The Sports Healer Starting from Milan

Chapter 68 Joint Surgery Begins

Today, Lin Mu's first assistant is Stephen, and his second assistant is Li Kangren's student.

The second assistant mainly assists the scrub nurse in counting instruments, gauze, etc., and in doing some preoperative preparations.

During the procedure, the surgeon is responsible for tasks such as retracting the retractor to expose the surgical field.

The job is very simple.

Lin Mu felt that everything was going smoothly at the Third Hospital.

Therefore, when Lee Kang-jen suggested that the students follow the stage to learn and gain some experience,

He agreed without much thought.

Zhao Ruirui was feeling a little uneasy in the hospital room.

"Master, yesterday you asked me what my expectations were for this surgery. Did you hope to get rid of the injury and illness completely from now on?"

"You know, every time I'm on the operating table, I think this way, but new and old injuries are always tormenting me."

Is there really any hope this time?

Zhao Ruirui looked up at Chen Zhonghe.

Chen Zhonghe forced a smile.

He wasn't entirely confident, but he had to be strong in front of his disciples.

If even he doesn't have confidence.

What kind of state must Zhao Ruirui have been in on the operating table?

He knew that Zhao Ruirui longed to overcome her injuries and fly again.

They have been working tirelessly to realize this dream.

Chen Zhonghe silently prayed to heaven.

Let's not let Zhao Ruirui go back to where she started.

"Believe in yourself, and believe in Dr. Lin."

Chen Zhonghe concluded.

soon.

Zhao Ruirui was wheeled into the operating room.

anaesthetization.

then.

Lin Mu stood beside the operating light, wearing a mask, his expression becoming incredibly focused.

"Surgery begins."

The "tibial intramedullary nail fixation" procedure that Lin Mu just upgraded yesterday is not needed for the time being.

But it's arthroscopic surgery.

He's got at least fifty legs, if not a hundred.

Not to mention the wealth of experience provided by the system.

In a flash, the arthroscopic inlet was cut open, and the arthroscopy was quickly inserted.

"The situation isn't too bad."

Lin Mu's words caused everyone present to twitch their eyes wildly.

The images from the arthroscopy were so chaotic.

This isn't too bad.

What does a really bad knee look like?

Lin Mu's answer was a knee joint like Batistuta's.

"Suturing the meniscus first, then removing the loose body together."

Lin Mu talked as he worked.

This time he slowed down, and Li Kangren could tell that Lin Mu was giving instructions during the surgery.

Triple combination surgery as a training course?

Only someone with a forest can probably make that.

Lee Kang-in's students even forgot how to manage their facial expressions.

But what shocked him even more was yet to come.

"The meniscus must be sutured carefully. If the red and white areas cannot be distinguished, it is best to remove it. Otherwise, the recovery will have the opposite effect."

Lin Mu said, "Current technology cannot achieve precise differentiation. We can only use 3D modeling or more complex methods. I have some personal experience that I cannot share."

Lee Kang-in didn't say anything.

The medical field is similar to the martial arts field of the past.

Everyone has their own special skills.

If you haven't entered the field, someone you can truly trust won't teach you real skills.

It's a pity that Lin Mu is no longer working at the school.

Otherwise, it would be much better to let the students go to forestry to pursue a master's or doctoral degree.

"As for why this is the order of surgeries."

Lin Mu never mentioned it at San Rafael Hospital, but he patiently said a few more words today.

"Knee arthroscopic debridement is performed with the knee flexed, while iliac bone autograft and intramedullary nail fixation are performed with the lower limb extended. This way, the intra-articular lesion can be treated first, and there is no need to change the position twice."

Some basic things may seem insignificant.

It is actually very important.

In fact, some surgical failures are due to problems with the basics and details.

"Of course, this is only the first level."

Lin Mu has already seen the third layer. "This can also prevent intra-articular bleeding and swelling from interfering with the treatment of the fracture site, and it also lays the groundwork for relieving joint compression after surgery."

Everyone was amazed.

"The meniscus sutures were completed, the cartilage microfractures were resolved, the hyperplastic synovium was removed, and the loose body was taken out."

As Li Kangren finished his explanation to the students.

That concludes the first procedure.

"Wipe your sweat."

Lin Mu took a slight breath.

have to say.

The nurses in China are quite efficient.

Lin Mu rested for five minutes and then changed Zhao Ruirui's position to a straight, neutral position.

Stephen then adjusted the tourniquet pressure.

"The next step is to harvest bone from the iliac crest."

Lin Mu gently shook his hand.

This is hard work. First, you make an incision to separate the periosteum of the iliac bone, and then you use a bone scalpel and a bone chisel to work.

Traditional bone knives look just like flat-headed awls.

Incredibly sharp.

Orthopedic surgeons have to use it with extreme caution.

And don't be fooled by the fact that Lin Mu's movements seem quite large.

Actually, he knows how to behave properly.

Lin Mu remembered.

The United States has developed an ultrasonic bone scalpel, which is much easier to use than a traditional bone scalpel.

It is only used in dentistry.

Why isn't it used in orthopedics?

Because ultrasonic bone scalpel products designed for dentistry are used when cutting spinal bone.

The low efficiency of bone cutting resulted in prolonged operation time.

So he was relegated to the sidelines.

Lin Mu heard that some medical companies in the United States are developing bone cutters specifically for use on other parts of the body.

Not long after.

Lin Mu then cut out the appropriate amount of cancellous bone blocks from the iliac bone based on the size of the nonunion area in Zhao Ruirui's bone.

The orthopedic doctors in the room were all exhausted from looking at it.

It's important to know that separating the muscles attached to the iliac crest is no easy task.

Moreover, Zhao Ruirui exercises regularly.

The gluteus medius and tensor fasciae latae are much more developed than in the average person.

A slight mistake could result in muscle tearing or damage to the lateral femoral cutaneous nerve.

If the latter occurs, it can lead to permanent numbness on the outer thigh.

As a result, Lin Mu quickly cut out the required iliac bone.

They could also understand why, at international medical forums, any doctor who had been to San Rafael Hospital would go to great lengths to praise Lin Mu's surgical skills.

Lin Mu instructed Stephen to trim the bone fragments into appropriate strips and particles according to the preoperative imaging data.

Then they began to sew up Zhao Ruirui layer by layer.

"How come I don't feel this tired even when I was operating on Batistuta?"

Lin Mu then asked the nurse to wipe his sweat.

He thought about it for a moment.

It might be because Zhao Ruirui is a compatriot and an important player on the national women's volleyball team.

This surgery is also related to whether he can make a name for himself in the domestic sports world.

Significant.

Lin Mu cleared his mind of distracting thoughts.

The next step is to address the nonunion.

The so-called nonunion of bones.

It is a disease in which bones cannot heal normally; more than nine months after a fracture, the bone has not yet healed.

Because under normal circumstances.

A person can recover from a fracture in three months.

If it doesn't heal within three to six months, it's called delayed healing; if it doesn't heal within nine months, it's called nonunion.

Cases like Zhao Ruirui's, involving a second fracture, are more complex.

Make a longitudinal incision along the original tibial fracture scar of Zhao Ruirui.

It's like cutting the iliac crest.

The area where the fracture has not healed has been exposed.

"Ugh."

When everyone saw that the nonunion site of Zhao Ruirui's bone had formed hardened fibrous tissue and closed medullary cavity bone, they couldn't help but gasp.

If the first surgery goes well, or there is no secondary fracture.

It won't be so serious that domestic doctors are afraid to take action.

"I don't know why Dr. Lin chose to have a bone graft first and then fix the intramedullary nail..."

People started discussing it in hushed tones.