Famous Among Top Surgeons in the 90s
Chapter 2530: Not Bad
"Is it real or fake?"
"Did I see it wrong?"
"I feel like she did it."
"Take an X-ray to see if it’s our illusion."
"Don’t rush!"
She hasn’t finished her magical operation yet.
The closest person to Student Xie, Wei Shangquan, watched, sweating profusely. He thought he would never come to orthopedics during his internship at Shou’er, not to mention he hadn’t done any pre-study on orthopedics. Even if he had done the homework, he definitely couldn’t do it like Student Xie.
Student Xie hasn’t interned in orthopedics before, right? Can you know how to operate just by reading books?
No, no, she has only seen some illustrations in orthopedic books and parts of orthopedic teaching videos. It was mentioned before that elbow fractures are quite common, especially this supracondylar humeral fracture, which is considered a relatively common knowledge point in orthopedics.
While she was doing it, she was observing Teacher Liu’s eyes. Since Teacher Liu didn’t say it was wrong, she continued to do it.
Performing such three-dimensional positioning on the human body is considered her strong point. She had seen and analyzed the child’s films, and she had a relative three-dimensional sense of the image in her mind. Combined with how long she has been interning in surgery, the more she has chances to interact with the human body, just as Teacher Tan said, the more she practices, the stronger her tactile sense will be. Now, she only needs to grasp and touch the child’s muscles, and a related muscle group activity image can emerge in her mind.
The final critical step came, correcting the anterior and posterior displacement, and at this point flexing the elbow to one hundred and thirty degrees. Seeing her completing this move slowly and cautiously, the crowd watching couldn’t help but take a breath and express amazement. Recalling her earlier slow-motion like a movie scene, it gave people a magical sense of two separate objects fitting together.
Shan Shan’s little mouth formed a small O shape: Sister really is performing magic.
So, so, so amazing.
"It’s done. Teacher Liu." Xie Wanying, as soon as she finished all the steps, requested the teacher to check.
Liu Huaiyu heard her voice and just like everyone else, came back to his senses. He quickly walked over to meticulously check the positions of the bones in her repositioned elbow joint area.
The artist-like Teacher Liu, touched here and there, and after finishing a thoughtful expression crossed his brows: Hmm hmm.
It definitely can’t rely on feeling for the final judgment, it needs to be combined with instrument checks.
The X-ray machine is ready to be turned on. They need to comprehensively view the elbow joint from several angles to see if it’s correct. The doctor rotated the C-arm around the patient’s elbow joint for fluoroscopy.
The fluoroscopic image made everyone open their eyes wide searching for flaws. After looking around, they didn’t find any loopholes, which was truly surprising.
The supracondylar humeral area in children, if you look at anatomical diagrams, appears very complex. In front is the coronoid fossa, behind is the olecranon fossa, the bone is very thin, some like a membrane only, and overall unlike adults, it is flatter. Due to the complexity, after opening, it is difficult for doctors to accurately find the repositioning position. Additionally, operating within the elbow joint area can easily produce heterotopic ossification. What is heterotopic ossification? It is the appearance of bone tissue in places where bone doesn’t grow, for instance, it appearing in muscles and further evolving into myositis ossificans.
The surgery is difficult, and percutaneous procedures without opening certainly make accurate repositioning even harder. It was unexpected that this student achieved accurate repositioning in one go. This accurate repositioning doesn’t just mean returning to the normal position of the elbow joint but involves slightly valgus fixation. Otherwise, as it grows, it’s easy to develop cubitus varus.
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