After the patient's left upper arm fracture was treated, the next step was hip replacement surgery.

"Xiao Chen is responsible for suturing the left upper arm."

Liang Qunfeng gave an order, and then he no longer cared about the patient's left upper arm. With Dr. Chen's suture level, the rest can be handled completely.

Because the patient was injured in the left upper arm, Liang Qunfeng used a flat position with a high hip, and the suture of the left upper arm and hip replacement surgery did not affect it.

Liang Qunfeng explained as usual: "The selection of incisions for surgery should be based on the experience and habits of the surgeons with soft tissue contractures in hip joint deformity, and the principle of selection should be to facilitate the full exposure of soft tissue and the placement of prosthesis.

Generally speaking, when using posterior lateral incision, the patient lies on the side, the affected side is on the upper, lateral or anterior lateral incision, the patient lies flat and the affected side is raised. Today we choose the anterior lateral incision."

As he spoke, Liang Qunfeng had already started to use the knife and explained at the same time: "The first step of the surgery is to first reveal the hip capsule, and then separate the adhesions outside the joint capsule, fully reveal the front, above and below, up to the periphery of the acetabulum, and down to the base of the large trochanter, remove the joint capsule and synovial membrane. The hip joint is externally rotated and retracted, dislocated the femoral head, and remove the residual joint capsule and synovial membrane behind the hip."

Liang Qunfeng was doing it and explaining. Fang Han and Li Xiaofei and others looked at it very seriously, but only Fang Han could understand it. Even the resident who was an assistant could not get involved now.

Whether it is bone correction or Western medicine surgery, doctors must be very clear about the structure of the human body's bones, so as to ensure smooth operation. The two doctors who are assistants today are not professional surgeons or professional orthopedics, and are half-baked. This makes the task of surgery appear heavier.

Fortunately, Liang Qunfeng's current role is mainly the role of a mentor, and Fang Haoyang cannot arrange surgery for Liang Qunfeng without restrictions, which also leads to Liang Qunfeng's overall surgical intensity not being large.

Hip replacement surgery itself is not a major surgery. If it were a simple hip replacement, at Liang Qunfeng's previous speed, it would only take half an hour. Today, due to a fracture of the left upper arm and the team was unfamiliar and the assistant was not strong, the time would be a little longer, but the overall surgery would definitely not exceed two hours.

"The following is to remove the femoral head, trim the femoral neck, and expand the marrow cavity." Liang Qunfeng continued to explain, but he was very skilled at the hands. With Liang Qunfeng's current level and level, at Fengzhou Orthopedic Hospital, he would not be able to take the lead in surgery such as hip replacement, and the grade was too low.

"The next step is to clean the acetabulum and pull the hook with teeth." Liang Qunfeng stretched out his hand, and the nurse next to him hurriedly placed the tool on the palm of Liang Qunfeng's palm.

This operation was not only not good at the assistant, but also a little unpowerful nurse. It was the first time that the nurses participated in the operation, and they had no tacit understanding with Liang Qunfeng.

If it were the original team, what tools should be used next? The nurse would have been ready without waiting for the surgeon to signal it.

But now, every time I need tools, Liang Qunfeng needs to open his mouth.

Liang Qunfeng held the tool and explained while operating it: "You should know that there are sciatic nerves, femoral artery vein and femoral nerves in the soft tissues around the hip joint. To avoid damage, use a pointed or toothed hook. After the pointed teeth are hooked on the bone outside the acetabulum edge, tilt outward to pull the surrounding soft tissue, which can avoid slipping and reveal the acetabulum satisfactorily."

"The next step is to remove all the soft tissues and cartilage surfaces in the mortars of the labrum ligament. Here we should note that if the bone is very hard, a layer of subcartilage can be removed with a round chisel; if there are too many osteophytes in the acetabulum edge, it should be appropriately removed; if the head mortar is fused, the marks should be first made between the head mortars, and then the head mortar is chiseled with an acetabulum chisel to form a false mortar.

When filing with acetabular file, you should pay attention to the direction, that is, tilt outward 40°~50°, and flash 10°~15° to allow the placement of the artificial acetabular."

Liang Qunfeng not only explained the current operation, but also appropriately interspersed the keys of joint replacement, such as how to deal with what kind of situations they encounter, etc. The explanation was very detailed.

The operation gradually reached the final procedure, and the acetabular was placed.

“Change gloves.”

Liang Qunfeng put down his tools, raised his hands, and asked the nurse to help change gloves.

Liang Qunfeng began to pay attention to mixed bone cement. When mixed bone cement is not sticky gloves, he then evenly filled the bone cement into the dry acetabulum with his fingers, and then pressed the acetabulum on the adhesive on the acetabulum bed.

"Below, you scrape off the adhesive that overflows around the acetabulum, be careful not to damage the bone cement between the bone and mortar cap. Maintain the pressurization until the adhesive solidifies before removing the position adjustment pressure pressurizer."

Liang Qunfeng gave the resident who was the assistant, saying that this job is relatively simple and he doesn't need to operate it himself.

"Okay."

The resident responded and after watching for so long, he finally got started. Although this procedure is similar to cleaning up garbage and has no technical content at all, he is still very excited.

For doctors, the more treatment cases and more papers are published, the easier it is to evaluate professional titles. For surgeons and orthopedics, the number of surgeries is very critical.

Never underestimate a character of two-superior and three-superior. Having the first time is equivalent to having experience. Even if you don’t do anything, that is experience. When choosing a person for a similar operation next time, you will be inexperienced on one side and experience on the other. The surgeon knows who to choose without considering it.

This time the joint replacement surgery is the first case in Jiang Intermediate People's Hospital. The main surgery is a big shot like Liang Qunfeng. There is no doubt that this operation will definitely account for a considerable proportion in the emergency department of Jiang Intermediate People's Hospital.

Not to mention Dr. Chen for the time being, the inhabitant was very excited. With this energy, the orthopedic injury division of the emergency department of Jiang Intermediate People's Hospital will be established in the future. If there is a similar operation, he will definitely have an advantage.

Liang Qunfeng walked to the side and asked Fang Han with a smile: "How is it, what do you think?"

"Joint replacement is indeed a very good surgery, especially for some elderly patients, which can minimize the risk." Fang Han commented very pertinently.

What he obtained from the system was a very formal traditional Chinese medicine bone correction, and he did not understand joint replacement. However, he could understand all the methods and understand the entire operation, and he could also see the scope of adaptation of this joint replacement.

For some elderly patients with osteoporosis, normal bone traction seems inappropriate. The elderly have soft bones and poor tolerance. Some too complicated bone tuning techniques cannot be used at all. It is possible that you may also cause secondary fractures when you reduce them.

Liang Qunfeng smiled and said, "The integration of traditional Chinese and Western medicine naturally has the advantages of integrating traditional Chinese and Western medicine. Your Director Fang is still a bit amateur. I have been here for three months, but I can't teach you much."

Speaking of this, Liang Qunfeng hesitated slightly and continued: "I'm not afraid of saying something about your Director Fang's angry words. Xiao Fang, your bone correction technique is indeed good, but it is not easy to learn other methods in a short time. There is still a big difference between traditional bone correction in traditional Chinese and Western medicine and the combination of traditional Chinese and Western medicine. Bone correction technique is only one aspect, and Western medicine surgical skills must be possessed, which is not a matter of one day or one night."

Fang Han nodded, Liang Qunfeng was right.

Liang Qunfeng continued: "Actually, if you really plan to learn the therapy of combining traditional Chinese and Western medicine, I suggest you stay in our Fengzhou Orthopedics Hospital for a while. It doesn't take long. Two or three years. With your talent, you can definitely learn and become a teacher. When you come back, you can take on the orthopedics division of your emergency department."

Fang Han glanced at Liang Qunfeng, feeling that Liang Qunfeng was waiting here when he said so much.

To be honest, Fang Han was really excited. As the saying goes, there are more skills and no one can suppress others. He will naturally be unable to learn more things, but his talent is.

He knew his talent. Without a system, he could really become a teacher in three years?

Instead of wasting time on bone injuries that combine traditional Chinese and Western medicine, he might as well accumulate more worship points and exchange them for other skills. Besides, Fang Han really didn't plan to keep taking the path of bone injuries. With the system in hand, he could become a full-time national doctor.

"Old Liang, you're poaching here again." Fang Haoyang's voice came over. I don't know when Fang Haoyang had already changed into a hand brushing suit and came in, but no one paid attention.

Liang Qunfeng was frightened: "I said Lao Fang, you are at the director level at least. Can you be more arrogant and sneaky? Do you know?"

"If you don't do bad things, don't knock on the door, what are you afraid of?" Fang Haoyang cursed.

"What I did wrong? Isn't what I said true?" Liang Qunfeng sneered: "Don't say that I'm here for three months, even if I stay for half a year, I may not necessarily bring you a team."

Fang Haoyang doesn't care: "I don't expect others, as long as Fang Han can master something."

Fang Han looked at Fang Haoyang, are you so confident in me? I don’t even have confidence in myself.

Liang Qunfeng smiled and said, "Don't forget that Xiao Fang was injured and could not get started within at least two months. The surgery still requires exercise. No matter how many theories you have mastered, it would be useless if you don't have experience in getting started."

"Then you stay for a while." Fang Haoyang said.

"I think beautifully." Liang Qunfeng gave Fang Haoyang a blank look: "I can stay for three months already give you a lot of face. I'm still too busy. I won't do anything else?"

Li Xiaofei and the others beside him were so envious. Look at Director Fang Han, he really liked him. They were directly ignored.

Fang Han didn't have the heart to pay attention to Fang Haoyang and Liang Qunfeng. His face suddenly became very exciting because a system prompt sound had just sounded in his mind.

"Ding temporary task, master joint replacement surgery within three months (the joint replacement surgery reaches the primary level), task rewards, advanced prop card - copy (one picture), task failure, no punishment."
Chapter completed!