The Sports Healer Starting from Milan

Chapter 55 The Bang Bang Bang Orthopedic Surgeon

When Moratti's car stopped in front of the San Rafael Hospital.

It was already completely dark.

Lin Mu thanked the driver and jogged towards the operating room.

I only breathed a sigh of relief when I saw Cody Anderson, the associate chief of orthopedics.

My physical condition is a bit poor.

I can't take it anymore after sprinting just a few hundred meters.

"Phew! How's it going?"

The trees leaned against the wall.

"This is not good. The knee joint is completely dislocated, and the popliteal artery may be compressed."

Cody Anderson said urgently.

Their hospital hasn't encountered such a complex patient in a long time.

His previous assessment was still too optimistic.

It seems that treating the leg valgus injury triad first is not an option either.

Compression of the popliteal artery is often accompanied by nerve entrapment. If the knee joint is not repositioned to relieve the compression and the bone shaft is not fixed first, the problem will worsen.

Prolonged exposure may lead to nerve necrosis.

In cases where there is extensive necrosis in distant tissues, amputation may be the only option to save the patient's life.

The two chatted as they walked toward the emergency room.

Lin Mugang frowned immediately upon seeing the patient on the bed; his brows were so furrowed they could practically trap a fly.

The patient has severe foot drop.

If it progresses further, the nerves will become fibrotic, forming scars and adhesions.

Even with a level 5 scar release technique, it is impossible to completely repair the patient's condition, leaving some permanent problems such as numbness, weakness, and limping.

and.

The patient's dislocated ligaments and torn meniscus injuries continued to worsen.

If we wait any longer, the repairable soft tissue will be completely destroyed.

"Add some manual knee joint reduction techniques to the system!"

Lin Mu thought to himself.

[Knee joint reduction surgery: Lv3 (12/100)]

[Knee joint reduction surgery: Lv4 (01/150)]

I just got 288 experience points, and I immediately spent a third of them.

Lin Mu didn't even have time to feel sorry for himself.

Because the patient's knee joint is very complex, with valgus dislocation, locking of the distal femur and tibial plateau, and soft tissue compression.

Conventional methods simply cannot reset it.

Stephen, who was performing a repositioning procedure on a patient, was sweating profusely.

"I'll do it!"

Lin Mu walked straight up.

Stephen breathed a sigh of relief and quickly stepped aside, adopting a learning posture.

"pain!"

The patient was still wearing cycling clothes on his upper body, but most of his lower body had been cut open.

"In this case, femoral traction counter-reduction should be performed."

"Hold on here."

Lin Mu pointed to the patient's right leg and told Stephen to pull it back.

He himself held down the distal end of the femur, controlled the femoral force line, and then kept increasing the angle of tibial eversion.

Click!

A crisp sound was heard.

Lin Mu looked again.

The meniscus and ligaments were compressed and have been corrected by inversion.

He then held the patient down, forcing him to bend his knees passively.

The knee joint quickly returned to its joint surface.

Lin Mu looked up and took three minutes.

"Thank you, Wood. If I were to do it myself, it would probably take half an hour."

Stephen patted his chest, still shaken.

The main problem was that he had never encountered such a complicated situation before, so he panicked at first, and the more panicked he became, the slower he worked.

"fine."

After Lin Mu finished speaking, he looked at the nurse next to him and said, "Prepare the operating room."

He will also be responsible for the subsequent femoral fracture fixation surgery.

Because it is difficult to achieve a perfect force line and shorten the length by judging solely from images.

To know.

When the deviation in bony length of the lower limb exceeds two millimeters.

His legs are not of equal length, so he walks with a limp.

Lin Mu plans to add the remaining experience to femoral shaft internal fixation surgery, including the accuracy of fracture alignment and the standard of intramedullary nail placement.

Because of Zhao Ruirui's tibial internal fixation surgery.

They have something in common in some ways.

Moreover, he will likely face many similar patients in the future.

As for experience points.

If it's gone, we can earn it again.

"Has Wood done this before?"

Someone just raised a question.

Cody Anderson said, "Just because you haven't done it before doesn't mean you can't. Since Wood said it, it means he's confident, right?"

Lin Mu is still finding it hard to adjust to the change to deputy director.

I could only nod.

"Rest assured during the surgery, Professor Mochini will take responsibility!"

Cody Anderson figured Roberto Mochini wouldn't care anyway.

[Femoral shaft internal fixation: Lv2 (79/150)]

[Femoral shaft internal fixation: Lv3 (1/250)]

The remaining experience points aren't enough to reach level four.

Lin Mu felt somewhat disappointed.

However, internal fixation of the femoral shaft is, after all, a level three surgery.

It requires a lot of experience points.

It's the same as meniscus repair surgery.

Feel the knowledge and experience that suddenly appear in my mind.

Lin Mu and his colleagues arrived at the consultation room.

My proposal is...

It's actually just traditional femoral shaft internal fixation.

The differences are only in the details.

Lin Mu did not object after speaking, and agreed to the surgery plan.

The patient was then taken to the operating room after being treated.

Lin Mu went inside after swiping his hands.

Stephen, the nurses, and the anesthesiologists were ready.

Lin Mu stood in front of the operating table.

The difficulty of internal fixation of the femoral shaft is not very high.

The system gave him the ability to solve the most critical problem, which was the target problem.

The rest are very simple.

Of course, there are some techniques that need attention, such as the correction of rotational deformities. After reaching the maximum level in double-bundle reconstruction surgery, he also conducted some research on these kinds of problems.

"Traction".

Lin Mu could sense that the level 3 internal fixation of the femoral shaft still had some limitations.

Especially in the repositioning of traction beds.

The patient's injured soft tissues need to be pulled into place using three-dimensional angles of adduction, abduction, and rotation.

It's a bit difficult.

However, repeatedly withdrawing the device can cause further damage to the soft tissue.

Lin Mu adjusted it three times before it was finally done. "Wipe sweat."

The scrub nurse picked up a gauze pad and wiped Lin Mu's sweat, her bright eyes filled with admiration.

During this period of time.

The trees have become a legend at San Rafael Hospital.

But Lin Mu kept moving at this moment.

Cut open the skin, tissues, and fascia, retract the gluteus maximus muscle fibers, and locate the greater trochanter.

That is, the square protrusion on the upper outer side of the junction of the femoral neck and body.

The opening of the intramedullary nail is above the greater trochanter.

He had been preparing his bone tunnel quite a bit recently, so the whole process was very easy.

But when it came to opening the spinal cord...

I still felt the touch was rather dull.

Ten minutes later.

"Prepare to insert the guide needle." Lin Mu looked at the thin steel wire with a diameter of three millimeters and a blunt, rounded end, with some textures on its surface.

This is the guide needle.

Everyone else didn't dare to breathe.

Silently watching the guide needle be inserted through the pre-drilled hole, bypass the end of the fracture, and delivered to the distal end of the femur.

Lin Mu gently flicked his hand and picked up the hollow soft drill.

If this were a movie, his current image wouldn't be much different from that of a serial killer.

"Bone marrow expansion!"

As Lin Mu spoke, he began to move, slowly turning the soft drill.

He didn't dare to be too bold.

Each time, they only dared to expand by 0.5 millimeters until the bone marrow was expanded to 9 millimeters.

He took a step back.

The intramedullary nail has been placed on the aiming frame.

It looks like a gun emplacement.

Lin Mu then picked up the metal hammer with the plastic head.

They started smashing it with a bang, bang, bang.

The guide pin was only removed after the intramedullary nail was driven in and the position was confirmed to be correct.

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