Chapter 1304

At the beginning of the operation, Zhang Fan opened two small openings at the lower edge of the knee patella with a knife. Then arthroscopy was inserted.

How big is the gap? In fact, you pinch your two hands into fists, and then add a sponge paper thinner than that for girls, but thicker than that for men and women, which is about the thickness of two to three one yuan coins stacked together.

Of course, the thickness is not constant, and not everyone is the same. For people with heavier upper body, this space is smaller, such as those with large chest.

so what

In fact, the meniscus of the human body is like a snake in the knee joint. Starting from the upper fist, form an eight character in this small space, and then climb on the lower fist to attach, while the other thread head returns to the upper fist to attach.

It's like a hanging swing.

This is the simplest meniscus.

It can be said that the meniscus and ligament are the intestines of the knee cavity. Such a narrow space usually needs to be inserted smoothly. An orthopedic doctor has to practice for a long time. This thing is different from the relationship between men and women. When men grow up, the hardest step is the first step.

But anyone who can walk steadily in the first step does not need a teacher behind. He is born with a tire!

But arthroscopy is different. After this thing goes in, it is narrow. All kinds of ligaments, joint capsules and mucous membranes are intricate inside. Then, in order to let the doctor see clearly, the arthroscopy will enlarge the irradiated part.

It takes a long time for doctors to get used to the visual distance error caused by this amplification. Obviously, I felt very far away. As a result, my wrist shook slightly and poked a hole in the joint capsule.

There is a saying in the medical industry that if you can operate with endoscopy, you can complete the operation with open surgery. You can use open surgical means, but you may not be able to use endoscopy.

Moreover, the meniscus sounds like a temporary worker, and its name is not atmospheric. It is definitely not comparable to the full moon machete. Therefore, in the early years, once the meniscus developed, it was often cut like an appendix without saying a word.

When it was just cut off, the effect was quite good. Some situations such as climbing stairs, kneeling, walking, knee joint extension and so on disappeared directly.

However, the later effect is not good. Because the knee joint has no stability, although the meniscus is small, it doesn't weigh much.

Without this weight drop, more than ten years later, a tall, handsome and long legged oba suddenly became a circled leg. The devil of Lao pan came, and the little devil looked like more than ten years after the meniscus was removed.

Moreover, in order to show the operation field, the doctors sometimes don't know that they pull with a retractor and rub back and forth. They can't feel it at the time of the operation. As a result, synovitis occurred not long after the operation.

Chronic synovitis can be quite troublesome. There can be no symptomatic drugs at any time. Because there is little blood supply in this place, there are not many people who can take a ton of drugs here. Therefore, some people often have no problems after various examinations.

But it seems that there is a mouth water dragon in the joint capsule. In a few days, the joint cavity is swollen like a big steamed stuffed bun, and there is no around the joint.

Once the disease is not well treated, it can only be operated twice and there is no other way.

Therefore, once you find a problem with the meniscus, go to a doctor in time and don't remove it easily. If you go to more hospitals and find more doctors, you will always have different views.

Enter, enter, enter again. Zhang Fan is skillful in holding a cavity mirror. Shuitanzi's director of sports orthopedics has to catch up with Zhang Fan while holding the mirror.

Looking at Zhang Fan's technique, the director actually scolded his mother, "why don't you play laparoscopy and come to play arthroscopy?"

They came this time to save Lao Zhao's face, and they actually came for the instrument. As for Zhang Fan's small joint surgery or minimally invasive surgery, he didn't rest assured at all.

He can also be a general foreigner, an academician and a student, and can also do orthopedic surgery. It is said that Zhang Fan taught Lao Zhao a lesson in tea vegetable, a soldier's operation. Now it's pulling a special orthopedic hospital to cooperate.

Therefore, he felt that Zhang Fan must be too greedy to chew. In order to pretend to be forced in front of foreigners, he had to take Lao Zhao and him to surgery. He thought about it and agreed, but he didn't tell. When Zhang Fan couldn't do it, he would take over.

As a result, after the operation, Zhang Fan didn't mean that at all. After entering the joint cavity, the operation under the hand directly makes the sports orthopedic doctors feel sour“ You are a good disciple of the ancestral generation of ordinary people. Instead of playing with liver, gallbladder, heart and lung, you come to compete with us for orthopedic surgery! "

Above the operating room of the Institute of orthopedics, there are doctors of special orthopedics and directors of orthopedics in bird city.

In the dome type operating room, open surgery is the best observation, but this endoscope is not so beautiful.

A group of people, from the beginning of whispering to the later stage, no one spoke, all quietly watched Zhang Fan's operation.

This kind of surgery, especially this kind of high demand surgery, some doctors do not say to do it. It is estimated that they will not see it once in their life. After all, it is rare for patients to have so much money and need so high requirements.

Therefore, everyone looked very seriously. The repair of meniscus is not worth a penny. The purpose of this minimally invasive surgery is to suture or repair the cracked or damaged meniscus.

And just like a child eating ice cream with a wooden stick, it will be scraped into a ball and a rectangle.

But it's this kind of scratch. It's not easy to control your strength and play a flower in a limited space.

"My God, who can see how he is ligated? How can I see that the crack of the meniscus is gone as soon as my eyes bloom?"

"No, I didn't see it either. The light in this direction is too fast."

"We can only play back the surgical video. God, I think he did better than Dean Stan. "

These are some golden doctors talking together.

……

"It was lonely, the last time, the last key, but I didn't see it!" The director of joint surgery of Annex II of bird market has a lot of MMP in his heart.

It's like waiting for a beautiful woman from morning to afternoon. People are all wasted. As a result, when the beautiful woman comes, she shyly takes out a cushion!

"Zhang Yuan, your suture method feels like pulling and inserting in the back. How can you predict that your needle can be fully penetrated?"