"It's just a joke." Hu Xuan replied angrily, but his voice was obviously much lower.

He knew that he would definitely be scolded for thinking this way, but he just said it with a glimmer of hope.

"I'm just kidding too." Huang You immediately changed his expression to normal and hospitable.

Min Hong was depressed there. Min Hong's attainments in sports medicine were indeed not as good as these two, and the qualifications of these two were much higher than him. You can't compare your best joint surgery and

They compare, after all, other people's joint surgery is not bad.

As soon as Hu Xuan stimulated his sap, he felt unhappy, so he could only feel unhappy in his heart, even if he said nothing.

I sighed and thought, anyway, now that I am in my prime and you, Professor Hu, are about to retire, I will be generous enough not to argue with you.

Continuing to look at the operation, Guang Qing from the People's Hospital immediately changed the subject and said, "Professor Chang's surgery was really smooth. Look at how he handled the stump of the biceps tendon and the supraspinatus muscle.

There is no sense of blockage at all."

"I really can't believe that we can handle these two difficult things so smoothly under arthroscopy."

Hu Xuanyi immediately raised his head and said: "The field of view is good enough, the assistant is good enough, and the difficulty does not increase too much when doing it under open conditions. If you don't believe me, why don't you ask the assistants on the stage to replace it with a few graduate students?"

At present, he is still the leader of the arthroscopy group. You have to see it clearly. Before the handover baton is handed over, Appendix 1 is still the leader. Is it officially recognized?

Huang You laughed when he heard Hu Xuan speak: "Professor Hu, why don't you try it with a few graduate student assistants?"

Obviously hearing these words is harsh. Isn't it just that I have recruited a few good students in the past few years? The difficulty has not been increased much. Are you going? You should go, it seems like no one can see it.

It's like I don't understand.

"Professor Huang is in Annex 2. Do you want me to come for consultation and surgery? Send the consultation slip to Annex 1 and I'll be there right away." Hu Xuanyi is not someone to be trifled with.

Not quite used to it.

Hey, how can you, Huang Youqi?

Xiangya Hospital is the place of origin. It has developed a few years longer than your Second Hospital, and it has developed faster than you in recent years. Even if you are good enough, can you sustain the world?

Why are you so angry?

Huang You suddenly hit a wall and said, "What is the consultation sheet? It seems that it has never been used before."

"Hey, I seem to remember whether it was 13 years or 12 years ago. Then the Xiangjiang Daily said that a certain professor from Jishuitan Hospital in Kyoto came to Xiangya Hospital to provide guidance and completed the first operation?"

"Professor Hu? You must still remember it, right?"

When sports medicine first emerged, Xiyi had a lot of 'communications' with the outside world in order to develop rapidly. At that time, Huang You just felt that it was a bit shameful to ask outside experts to perform surgeries, and it was not like he couldn't do it himself.

It's just that in this way, an expert may have more skills, and communication can make people more progress. Therefore, in terms of teaching, there is a lot of competition with Xiangya Hospital.

But Huang You did not seize this point and ran against Hu Xuanyi many times, only a hundred times. No, no matter how many experts you invite to teach, I will still catch up. We here have self-knowledge.

, don’t do anything you don’t know how to do, be self-reliant and self-reliant.

Iron Rooster's Onmyoji.

Hu Xuanyi's mouth twitched: "That's called communication. Is it embarrassing to ask for consultation? Is it embarrassing? It's mutual learning and mutual promotion. Just because you think you can save face by doing research alone, don't Jishuitan invite experts and consultation?"

"Anyway, I haven't invited you. I don't know about the others." Huang You hummed, very old-fashioned, he just liked to see Lao Hu like this, tut tut tut.

One bottle of wine is definitely gone.

But it’s okay if you feel happy.

Huang You had made an agreement with Hu Xuanyi before that if Huang You used this to make fun of him, he would do so one bottle of wine at a time.

Huang You agreed painfully, so he only lost about a hundred bottles of wine, just for fun and pleasure. In fact, both Huang You and Hu Xuanyi knew that although Xiangya's sports medicine is developing very well now,

However, it is slightly behind Jishuitan, the Third Academy of Kyoto, the Magic City, and even West China.

It is still because the development is not fast enough, and to develop rapidly, young people must be developed. This is also the origin of the sports medicine competition. Although the two people were noisy, from the beginning to the end, they thought about seizing the older generation to break through.

The Xiangya brand came out.

It took a lot of effort and we discussed it over a hundred times over drinks.

"Stop talking, now the operation has reached a critical point." Dong Zuolin was too lazy to pay attention to the quarrel between the old couple. He was a hardcore bastard anyway.

No matter who produces the wine, he also produces the meat, or just hangs out like that.

If you have something, eat it if you know it.

In private, Hu Xuanyi and Huang You called him Lao Zhu, why not Lao Dong? Because pigs are thick-skinned.

But when Dong Zuolin said this, both of them stopped talking, and then moved their eyes to the display screen of the arthroscope.

When the rupture of the biceps tendon occurs simultaneously with the rotator cuff injury, this is a golden indication for biceps tendon transposition. The key to this surgery is to remove the biceps tendon and supraspinatus tendon.

All fixed on the humerus!

This step is particularly critical. You must know that re-fixing the tendon is not as simple as suturing it. Under the strong pulling force and tension, if the location of the nail is not selected correctly, it will snap and break from the middle, then this

If you don't perform surgery, you will move towards an unknown and terrifying place.

Tendons are also very brittle, so in this case, it is best to drive two nails in at the same time, which is the best choice.

Chang Weilong chose to operate the supraspinatus tendon first.

The supraspinatus muscle originates from the supraspinatus fossa and travels outward under the coracoacromial arch to the small bone surface of the uppermost part of the greater tubercle of the humerus. It is closely combined with the joint capsule to form the top of the rotator cuff and the bottom of the subacromial bursa, like this

The anatomical location determines that it is most susceptible to injury under acromial impingement syndrome!

The supraspinatus muscle is originally located on the greater tubercle of the humerus, and after fixation it will return to its original shape.

At this time, Chang Weilong immediately called the circulating nurse to bring over the expander and rivets. He needed to suture the supraspinatus muscle first. The suturing method of the supraspinatus muscle is currently the most popular and most effective treatment method.

The fixing method of double outer row nails.

This requires placing the rivet 15-21mm distal to the greater tuberosity, and then using suture bridge technology to create a double row of positioning holes.

"Hole punch." Chang Weilong shouted.

This is a routine rotator cuff suturing procedure, so the handwashing nurse has already prepared it and brought it over.

This punch is not electric, but manual, because the expander will not allow electric instruments to enter.

First, implant two inner rows of rivets

.

This requires the use of a surgical instrument, Scopion.

This kind of instrument has a curved needle head, which is much lighter than traditional suturing with ordinary straight needles.

This step is key.

If the thread of the rivet cannot pass through the rotator cuff, it is equivalent to the thread connecting the two nails, fixing a lonely place.

This operation requires very high sensitivity and high concentration.

After the two threads were taken out from the shoulder joint entrance through the green thread, they were inserted into the Scopion needle hole. Then Chang Weilong passed through the suture exit position and inserted the Scopion needle (note: below, we use suture

needle instead) is delivered into the shoulder joint.

Zhu Lihong already knew what Chang Weilong meant, and immediately pulled the supraspinatus tendon closer to the greater tubercle without any instructions, and also exposed the most suitable position for inserting the needle.

At the same time, Lu Cheng also placed the camera at the farthest but most comfortable viewing position, without blocking Zhu Lihong's pliers or Chang Weilong's stitches.

"This combination is so comfortable. The three of us seem to be one person." Guang Qing sighed, wishing he had such an assistant.

Everyone else looked at him, and what they said in their eyes was that you have said it for the second time, pay attention.

With sufficient operating space and vision, the suture needle quickly penetrated into the tendon of the rotator cuff.

After threading a needle, Lu Cheng immediately used the grasping pliers with his other hand to catch the thread that was delivered.

This operation takes less than three seconds.

Chang Weilong was stunned at the time. He thought he had seen it wrong. He shook the needle in his hand and saw that Lu Cheng had indeed pulled the thread very firmly.

This technique? This speed, Chang Weilong had a lot of questions in his mind.

During this process, what a normal sports medicine physician should not do is to first expose the grasping forceps to the field of vision, then move it to the point past the tendon line, and then compare it left, right, front and back.

Open the pliers again, bite it, and then pull it to test. If both sutures can be pulled out, it proves that they have been pulled out. Will he then withdraw the needle?

how?

What if you don't play according to the routine?

Lu Cheng thought Chang Weilong didn't see clearly that he was done, so he pulled back again, reminding Chang Weilong to withdraw the stitches, since he had already grasped it.

The corners of Chang Weilong's mouth twitched a little at that time, one by one, and he thought to himself, young man, you still urged me to come?

Zhu Lihong was also a bit stupid. He was ready to take the grasping forceps from Lu Cheng's hand and do it himself, but he didn't even have the chance to speak.

The surprise outside the scene directly silenced all sounds, even the sound of breathing.

The surgery continues.

Pull the remaining thread in and out again. Then use the same method to fix the other two strands of the other rivet to the tendon.

The entire operation process was very refreshing and took less than eight minutes.

But in fact, this is one of the most time-consuming and difficult points in the rotator cuff suturing process.
To be continued...