ATPnovel Chapter 10 ACL Reconstruction Technique
Chapter 10 ACL Reconstruction Technique
"Recoba is here, Cambiasso's pass is so comfortable, the Uruguayan doesn't need to adjust his footing, doesn't need to stop the ball, he just swings his left foot and shoots!"
"Unfortunately, it didn't hit the target area!"
A group of people in the away stands covered their heads.
The trees below frowned.
Recoba was a bit too excited today, and his compensatory behavior intensified, which caused his shot to go astray.
"We still need to make some adjustments based on the application scenario," Lin Mu wrote in his notebook.
After 80 minutes of play.
Mancini brought on Cruz again. Although Cruz is not a regular starter, he often scores in crucial moments.
This time, they did not disappoint Inter Milan fans.
Injury time.
Cambiasso launched a long cross from midfield, Adriano headed the ball towards goal, but it was saved by the Palermo goalkeeper. Cruz followed up and scored on the rebound.
Inter Milan ultimately left Sicily with one point.
It is well known that Italian media outlets are just as fond of breaking football news as The Sun is of major scandals.
"Mr. Mancini, we understand that Recoba received treatment at the end of August from a doctor from San Raffaele Hospital who works with your club."
"Does Recoba's performance today prove that his recovery is progressing well?"
A reporter from Gazzetta dello Sport asked a question at the press conference.
Mancini didn't mind helping Lin Mu gain fame. "Yes, this doctor's name is Wood. He used to work at the Milan lab and is now our medical coordinator and part-time rehabilitation therapist."
"He made a great contribution to the treatment of Recoba."
Mancini also took the opportunity to vent his disgust on their city rivals, AC Milan.
A doctor who can restore Recoba to this level must also have considerable expertise in sports medicine.
Why did you leave the Milan lab?
Let the reporters dig deeper.
......
Lin Mu returned to Milan with 89 experience points and got busy again.
[Knee cruciate ligament reconstruction: Lv2 (98/100)]
Although his mentor was an expert in this type of technique, Lin Mu had never been able to figure out the trick before, partly because of a lack of experience and partly because of limited talent.
Now?
"System points added!" Lin Mu thought to himself.
Immediately afterwards, his "knee cruciate ligament reconstruction" went from "Lv2" to "Lv3". A huge amount of knowledge flooded into his mind, causing his level of expertise in this procedure to skyrocket.
"Wood, as I told you yesterday, we have a patient today. You know the details, right?"
"Roberto Mochini asked."
Lin Mu pressed his temples hard. "Understood, teacher."
The patient, Christian Victor, is an Italian national judo athlete. Two weeks ago, during training, he landed at the wrong angle with his right knee while performing the "Otogari" move.
Anterior cruciate ligament rupture.
It was also accompanied by a barrel-handle-shaped tear in the medial meniscus.
To this end, Lin Mu even learned about judo and what the big outright karatsu was.
I only understood after looking at the diagram.
The Big Outer Slash is a technique that sweeps the opponent backward.
The user's supporting leg, while bearing the weight of itself and its opponent, also needs to complete an outward rotation motion.
When the tibia rotates outward relative to the femur.
Then the cruciate ligament ruptures, which is quite common in the field of sports medicine.
"Okay." Roberto Mochini nodded.
......
Before long, the operating room was bustling with activity.
"If this were your first time seeing a patient, what would your diagnosis be: repair or excision?"
Roberto Mochini didn't forget to ask questions during his preparation.
"repair."
Lin Mu answered quickly, "The patient's condition hasn't reached the point where surgery is needed, and he's only 26 years old and an athlete."
I spent some time with Inter Milan.
Lin Mu can understand, to some extent, an athlete's pursuit of honor.
"Actually, many people can perform ACL reconstruction. But the difference between doing it well and doing it badly lies in the details, starting with arthroscopic exploration."
Roberto Mochini made frequent gestures while speaking.
On the screen of the instrument next to it.
The anterior cruciate ligament ruptured at its insertion point in the femur, and the stump was curled up in the intercondylar fossa of the femur.
Like a crumpled piece of paper.
Lin Mu made many judgments subconsciously.
"Then comes the most important part: tendon harvesting." Roberto Mochini knew his students were only average at this procedure, so he always repeated it tirelessly.
I hope that Lin Mu can inherit more of his mantle.
As he spoke, Roberto Mochini took the semitendinosus and gracilis tendons from the hamstrings on the same side as Christian Victor, folded them into four strands, and wove them into a "new ligament".
"Pay attention to the tension of the tendon, the evenness of the folds, and the position of the sutures."
Roberto Mochini continued.
Lin Mu watched carefully, and when it came to the preparation of the bone tunnel, he heard the teacher say, "You do it."
"Shall I?"
Lin Mu was stunned for a moment.
Pick up the hollow drill bit, align it with the guide pin, and start the electric drill.
That's why they say orthopedic surgeons need to be strong.
If there are automated instruments, it's fine, but for some procedures, you can only use a hammer to smash it or a saw to cut it back and forth.
An operation is no different from playing a 90-minute match.
Zizizi!
Bone fragments flew everywhere because the patient's "shinbone" was visible; Lin Mu's drilling was both steady and fast.
The scrub nurse was suddenly dumbfounded.
Is bone tunnel preparation really that simple? When other doctors do it, don't they have to make careful adjustments again and again?
They wished they could calibrate even a millimeter multiple times.
If the tibial tunnel is positioned too far forward, the reconstructed ligaments will collide with the top of the intercondylar fossa of the femur, preventing the knee from fully extending.
If it's placed too far back, the ligaments will be too loose, which would be a waste of time.
If the tibial tunnel is not positioned correctly, the new ligament will be too tight when the knee is flexed and too loose when the knee is extended.
At that moment, the other doctors who came to observe, as well as some interns, all looked at Roberto Mochini with blank expressions.
Roberto Mochini also fell into confusion.
He turned his head back and forth to look at the screen. The tibial tunnel was finished, 7mm behind the plateau and 5mm lateral to the intercondylar crest. The position was as accurate as it could be.
But when did my student acquire this skill?
"Teacher?" Lin Mu called softly.
"Oh, tibial tunnel complete, next, femoral tunnel." Roberto Mochini quickly regained his composure, deciding to ask questions after the surgery.
Lin Mu changed the drill bit.
Insert through the tibial tunnel and aim at the medial wall of the lateral femoral condyle.
Then everyone was dumbfounded again.
Roberto Mochini used a probe to examine the location of the tunnel and then confirmed through the endoscope that the angle at which it was flipped to the lateral aspect of the femoral cortex was perfect.
Roberto Mochini remained silent.
But when he glanced at Lin Mu's hand, he thought, "Damn it, I've done countless cases myself, and I still wouldn't dare to drill a bone tunnel like this."
A few hours later.
Lin Mu sutured the arthroscopic incision.
"Wood, is there something you haven't told me?" Roberto Mochini asked seriously.
"Teacher, I practiced at home before, and suddenly I felt it."
Lin Mu grinned.
However, other doctors just wanted to punch him when they heard that ACL reconstruction surgery could be practiced at home?
Roberto Mochini's eye twitched, too lazy to ask any more questions.
It was assumed that Lin Mu had been hiding his true abilities before, and after being humiliated in the Milan laboratory, he began to show his true strength.