Sports medicine is different from traditional open surgery, which requires relatively high operating skills. Originally, during the operation, the direction is more difficult to master.

Would you please slow down a bit?

You are only in your twenties and you still have a long time. Why are you anxious?

Your Professor Min Hong, Professor Li Dongshan, Zhu Lihong, and Chang Weilong have all greeted us. You don't need to rush for the surgery, as long as we can see it.

Why should you!

But when I think about it, something seems wrong.

Lu Cheng is not in a hurry now.

Being anxious means that the rhythm is chaotic, rushing, focusing on one thing and not the other.

Lu Cheng, on the other hand, has maintained this rhythm from the beginning, and it seems that he himself has fallen into this rhythm.

Methodical, meticulous and focused.

We don't pursue the extreme, but we take the necessary steps without any rush. We advance and retreat in a measured way.

For example, Lu Cheng is not obsessive enough to clean all the synovial membranes like a beginner.

For example, after he bit the meniscus, he did not rush to use the plasma electrosurgery to shape the stump of the meniscus, but re-examined the stability of the meniscus.

He knew that the previously ruptured meniscus might scar heal and adhere to the tibial plateau under long-term chronic stimulation, thus causing the meniscus to have false stability. Therefore, it is necessary to explore the stability of the meniscus again.

This is an operation that can only be done after you have done sports medicine and have a certain amount of experience.

Normally, beginners will be a little excited after completing all the surgical operations. When they are excited, they may forget about it, or they may not think about it at all.

Of course, the chance of this happening is very small, and it is generally difficult to encounter. However, as a mature and stable sports medicine doctor, he will show many details during the operation that ordinary people will find a bit redundant. Only truly professional people can

Some cumbersome actions that can be understood.

These actions are certainly not cumbersome.

Immediately afterwards, Lu Cheng again worked in the opposite direction from the lateral meniscus, medial meniscus, intercondylar fossa, cruciate ligament and infrapatellar bursa.

I took out the arthroscope and arthroscope sleeve, and then very skillfully squeezed out the remaining saline solution in the joint cavity.

Once again, I took some iodine complex and disinfected the surgical incisions on the two knee eyes, and then quickly sutured them up.

This kind of suturing of the incision does not require any experience, just hook it up directly, and there will only be a little scar left after the operation.

Then cover the surgical incision with sterile materials, wrap it with an elastic bandage, and call the anesthetist and circulating nurse to push the patient out directly.

In the middle of the process, Lu Cheng even forgot to call someone to pick up the next patient. It was Lin Hui who asked the circulating nurse to call the operating room duty room and ask the worker responsible for pushing patients to pick him up.

Therefore, after this operation is completed, it is estimated that there will be a rest period of ten minutes.

This operation, when I think about it from beginning to end, is not to mention how amazing it is. It is originally an extremely introductory operation in sports medicine, including knee arthroscopy + synovectomy + meniscus plasty + joint debridement.

I can't see anything particularly outstanding, but the entire operation process is very smooth and refreshing. It gives people the feeling that Lu Cheng is doing a light job and accumulating a lot of effort. His ability is far more than that, but he is still serious.

I'm doing this surgery.

"Sit aside and rest for a while. When the patient comes later, you will also prepare with us for the preoperative preparations for the next operation. This is also a test for you." Lin Hui said with concern.

After one sentence, he whispered again:

"The next surgery is also very simple. It's just a simple shoulder impingement syndrome. I will guide you to polish those areas. Don't worry."

"Well, okay, thank you, Master." Lu Cheng replied, and then he also found a stool, sat down, and looked eye to eye with the referee sitting opposite, his eyes calm.

I stick to the principle I learned from Cai Xuan: as long as you are shameless, others will be embarrassed.

It was only during this free time that the referees started communicating with each other.

Tian Jin from Shasha Central Hospital asked Zhu Lihong: "Xiao Zhu, this student is quite powerful. I heard he is just a graduate student in your department?"

Tian Jin is in his fifties. He looks very capable. He has a tall and thin figure, his hair is neatly trimmed, and he tilts his body to ask questions.

"Yes, Teacher Tian. He is a student in our department and quite talented." Zhu Lihong nodded with great respect.

In fact, before Zhu Lihong came to the Second Xiangya Hospital, he worked at Shasha Central Hospital for two years before taking the Ph.D. exam and finally staying at the Second Xiangya Hospital. Now he has become a leader in sports medicine.

Tian Jin used to be Zhu Lihong's superior, and it was at that time that he started to get involved in sports medicine, but it is still open to question who is doing better now.

After hearing this, Tian Jin thought about it and immediately said: "Xiao Zhu, if he graduates from graduate school in the future and wants to find a job directly, you should recommend him to come to us."

"Since you left, our Central Hospital has lost a general, and we haven't made up for it yet."

Oh haha.

Zhu Lihong trembled in his heart after hearing this, An Daotian, are you kidding me? Our director Min Hong stole this Lu Chengdu from Li Dongshan. How could he find a job elsewhere after graduation?

Even if you look for them, it’s not my turn to recommend them. Li Dongshan, Zhou Xuanqing, and Min Hong are not students all over the province. There are students who are now directors.

Zhu Lihong just nodded and said: "Xiao Lu is studying for a direct master's degree. I can't say where he will work in the future."

As soon as Tian Jin heard the word "direct doctor", he stopped talking. With a doctorate degree, he would probably be more likely to go to the Provincial People's Hospital. It was a pity.

As soon as Guang Qing heard this, he quickly became alert and asked hurriedly: "Brother Zhu, this Xiao Lu should be a professional graduate student, right?"

One thing everyone knows is that the requirements for formal employees of the Second Xiangya Hospital are very strict, and professional graduate students certainly do not publish as many articles as academic graduate students.

Therefore, if the Xiangya system cannot stay, the Provincial People's Hospital will definitely be the first choice for all doctoral students, unless they go to Shenzhen City on the coast.

The referees were sitting in a row. After hearing this, they said: "Xiao Lu's chances of staying in the hospital are still very good, but currently he has only applied for a small clinical project by himself, which is still a little bit worse."

"Xiao Ludu has only just entered school, so it's still early."

Guangqing felt MMP in her heart at that time.

Not long after I entered school, I applied for a small clinical project on my own. This is a little bit worse than Versailles, right?

If I hadn't been concerned about your identity, I would have asked you on the spot how many clinical topics are currently being dealt with in the Orthopedics Department of Xiangya Affiliated II? Putting the big and small together, can there be only three that have been approved?

Who is Min Hong? He is the person who is most likely to take the position of director of orthopedics in the next second term. He said that Lu Cheng has a high chance of staying in the hospital, which is almost a certainty.

Damn it.

It’s so unkind to not release all the talents in the province!

It's really unbecoming of someone to snatch people from outside.

"Ah, let's talk about it after Xiao Lu graduates." Guang Qing hit a soft spot and her tone became a little weak.

But after a while, Guang Qing's eyes lit up again, and then he whispered a few words to the other side, which immediately made Professor An and An Xueliang beside him light up.

Keep nodding your head frequently.

Tian Jin didn't hear Guang Qing's words and kept touching him, but Guang Qing remained silent for the time being, making Tian Jin helplessly roll his eyes in anger.

Soon, the anesthesiologist brought in the next patient.

This time, with sufficient preparation, Lu Cheng read the patient's X-ray and MRI in advance.

The surgeries of the shoulder joint and the knee joint are different, and X-rays must be taken for preoperative examination. Moreover, acromion impingement syndrome is actually caused by bone hyperplasia of the acromion, or acromion birth dysplasia.

The long-term collision between the acromion and the shoulder joint capsule causes wear and tear of the rotator cuff.

When symptoms are not severe in the early stage, it may just be pain and mobility impairment, but later it may develop into rotator cuff injury. In this case, rotator cuff suture and repair surgery is necessary. Such surgery is difficult to operate.

, it’s a little bit troublesome.

This is just to authorize Lu Cheng to see whether he has the authority to perform routine simple shoulder arthroscopy surgery. Lu Cheng will definitely not be allowed to encounter such surgery.

When reading the film, I saw the Type III acromion, the osteophytes protruding from the acromion, especially the lower part.

On the MRI, it can be seen that there is edema in the shoulder joint capsule, and there is something wrong with the biceps.

But the nuclear magnetic continuity is still there.

For shoulder joint surgery, the patient needs general anesthesia. Therefore, the anesthesia is administered very quickly. Before the patient is brought in, there is already an indwelling needle, so within a few minutes, a big man weighing 1,860 pounds can be completely brought down.

Already.

Lu Cheng and Li Hui hurriedly cooperated with each other to make preparations.

The preparation for shoulder arthroscopy is very different from that of knee arthroscopy. Shoulder arthroscopy requires the arm to be fished, and usually the lateral decubitus position or the beach chair position is used, but now more and more people use the lateral decubitus position, and

Not the supine position of the knee joint.

Therefore, it is also necessary to insert some cushions on the patient's abdomen and back.

After this, routine disinfection and draping are performed, sterile gauze is tied around the hand and then suspended, and a sterile film is applied to the outside.

Only after such an operation can the shoulder arthroscopy operation truly begin.

Both shoulder arthroscopy and knee arthroscopy require filling the joint cavity before starting the operation. However, there are many more common approaches to the shoulder joint than to the knee joint.

There are about ten conventional entrances.

Lu Cheng chose to insert the needle from the posterior approach to fill the joint cavity.

The posterior approach is often used as an observation approach and is the first approach established in shoulder arthroscopic surgery. It is located about 1.5 cm downward and 1~1.5 cm inward from the posterolateral edge of the acromion, which is the "soft spot" behind the shoulder joint.

Therefore, we must first find the acromion. Finding the acromion is the simplest basic skill for a sports medicine doctor. Lu Cheng just touched it a little and then inserted the needle along the posterolateral edge, 1.5cm below and inside.

Place your hand on top of the shoulder, press the coracoid process with your index finger or middle finger, press the soft point behind it with your thumb, rotate the humerus with the other hand, and feel the position of the glenohumeral joint line behind it with your thumb.

In fact, when beginners perform surgery, the most standard operation is to first draw the positioning of the body surface. However, Huang You, Chang Weilong and others from the sports medicine department of the Second Xiangya Hospital skipped this step, so they were not prepared for that.
To be continued...