Chapter 810 Is my Dr. Xu great?
Lin Xie didn't know that his M-shaped hair loss had been attacked, so he looked at Xu Qiu happily: "It's a big deal, hurry up."
Jiang Dong'er on the operating bed swallowed her saliva. She was so nervous that she felt weak all over and wanted to speak, but she had been inserted into a tube.
I can only express my panic in my heart with trembling eyes.
When Xu Qiu came to the stage, he could see Jiang Donger's psychological activities at a glance. He smiled gently and said softly: "Don't worry, you can get rid of the disease after waking up after sleeping."
Hearing this comfort, Jiang Dong'er's eyes turned red and her nose became sore quickly, and she had the urge to cry.
"Don't cry, don't cry, be strong, just treat us as massage technicians, we are helping you with spa when you are asleep!" Lin Xie joked happily.
Xu Qiu's eyes moved slightly and looked at Lin Xie... What a new way of saying, is this the experience of the old doctor?
"Bah, don't say such dirty words, don't mess with our Dr. Xu!" The young instrument nurse immediately pooped.
The long-term tour nurse has already smiled.
While waiting for anesthesia, many people looked at the tibial prosthesis that was prevented and treated not far away.
This is the rubber artificial bone brought by Lin Xie. More importantly, it is actually the crystallization of Xu Qiu's scientific research, but except Lin Xie and Xu Qiu, others present basically have no idea about it.
"Doctor Xu, can you disclose it?" The instrument nurse cast admiring eyes.
Xu Qiu raised his chin and gave the opportunity to perform to Lin Xie.
Lin Xie held his head up and his chest was not as good as an old professor. He said, "If you want to talk about this rubber artificial tibial prosthesis, then there will be more designs!
"First of all, the raw materials. This is where rubber artificial bones cost the most. Before the production support, the cost of a single bone would be more than 100,000 yuan. For example, a large femur may cost about 200,000 yuan, and other bones will be
More.
"It is said to be a new material, but it is actually a combination of polylactic acid and hydroxyapatite. However, it is not accurate to say that it is an old material, because Dr. Xu proposed a variety of new treatment processes including superdispersion technology, including
By adjusting the monomer ratio, molecular weight, etc., the plasticity, stability and softness of the material are regulated to a perfect level, achieving the best balance between the three!
"The other is the composition of the prosthesis, which mainly has three parts.
"The rubber artificial bone-type intramedullary needle is designed in the proximal end of the tibia. The bone segment is a smooth titanium alloy component, and the tibial articular surface is printed and produced using 3D technology. Both the surface of the tibial joint and the lower part of the flap joint are both.
A large number of porous metal bone beam structures have a porosity of about 70%, and a size of 600um, which can provide the maximum space for bone growth..."
“…”
While introducing, Lin Xie glanced at the people around him and was surprised to find that everyone had cast a more admirable look at Xu Qiu.
...It turns out that I spent a long time talking. You all admire Xu Qiu and no one cares about me!
Lin Xie stopped silently.
"Why don't you talk about it anymore, I help." The instrument nurse said in confusion...Don't pause bgm.
Lin Xie had no expression on his face: "Doctor Xu, start the surgery quickly..."
At this time, the anesthesia was just completed.
Xu Qiu nodded and recalled Jiang Donger's medical history in his mind.
The proximal end of the tibia of the left leg showed radioactive elevation foci; MRI showed that the dry tibia was occupied at the end of the left tibia, which tended to be malignant, and the possibility of osteosarcoma; the pathological confirmation of "left tibia proximal biopsy" was performed under local anesthesia: it was in line with small round cells
Osteosarcoma.
The preoperative surgical plan is very clear: the tumor is resectioned, the infiltrated tibia is removed, and the 3D printed prosthesis is used for replacement.
To this end, Xu Qiu, the emergency department, the orthopedic team, and Lin Xie, specially designed a movable knee prosthesis for Jiang Donger to reconstruct the proximal tibia and knee structure...
And Xu Qiu also trained eleven times in the simulation operating room.
Received a large number of system rewards.
Including a 3% reduction in risk, an increase in surgical success rate by 4%, a decrease in surgical injury by 8%, a decrease in tumor recurrence by 3%, etc.... The buff is simply superimposed to the extreme.
If you fail again, you will be impolite...
Regular disinfection.
Laundry towels.
Top tourniquet, pressure of 350mmhg.
After these were completed, the scalpel in Xu Qiu's hand finally fell down. He cut the skin vertically along the center of the knee joint, carefully separating the subcutaneous tissue.
Ichishe helped Lin Xie to quickly and quickly pull the flaps on both sides to fully expose the surgical field.
Although he is an assistant, he is also an experienced skeletal reconstruction expert. He has the right force when pulling the hook, avoids the muscle extensor device, etc., and does not block Xu Qiu's vision, nor does he interfere with the next step of the surgery.
"Awesome." Xu Qiu commented lightly.
We have to use the old professor, like Shi Pity, Wang Fan and others can't do this level.
Lin Xie curled his lips obliquely... I also praised you, a young man. When you were born, I was already a big shot in the field of bone reconstruction.
Although he muttered in his heart, Lin Xie couldn't help but rise, and he was even about to laugh.
"Prepare to separate the outer soft tissue." Xu Qiu reminded.
Before he finished speaking, he saw Lin Xie put on his posture, so he did not delay and quickly separated the proximal joints of the tibia and fibula with a periosteal stripper.
This step is a very important point in tibialectomy.
After the joint proximal to the tibia and fibula are separated, the small fibula head is no longer bound and can move freely on the tibia.
At this time, the fibula head can be removed or the joint proximal to the tibia and flap can be disconnected to provide subsequent surgery for the need for tibial osteotomy reduction.
Without any hesitation, Xu Qiu chose joint rupture proximal to the tibia and pharyngeal. The surgery in this place can avoid the common peroneal nerve, and the chance of injuring the nerve during the operation is very small.
The other is not impossible, it is just that there is no obvious advantage and no need to choose.
"continue."
The periosteal stripper gradually peels the periosteum along the proximal tibia.
Then, Xu Qiu used an electric knife to mark a plane two centimeters away from the tibial platform.
Lin Xie widened his eyes slightly, and his expression betrayed his surprise.
This is OK?
Shouldn’t we use a Meilan pen to mark it? It turns out that electric knife can be used instead.
I have to say that this operation refreshed Lin Xie’s understanding and the electric knife’s new function 1!
"Is my Dr. Xu awesome?" said the instrument nurse, as if the surgery was her little boyfriend.
"Awesome..." Lin Xie lowered his head in shame.
He looked at the surgical area again.
After chatting for a few days, Xu Qiu had already drilled a 0.3cm Kerry pin from the outside to the inside on the plane.
Seeing this scene, Lin Xie was stunned again.
Why do you insert it directly? It’s not aligned, and don’t use X-ray perspective first?
How could this succeed?!
——
Chapter completed!