua in hundreds of knee surgery.

But Zhang Fan's action is easier, faster and more perfect, "demon! A dog is so old and powerful. " He was surprised, but he was not very worried. Zhang Fan was too young. When Zhang fanda arrived at the governance, he retired, so he didn't worry at all.

Unlike Wang Dehua, he broke away from the first Department of orthopedics and followed Lao Wang to create the second Department of orthopedics. In order to obtain greater benefits, he would not follow Lao Wang unless he could be a deputy director.

Compared with him, Lao Wang paid more attention to technology. Zhang Fan's exquisite skills destroyed his surgical skills like a nuclear bomb, which he struggled with and was proud of for half his life.

The biggest difference between him and Lao Gao is the difference in mind. When Lao Gao saw Zhang Fan, he was surprised at the first time, but then he loved and cherished talents.

The operation went well, but it was boring. No one spoke. Zhang Fan is immersed in the sense of achievement of the operation, and Lao Wang is immersed in endless grief and anger. Chen Qi has fled thousands of miles, so he won't speak at this time. He knows Wang Dehua, how conceited Wang Dehua was, how sad he is now.

Yuan Tao and Luo Jin were too frightened to speak. Is this a resident? Is this a transferred doctor? Although it's said that it's very powerful, it can't be so powerful. The operation is skilled without pause, and the skill is superb.

When he began to sew his skin, Lao Wang seemed to be out of purgatory. He sighed: "Hey! I'm tired, I'm down! " At this moment, at the age of 50, he hobbled out of the operating room. Chen Qi followed.

"Doctor Zhang, shall I sew?" Lao Wang went out of the operating room. Yuan Tao spoke. It was inappropriate to call Xiao Zhang, but the teacher Zhang couldn't open his mouth.

Outside the operating room, Lao Wang holding the wall said to Chen Qi behind him, "we are all old! Looking at his scalpel hand without a trace of trembling, I knew that I was old. I'm going to take a break. You should take charge of the Department first. Thank you! "

Chen Qi opened his mouth, but he couldn't say a word. His goal was achieved, but he didn't have a trace of happiness when he looked at the old man who went into the hospital and broke into the first Department of orthopedics together!