"Doctor Xu's insertion has always been fast and accurate~~" the instrument nurse bit her lip and whispered in a low voice.

Lin Xie looked at him suddenly... He originally thought that the young equipment nurse was shy, but he didn't expect to hide it.

"Check it." Xu Qiu also recognized his needle insertion skills and said seriously.

Soon, the sterile C-arm X-ray fluoroscopy machine was brought over. The assistant checked the position of the Kirschner wire from the front and side positions. The result was no surprise - the Kirschner wire was inserted in both directions.

None of them are perfectly parallel to the joints.

"It's really fast and accurate..." Lin Xie sighed, the gap between him and Xu Qiu was really a bit big.ωωw..net

For Xu Qiu, this step can be completed in one minute.

However, Lin Xie needed several minutes to complete the correction, drill in, adjust again, and then continue to drill deeper.

The apparent gap is only a few minutes, but catching up with this amount of time requires astonishing talent and decades of study.

…

As the first Kirschner wire at the proximal end of the tibia is completed, the second Kirschner wire is inserted from the distal end. The distance between the two needles is exactly the thickness of the osteotomy block determined before surgery.

Xu Qiu didn't even use a mold or guide, and drove it in directly, accurately intersecting the first Kirschner wire at the medial bone cortex.

To achieve this step, in addition to having an extremely clear understanding of the route and position of each needle, you must also have a clear understanding of the patient's anatomy, bone characteristics, etc.

It's like inserting two needles into different positions of a cooked egg. The last two needles need to intersect on the inner surface of the eggshell, with the needles touching each other.

The surgery is to replace the soft cooked egg with hard bone.

The needle can be used to control the force of the egg, but it is not so easy to penetrate the bone, especially the bone cortex. It may be punctured with a little force. If you want to blindly insert the K-wire, you must also control the direction of the Kirschner needle accurately.

The depth of needle insertion is a great test of surgical skills.

It just so happens that Xu Qiu has some skills and foundation.

"Retractor."

While talking, Xu Qiu had already completed the adjustment of the Kirschner wire, and he placed the retractor along the posterior surface of the proximal tibia and under the patellar tendon. This step was to protect the soft tissue.

"Osteotome."

"Scrape."

The surgical instruments were constantly changed. Xu Qiu first used an osteotome to remove the hardened bone blocking the surface of the tumor, and soon saw the osteosarcoma underneath.

"I saw it." Lin Xie was a little excited.

Under the shadowless lamp, the entire surgical area is clearly exposed.

White lumps now appeared on the originally clean tibia. The cross section showed a granular shape and a large number of yellow and black structures, which looked like rotten cavities.

In fact, this whole area is the shape of small round cell osteosarcoma under the naked eye.

"Why don't you go and chop bones at night? I heard from Wang Fan that there is a barbecue restaurant near your clinic, and its specialty is roasted beef bone marrow." Lin Xie said with a genuine smile.

To be honest, if what you are looking at is beef, even osteosarcoma should have a good taste... I have never tasted it, so I can't imagine it at all.

Everyone looked at Lin Xie at the same time, their eyes filled with unknown disgust.

Xu Qiu couldn't arouse any interest: "I have an operation later, and I have to go to the Brain Surgery Center in the evening to cooperate with Tiantan Hospital."

Lin Xie was stunned and said silently: "We are not from the same world..."

He never imagined that even though he was at the top of the field of bone reconstruction and had reached the top of the medical community, there was still a huge gap between him and Xu Qiu.

It's not about status, it's about ideological realm.

Lin Xie beat his chest and said: "I am so depraved. Starting from tomorrow, I will learn from you, Xu Qiu, and focus more on work."

Xu Qiu nodded and asked, "What about today?"

"I'm going to pick up the beef bones today."

…

Zhizhizhi——

After the tumor was removed, the sharp sagittal saw fell on the bone surface again. Xu Qiu's hand was steady and he controlled the saw to make the initial cut along the axis of the proximal Steinmann needle.

This is also the first step in removing the infiltrated tibia.

After the proximal incision was completed, Xu Qiu made a second incision along the axis of the Steinmann needle further away. The incision extended to about three-quarters of the tibia and stopped.

If it is extended any further, the medial tibial cortex will easily split, and three-quarters is already the limit that Xu Qiu can control.

Xu Qiu then removed the wedge-shaped bone from the osteotomy incision and passed several drill holes through the medial cortex.

Lin Xie put away his desire for beef bone marrow and was dumbfounded.

Xu Qiu's operation was precise and fast throughout the entire process, and after completing the resection, the hinge of the periosteum was still intact, and the osteotomy fragments did not shift in any way.

It is impossible to cut such a hard bone without producing any fragments. This is a technique that cannot be achieved by ordinary people. It is not an exaggeration to describe it as incredible.

"Done?" Lin Xie suddenly reacted when Xu Qiu put down the equipment.

All the infiltrated tibiae were removed along with the tumor...

So fast?

Does it add up to half an hour?

Lin Xie felt like he was dreaming at first, but when he thought it was Xu Qiu, it suddenly made sense.

"The next step is to evaluate whether the position and length of the prosthesis is appropriate based on the position and angle of the fibula and talus, then trim the osteotomy stump, select the appropriate intramedullary needle and bone graft, and complete the reconstruction of the prosthesis..." Lin Xie said about bone reconstruction

The process is very proficient.

When it comes to tumor resection, it is not his strong point.

But later tibial reconstruction became Lin Xie’s specialty, and it was also his biggest reliance on establishing a successful career in orthopedics.

Xu Qiu glanced at Lin Xie.

He could feel that after entering the steps of reconstructive surgery, Lin Xie's chin was raised a bit, and his face became more confident.

"continue."

Xu Qiu didn't say anything more. She eased the tiredness in her eyes a little and started the next step.

"Vancomycin powder, spiral drainage tube." He said.

Lin Xie, who was about to pick up the measuring tools, was suddenly startled, and a question mark slowly appeared on his head: "Huh?"

Vancomycin powder is applied around the prosthesis. As for the spiral drainage tube, it is reconstructed and placed in the wound cavity. There is no measurement or trimming. How can it get to this step directly?

"This, this, this..." Lin Xie stuttered.

Xu Qiu said calmly: "You can try measuring it."

Hearing this, Lin Xie suddenly had an idea in his heart, and his expression was a little unbelievable... No way, no way!

He quickly measured and evaluated the position and angle of the bone and talus, and recorded the length and prosthesis data. After comparison, his mouth slowly opened wide and he was completely shocked.

“Perfect fit?!”

"How could it be such a coincidence?"
Chapter completed!