Chapter 143 The first snow in five or six years, a busy day(2/2)
All these people gathered at Xicheng Hospital, and there were more injured people.
In one morning, Zhang Yan treated seventeen or eight patients with fractures.
The most serious one is a femoral neck fracture.
The femur refers to the human thigh bone, and the femoral neck is the connection between the femur and the pelvic bone.
If you fall on your buttocks, the most vulnerable parts to be injured are the femoral neck and pelvis.
Femoral neck fracture and poor reduction can easily lead to femoral head necrosis.
And this location is very special, as it is the connection between the upper and lower limbs.
Later recovery is also very troublesome, and you may touch the fracture site accidentally.
Eighty percent of the symptoms of femoral head necrosis occur during the later recovery period because the patient accidentally displaces the fracture site, which in turn leads to femoral head necrosis.
For such a patient, Zhang Yan no longer insisted on using traditional Chinese medicine orthopedic techniques for reduction.
Although, this patient's femoral neck fracture was not displaced.
There is no problem with conservative treatment.
However, the external fixation method cannot guarantee that the femoral neck will not undergo secondary displacement during later recovery.
Once displacement occurs during the subsequent recovery period, it may cause femoral head necrosis.
Therefore, Zhang Yan chose the bone internal fixation method of orthopedic surgery.
Also called open reduction and internal fixation.
It means cutting the skin and muscle tissue, then placing steel plates and steel nails to fix the bones, and then taking them out after the bones have healed.
Of course, for the elderly, there is no need to take it out and they can just live with the steel plates and nails.
Children who are still growing must be removed, otherwise it will affect bone development and lead to bone development deformities.
After the operation, Zhang Yan pulled out the needle, explained the condition, and arranged for the Army to send the patient to the ward.
This is the biggest surgery he has done today.
After finishing this one, there were still several injured waiting behind.
There are no other doctors who can perform fracture reduction surgery.
The key point is that in this era, the fracture treatment methods of Western medicine are basically open reduction and internal fixation.
Chapter completed!