Chapter 385 Who is more important, fingers and toes?
The doctors at home were called over.
Yan Shifan, the "First Assistant", went back to Huang Tan's hometown, while Bian Meng, the "Second Assistant", came with his uncle, Director Bian Pengfei, and Director of Orthopedics, Ma Shouli.
However, junior doctors such as Lu Mingqiu and He Chengxuan, who were trained in orthopedics, and Yang Tihao, Zhang Xingshun, and Wang Yuelei, who were trained in surgery, also appeared in the surgical emergency room in the shortest possible time.
These young doctors are actually lying in the dormitory and have not gone home to celebrate the New Year because they know that today is the day when Director Chen is on duty.
This is a sign of high emotional intelligence. Although Chen Qi never said what they were going to do, I was quite pleased to see that the young doctors below were so self-conscious and eager to learn.
Of course, he may have forgotten that he is only 24 years old on New Year's Day.
The car from Yue Steel Factory arrived soon. Zhu Shuijin's hands were wrapped in gauze, and he was helped out of the car by his father, Zhu Zhirong, followed by many workers.
The characteristic of large state-owned enterprises is that whether workers are working for work or for private reasons, the factory will do its best to treat them and work hard.
This group of people suddenly started shouting: "Doctor, doctor, save people quickly~~~"
Yang Tihao had been waiting in the yard for a long time. As soon as he saw the people arriving, he immediately shouted: "This way, this way, hurry up, we are all ready."
In the surgical emergency room
Chen Qi, Director Bian, and Director Ma all shook their heads when they looked at the two hands that were blown to pieces.
Especially when I saw two blown-off fingers, I felt even more chilled.
I saw that although the thumb of the patient's right hand and the index finger of his left hand had been brought, they were placed in an enamel bowl. Those who knew they were fingers, but those who didn't knew thought they were two pieces of rotten flesh.
To describe it this way, from skin to muscles to bones, it has been broken into countless pieces.
Even if the doctor had magical powers, he would still be helpless with such a pile of minced meat.
"Doctor, doctor, please save my son. He is a steel worker. He has only been working for a month. He is only 18 years old. He cannot be disabled~~"
Zhu Zhirong is also a good person. When he saw the doctors' expressions, he immediately understood that his son's fingers might not be saved. After all, he had also seen those fingers and knew that they were two pieces of rotten flesh.
But as a father, having traveled dozens of kilometers to Keqiao Town, I always have hope in my heart, even if there is only a glimmer of hope.
Chen Qi didn't say a word. His mind was racing with the possibility of replantation of the amputated limb. As a doctor, especially a director of the Foreign Society for Surgery of the Hand, Chen Qi's first choice was definitely not amputation.
As long as there is a glimmer of hope, he will not give up.
When he gently pinched his thumb on the enamel plate and wanted to take a closer look, the flesh on his hand shredded and his thumb fell off.
The meat is still in your hands.
This scene gave everyone at the scene a chill, but Chen Qi already understood that these two fingers were completely useless.
"The patient will take an X-ray first."
After the patient's family members hurried out, Chen Qi pulled all the doctors up, and everyone began to discuss the treatment plan.
Director Bian smacked his lips:
"The wound was seriously contaminated, the broken finger was in a pulverized shape, and the blood vessels alone had been broken into several sections, and the possibility of replantation was lost."
Wang Yuelei raised his hand: "If there is no chance of replantation now, can we do the allogeneic foster surgery in the first stage like last time, and then wait for the second stage to recover before transplanting?"
Director Ma shook his head and went over to take the two severed fingers:
"Come on, you all put on gloves and feel it for yourselves. Look here, and here, yes, the distal and middle sections of the thumb have been broken into countless pieces. On the other hand, the index finger, you see, the metacarpal body is jagged.
, from an orthopedic point of view, it is difficult to accept the job."
Several junior doctors took turns to check, but they could only shake their heads. Everyone looked at Dean Chen.
Chen Qi can create miracles from time to time. Everyone wants to see what clever tricks Dean Chen has to save his fingers in such extreme situations.
Chen Qi glared at everyone:
"What are you looking at? You can't transplant my finger to a patient, right? Besides, you have to consider rejection for allogeneic transplantation."
Yang Tihao was happy when he heard this: "Then he must have his own fingers to transplant. These are not leeks. If you cut one off, it will grow again on its own."
Several doctors smiled bitterly.
Suddenly, Chen Qi seemed to have caught some inspiration, and his brain was like a super computer, running at the fastest speed.
"My own fingers, my own fingers?"
Chen Qi spread his palms and thought over and over again. The patient's critical left thumb and right index finger were missing. Can the middle and ring fingers next to them be transplanted?
Everyone has five fingers, in terms of their respective functions:
The thumb is helpful for picking up, pinching, holding, taking, and fixing;
The index finger and middle finger complete the finger movement with the thumb to complete the action of removing objects.
The ring finger and little finger are generally only used to assist and control direction, cushioning fingers, such as making a fist, pulling, and pulling postures, and are fixed with the thumb, the index finger, and middle finger assist in exerting force, and the ring finger and little finger assist in orientation.
Of course, the little finger also has other uses: such as making picking movements, which other fingers cannot do. In short, each finger has its own role.
In terms of function ratio, the thumb accounts for 40% of the functions of the fingers. It is the most important finger.
It will be very inconvenient if you don't use your thumbs to do things, such as holding a kuai when eating, holding a pen when writing, brushing your teeth and holding a toothbrush. These common things in life will become very difficult without your thumbs.
The index finger and thumb work together and can be used to hold pens, turn pages of books, unbutton buttons, tighten screws, etc., so the index finger's function accounted for 20%.
The remaining middle finger also accounts for 20%, and the ring finger and little finger each account for 10% of the function.
In other words, each of the five fingers has its own role and specialties. They are all indispensable from the perspective of aesthetics and functional recovery.
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If your fingers cannot be transplanted, what about your toes?
Chen Qi looked at his feet again, as if he was looking through his leather shoes.
While Chen Qi was in a daze, patient Zhu Shuijin had returned from the imaging department. Zhu Zhirong was holding an X-ray film in his hand, sweating profusely.
"Doctor, the film has been released."
Several doctors quickly formed a circle with Chen Qi as the center, and started studying the films.
Director Ma is an orthopedic surgeon, so he explained to the young doctor:
"The patient's metacarpal body is well preserved. The two fingers are located on the distal phalanx and middle phalanx, especially the middle phalanx. You see, the wound is like a broken bamboo pole, with no regularity. Usually this kind of wound is
In this case, the only option is osteotomy and shortening."
Osteotomy and shortening surgery is to completely remove the missing or severely damaged bones, leaving only the proximal phalanges and suturing them.
Because the bones of the fingers are not one whole. For example, the thumb is composed of 3 bones, and the other fingers are composed of 4 small bones.
If one bone is missing, the finger will be shortened. Like Zhu Shuijin, only half of the thumb and middle finger will be left in the future, which means that these two important fingers will lose their function.
This consequence is unacceptable to Zhu’s family.
When Zhu Zhirong heard that his son's finger was hopeless, he knelt down without thinking:
"Dean Chen, I know you are a very high-level doctor and you also perform surgeries on foreigners. Please save my child. He is only 18 years old. How much does it cost for medical treatment? No matter what it means, we wish our family can
Bear it."
Chen Qi was shocked when he saw it. He thought, why are the master workers of Yue Steel Factory like the people in Huangtan Mountain, kneeling down at every turn?
"No matter what, why don't you get up quickly and let's think of a solution?"
At this time, Zhu Shuijin was bursting into tears beside him. When he saw his father, who was usually strict at home, kneeling down for others, how could he, as a son, endure it? He also burst into tears:
"Dad, I'm sorry, I'm just playful, I'm sorry for you, I'm sorry for my mother~~~"
"Son~~~"
The father and son held their heads in pain, causing several workers nearby to cry.
Seeing that the emergency room was about to burst into tears and that another family tragedy was about to happen, Chen Qi always felt that his heart was filled with panic.
Doctors, like men, cannot say "no". Suddenly a bold idea appeared in his mind.
Chen Qi's eyes unconsciously glanced at the patient's feet, and he went directly to take off Zhu Shuijin's shoes and socks.
Then, under the surprised eyes of everyone, regardless of the smell of the patient's feet, he picked up the patient's feet, looked up and down, inside and out, and looked at them carefully.
Zhu's father and son also forgot to cry, and they were both a little confused for a while.
I wonder if there is something wrong with this doctor? I injured my finger, why is he looking at his toes?
Director Bian and Director Ma are more experienced and have sharp eyesight.
Last time Zhang Xiaodong's hand was severed, Dean Chen also looked at his feet for a long time and finally came up with an allogeneic foster care and replantation technique. Could it be that he has a new idea this time?
Suddenly Chen Qi waved to everyone to gather around, and then asked several doctors, big and small, next to him:
"Do you think we can remove a section of this toe and transplant it to the finger?"
Zhang Xingshun suddenly shouted: "Wonderful, this method is so wonderful, why didn't I think of it?"
Everyone gave him a roll of their eyes and cursed in their hearts: "Flattery."
Director Bian’s expression was as uncomfortable as constipation:
"You mean, turning toes into fingers? Is this feasible? Besides, will this affect the patient's ability to walk? Will the gain outweigh the gain?"
The five toes have great flexibility during exercise. They mainly adjust the relationship between the metatarsal toes and other parts of the foot, playing a balancing role to adapt to changes in the foot.
Only with toes can people stand more firmly and have grip to walk more smoothly. Without toes, people cannot maintain balance when walking.
In ancient times, there was a kind of punishment. In order to prevent prisoners from escaping, the big toes were cut off, so that they could not run, let alone go to the battlefield to fight.
This shows the importance of the five toes.
Chapter completed!