When Dr. Pan entered the operating room, the operation had just begun.

Dr. Cha and Dr. Cui were watching from the sidelines and nodded slightly when they saw Dr. Pan coming in. To Dr. Pan's surprise, Lu Runbing, the deputy chief physician of the Department of Hand Surgery, was also in the operating room.

Dr. Pan gave a brief greeting and then looked at the operating table. He felt a little lucky in his heart. It was a great honor to see the international expert Dr. Kevin and this mysterious expert perform anterior cruciate ligament reconstruction.

Dr. Pan also wants to know how far he is from these famous doctors.

Since he is a CBA player, he was extremely well prepared before the operation. Anteroposterior and lateral X-rays of the knee joint were taken before the operation to rule out bony abnormalities.

At the same time, an MRI examination was performed to confirm the diagnosis and check for any associated injuries.

After the anesthesia for the entire operation, spinal anesthesia was performed, the anesthesiologist stepped aside and watched this operation very attentively. After all, the lineup of this operation was very large even in Zijingang Hospital.

Rare.

After the anesthesia was completed, Tanglou was completely in the zone. He didn't have any stage fright because he was in someone else's hospital, nor did he have any panic because his assistant was Kevin, an international expert.

Here in Tanglou, he is just an obedient assistant without a name.

"Adjust to the supine position, with the knee joint drooping and the edge of the bed..."

Tanglou gave the first order directly without any courtesy. Dr. Kevin offered to be his assistant without any complaints.

"Scalpel..."

Tanglou still had a serious and fast surgical style. After receiving the scalpel, he directly started the routine bilateral knee surgery, followed by tendon incision and tibial tunnel entrance.

In less than three minutes, the incision and exposure were completed.

"So fast."

The doctors who were watching, except for Dr. Cha and Dr. Cui who had met once and were somewhat mentally prepared, all sighed in admiration.

Especially Director Lu of the Hand Surgery Department, who had weighed it in his mind and realized that even he himself could not do it at such a speed. The key was that Tanglou had done more than a thousand cases in terms of speed and accuracy in selecting incisions.

The next step was to prepare the transplant. Seeing Tanglou's operation, Dr. Pan and Director Lu were a little unbelievable:

"Is he going to use artificial materials?"

"Director Lu is indeed very discerning. This surgery is indeed prepared to use artificial materials. It is the third generation material optimized by Dr. Tang and Dr. Kevin. It can also be said to be the first LARS artificial ligament in the General Surgery Department of Zijingang Hospital.

.”

Dr. Zha was also very proud to say that after all, he organized this surgery. Although Tanglou and Kevin were invited to perform the surgery, it was indeed performed at Zijingang Hospital.

Even Tanglou didn't know that this was a far-reaching operation.

If Cheng Jian knew about it, he might twist Tanglou's ears and give him a blow, maybe he doesn't want to have sex with Sisi. This kind of surgery should be performed in Hecheng No. 1 Hospital for the first time!

The difference between artificial materials, autologous tissues, and allogeneic materials is that they do not need to be pre-processed.

"Locator... drill guide pin..."

With the assistance of Dr. Kevin, Tanglou cleaned up the joint cavity, removed excess scars, and retained enough stumps at both ends.

Seeing the operation in Tanglou, Director Lu and Dr. Pan on the side had their eyes opened.

Dr. Zha participated in the entire planning consultation and began to explain to Director Lu and Dr. Pan: "Director Lu, you see, Dr. Tang is very particular about the residual distance of the stump in this step. The previous second-generation artificial graft

, one of the reasons why it is very easy to break in the later stage is that insufficient stump is retained, resulting in low biological fusion of the graft."

"The method proposed by Dr. Tang to retain the ACL stump affects the healing speed of the graft and at the same time retains the normal ACL vascular network in the stump, allowing graft vascular reconstruction. Moreover, the ACL stump can retain a certain number of mechanoreceptors.

(MRCs).”

Listening to Dr. Cha's seemingly understated description, Director Lu certainly didn't think it was really that simple.

It is said that it is the preservation of the stump, but in fact, what is more important is the complete separation of the vascular network and the non-destructive separation of the nerves.

This kind of operation has very high requirements for the surgeon. Not only must he be proficient in anatomical knowledge, but he also needs a pair of extremely stable and precise hands, as well as an almost inhuman concentration!

Director Lu sighed: "Even if I know about this reconstruction method, most doctors have been discouraged at this step. Even I need to study Dr. Tang's surgical videos repeatedly before I dare to carry out this surgery.

.”

As the deputy director of the Hand Surgery Department of Zijingang Hospital, his surgical skills are ranked among the best in the province. Even he has no confidence. This shows how amazing what Tanglou is doing now.

Dr. Pan nodded and was already shouting to the boss: 666!

Dr. Cha continued to add: “Preserving the stump can also improve the stability of the knee joint and the position sense test.”

While several people were discussing, Tanglou had already entered the next step.

Under the guidance of the locator, drill the guide pin from 15mm medial to the tibial tuberosity to the tibial insertion point of the anterior cruciate ligament.

"Core drill...graft..."

Tang Lou looked at the diameter of the graft and built a bone channel of the same size through the hollow bricks.

"What a steady hand."

Watching Tanglou's operation, several doctors also felt envious. A steady hand is a great advantage during surgery.

"The next step is to locate the femoral point of the cruciate ligament, which tests your eyesight and understanding of anatomy."

Director Lu watched without blinking. Then, the picture he had been looking for for a long time did not appear.

"How did he do it?"

Not only Director Lu, Dr. Pan, Dr. Cha and others were also a little surprised, this was too fast.

Even on the operating table, Dr. Kevin thought that Tanglou would be so fast. Did he have any special skills?

When Dr. Kevin was confused, Tang Lou seemed to see what he was thinking and explained:

"This is also a benefit of reserving the stump of the cruciate ligament. By positioning the stump, the intercondylar fossa is regarded as a clock dial. Since the patient's right knee is located at 10-11 o'clock, it passes through the tibial tunnel and is guided by the guide pin.

Use a hollow drill to drill a femoral tunnel of the same diameter, and then the pulling ligament enters the joint through the tibial tunnel and then into the femoral tunnel."

"So simple?"

Dr. Kevin was once again impressed by Tanglou's unparalleled experience.

"What if it's the left knee?"

At this moment, Dr. Kevin really acted like an assistant asking for advice.

Director Lu and others on the side also pricked their ears and listened very curiously. After all, this was the first third-generation artificial transplant surgery, so they had no idea about the secret.

After all, how could a normal person have such a simple and ingenious technique without undergoing hundreds of surgeries?

"Left knee, 1~2 o'clock."
Chapter completed!