Chapter 152 The bone transection was successfully reduced, and I can sleep peacefully.

Transverse fractures mostly occur in the bones of the limbs and are a relatively stable type of fracture.

This patient's injury seems serious, but as long as the operation is done properly, it can be successfully restored.

It just has very high operational requirements for the operator.

Dr. Xu's physical condition is extremely poor today and he is unable to do the operation himself, so Li Jingsheng can only do it for him.

Clinically, transverse fractures are difficult to reduce, so even top tertiary hospitals often can only resort to surgical reduction. In the treatment of orthopedic injuries, sometimes top tertiary hospitals are not as good as local specialized orthopedic hospitals in many technical fields.

"Doctor, what about me? I got here before him!"

The patient with wrist soft tissue adhesion, fracture, and joint displacement became anxious at first sight.

No patient wants to be jumped in line.

"Don't be anxious yet. After treating him, he will be treated naturally."

Dr. Xu comforted the patient who had been 'jumped in line'.

"Why can't you treat us first?"

The patient's wife is still a little unconvinced.

Whose time is not time?

"Because your tissues are adhesions, it is more difficult to treat, and you need to do a skin test first to apply anesthesia. Just sit there and wait patiently, it won't take long. Of course, I can understand your eagerness, but it's just a matter of treating the disease.

There’s no rush!”

Dr. Xu's attitude towards ordinary patients is very easy-going.

After listening to his explanation, the patient and his wife showed relieved smiles on their faces.

Both expressed their understanding.

On the treatment bed in the back room, the patient was already lying on his side under the guidance of Li Jingsheng.

It can cause arm bone fractures, and the trauma is naturally not minor.

It can be seen that the patient's left arm has scary bruises. According to his description, he was hit by a door opener while riding his bicycle. Fortunately, he was wearing a helmet. After going to the hospital for examination, it was found that only his left arm suffered a serious fracture.

The other parts are just scratches and are not a problem.

Although I say it's not a problem, the abrasions on my knees, wrists, etc. are actually quite serious.

Superficial injuries that damage the dermis are not easy to recover from.

It may take as little as a week or more, or as long as more than half a month. And infection must be prevented.

The most terrifying thing is the occurrence of scar hyperplasia.

Some people have a scarring constitution and are prone to scar hyperplasia after epidermal injury. Parts such as the knees are high-risk areas for scarring.

Later treatment will be difficult beyond imagination.

An injection costs several hundred, and the cost of treatment may be more expensive than treating bone injuries.

"Teacher, let me set his bones first and then do traction. Do you think that's okay?"

"fine."

Doctor Xu nodded in confirmation.

"Dr. Chen, please be my assistant later. The main task is to maintain the stability of the traction, and then gently swing the distal end of the fracture. I will remind you in which direction to swing."

Li Jingsheng saw that the opportunity was rare, so he no longer looked forward or backward and directly took the lead.

Anyway, with Dr. Xu standing by, I'm not afraid of messing up.

"No problem, no problem."

Dr. Chen is extremely eager for every learning opportunity.

This opportunity to get started is even more precious to him.

What's more, this patient's fracture is very serious and the reduction is extremely difficult. If he can participate in part of the actual operation, I believe the benefit will be greater.

At this moment, Dr. Chen was as happy as an intern who got a chance to retract the hook in the operating room.

Li Jingsheng began to reset the patient.

After touching the bones again and constructing a bone map in his mind, he used traction, extension, rotation, flexion and extension and other advanced bone-setting reduction techniques to successfully connect the patient's broken bone ends.

However, this kind of reset still cannot reach the ideal docking state.

It is impossible to achieve a tight fit between the two ends of the broken bone.

Even if Dr. Xu performs it, it is impossible to set the bone in place in one go.

"Dr. Chen, give traction to the patient's left hand! I use both hands to fix the fracture that has been initially reduced."

"good!"

Dr. Chen was already prepared, and Dr. Xu was by his side, giving him the rare opportunity to carefully guide Dr. Chen on some essentials of traction operations.

Soon, the towing was completed.

As the steel cable continued to tighten, Li Jingsheng felt the tension.

"Stop, stop! This strength is just right."

Feeling that the pulling force was almost there, he quickly shouted to stop.

"Dr. Chen, try swinging the patient's left hand left and right, but not too hard."

It would be better if this operation is done by Dr. Xu.

Although Dr. Xu is not in good physical condition, there is no problem at all with this kind of strength.

But Li Jingsheng did not call Dr. Xu, but gave Dr. Chen some opportunities to get started.

There are obvious differences between him and Dr. Xu in terms of ideological concepts.

Dr. Xu keeps his skills very tight and is very taboo about spreading his bone-setting skills to many people.

Li Jingsheng felt that if medicine wanted to prosper, it must pass on these advanced medical skills from generation to generation.

Dr. Chen is very attentive.

Carefully swing the patient's left hand while trying to keep the traction stable.

It can be seen that he cherishes this training opportunity given by Li Jingsheng.

"The strength can be a little stronger."

Li Jingsheng can understand Dr. Chen's caution.

As the patient swings his left limb, the bone fricative sound can be heard clearly.

Li Jingsheng concentrated on feeling the connection between the two ends of the patient's broken bone through bone palpation.

"Okay, very good, then rock gently back and forth."

The bone fricative is slowly decreasing.

"Swing it from side to side again, but don't make it too big."

"A little smaller."

…

Finally, the bone fricative sound produced by the patient's fractured end had completely disappeared.

"The cooperation was great, and it was finally connected. Bring me the splint and help him fix it!"

After the manipulation is reset and connected, if it is not fixed, it will be in vain.

This time, Dr. Chen didn’t need anyone’s guidance when it came to splinting.

Because what he does most is splints and plasters.

The specific fixation method to be used is flexibly determined by professional doctors based on the situation.

After the splint was completed, Li Jingsheng felt the bones to check the effect of the reduction technique.

Quite satisfied.

The bone line at the broken end of the fracture is almost invisible.

This shows that the osteosynthesis reduction was very successful.

"Teacher, please check it."

Li Jingsheng said to Dr. Xu.

Dr. Xu touched the patient's broken end of the fracture, then fixed the splint at the fracture with one hand, and gently tapped the distal end of the fracture with the other hand.

Fortunately, he was given anesthesia, otherwise the patient would have fainted from pain countless times.

"Xiao Li, please touch me again."

After Dr. Xu finished the percussion, he asked Li Jingsheng to touch the patient's bones again to feel the changes in the fracture site.
To be continued...