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Chapter 398 Meeting with old classmates!(2/2)

Lu Cheng didn't call anyone else.

After applying the tourniquet, Lu Chengcheng proactively asked to lift his leg, giving Pang Lin the opportunity to disinfect.

At the same time, after disinfecting and draping, Lu Cheng asked Pang Lin to start debriding and suturing. He directly acted as an assistant, and then paid great attention to the way he spoke, step by step, changing the tone of instruction into a tone of discussion.

Guiding Pang Lin's operations.

When the anesthesiologist saw this, he glanced at Lu Cheng a few more times and instantly became energetic.

He even gave him a squint. He thought Lu Cheng was a novice before.

However, after listening to the conversation between the two, he knew Lu Cheng's identity, so he listened carefully to Lu Cheng's speech.

The more I listened, the more I admired Lu Cheng. He understood some things so thoroughly that even he, who had been practicing anesthesia for almost seven or eight years, could understand it.

This is a kind of ability and realm,

A heavy weight is a light weight.

After almost half an hour, Pang Lin finally happily separated out the anterior and posterior tibial arteries, the accompanying veins and the popliteal nerve. He happily discussed with Lu Cheng: "Brother Xiao Cheng, this patient's

I was so lucky, the fractured end of the tibia was just 0.5 centimeters off, and the leg was about to be amputated."

"It's up to you to do the rest of the operation, I don't dare to do it anymore."

Pang Lin saw that the broken end of the fracture was hidden at the intersection of the popliteal nerve, tibial nerve, and superficial and deep peroneal nerves, and he took the initiative to put down the electric knife to stop the bleeding.

Lu Cheng didn't delay, and quickly took over the hand, then gave the position of the retractor to Pang Lin, and said, "Here, help me pull this muscle apart, yes, that's it."

"By the way, bring this piece of tape with nerves on it too."

"Attention, don't move!"

Lu Cheng immediately pulled out the distal fracture edge of the separated tibia from the nerve plexus with quick eyesight and hands, narrowly avoiding all the nerves.

Immediately afterwards, Lu Cheng grabbed the patient's ankle with his left hand, and with just a slight tug, the patient's foot automatically returned to its position and rotated as if by magic. Lu Cheng just gently moved the distal fracture edge toward the ankle.

The proximal end of the fracture is sent away.

The fractures at both ends were immediately reduced, leaving only a fracture line of only a few millimeters. The rotational displacement seemed to be completely reduced at this moment.

According to the Department of Surgery and Orthopedics, as long as the patient's lower limb fracture is not angularly displaced or shortened, and the broken ends of the long bones can be butt-jointed by one-third, the standard for functional reduction can be achieved.

Lu Chengcheng had already exceeded his limit in just ten seconds.

When Pang Lin's pupils shrank, he couldn't help but said: "Brother Xiaocheng, you are really awesome. Thank you for giving me the opportunity to debridement."

Pang Lin used Lu Cheng's action. How could he not know that Lu Cheng had deliberately given him the opportunity to do it? Otherwise, the operation might have been completed.

Lu Chengcheng said: "That's because you have done well enough, which shows that you still have a deep theoretical foundation."

"Help me get the spinal muscle tissue expander. Now that the broken end of the fracture has returned to its original position, the nerves and blood vessels that were stretched before do not need to be stretched anymore. After the expander is opened, you are responsible for fixing the fracture.

The proximal and distal ends. I'll put in Kirschner wires and fix them temporarily first."

Indeed, if Pang Lin's hands were not steady enough, he might have received the surgery earlier.

Given the opportunity to give in to the previous operation, Pang Lin immediately did it.

The spreader stretched the muscles of the posterior tibial muscle group well, exposing the fractured end. Then Lu Cheng said: "Pang Lin, use your left hand to fix the proximal end of the tibia, and bring it a little outward.

The force of external rotation and the force of internal rotation and adduction of the right hand pull the distal end of the fracture."

"You don't need to use too much force, just keep the fractured end in place, and I will temporarily fix it with two Kirschner wires."

"You can then start applying the external fixator."

Pang Lin nodded frequently and did what Lu Cheng had done before finally reacting and raising his head to look at Lu Cheng: "Me? Do I need an external fixator?"

"What are you afraid of? The blood vessels and nerves are all exposed. What does it matter about how to apply the external fixator when you can see it?" Lu Cheng smiled, and then quickly crossed and inserted two K-wires.

Pin, after fixing the broken end of the fracture.

Then he said: "You can let go now, Pang Lin!"

Pang Lin was actually still immersed in what Lu Cheng said, what does it matter about how to install the external fixator?

Pang Lin could only say guiltily: "Brother Xiaocheng, I'm sorry, I don't know how to use an external fixator! I've never seen one before. I've been staying in the bone oncology department for so long."
Chapter completed!
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