I can see the status bar

Chapter 718 Normal? (Second update on November 11)

The orthopedics department was very helpful. After listening to Sun Lien's description of the condition on the phone, they quickly gave their opinions. "It's okay to do a reset, and you can enter the general department at the age of 13. I'll ask the teacher on duty if he can do it. If not, please invite Director Zheng to come on stage."

Zheng Guoyou, as the chief director of the orthopedics department, has performed many pediatric orthopedics operations when the division of labor between departments was not very clear.Moreover, as a veteran orthopedic surgeon, Zheng Guoyou's favorite fixation method is just right for children—Kirschner wire external fixation is the most suitable fixation method for teenage children.

There are two main types of orthopedic surgical reduction and fixation, one is internal fixation with steel plates inside the body, and the other is fixation with Kirschner wires outside the body.

Internal fixation with steel plates is relatively stable, and the fixation strength is quite good.However, internal fixation has a major defect for adolescents and children—it cannot adapt to bone growth.

Internal fixation connects the broken bone with a rigid structure that will remain in the body after the broken bone has healed.In adults, such immobilization can even increase bone strength at the fracture site.It is of great significance to prevent future fractures.

However, internal fixation plates are not well adapted to bone growth.This is especially true for adolescent patients with epiphyseal fractures.Bone growth is mainly reflected in the epiphyseal line - that is, the ends of long bones.If it is determined that the fracture occurs at the position of the epiphyseal line, then there is only one fixation method that doctors can use-Kirschner wire external fixation.

External fixation with Kirschner wires is a... scarier-looking fixation method.Sun Lien even suspects that many foreign horror films and horror movies are inspired by external fixation of Kirschner wires, creating many famous horror images.

Kirschner wires, as the name suggests, the essence of this fixing system is "needles".This metal instrument with a length of 20 to 30 centimeters is smooth all over, with a sharp diamond-shaped end at one end and a blunt round head at the other end.Generally, a high-speed drill is used to drill directly into the bone.If the position to be fixed after the fracture is located at the dry end of the loose bone, the doctors will even use a hammer to drive the needle directly into the bone.

The Kirschner wires nailed into the bone will eventually be exposed outside the skin, and then fastened by an external fixation bracket.All in all, it looks like Frankenstein.

Since external fixation is a traumatic fixation method, children who take this method of external fixation need to disinfect the needle opening of the external fixation bracket with medical alcohol drops twice a day 24 hours after the operation, and continue to return for at least 4 hours after the operation. ~6 weeks.According to the re-examination situation, the mechanical adjustment of the external support is carried out in due course.Three days, one week, three weeks, six weeks, eight weeks and twelve weeks after surgery, a total of six X-ray examinations were performed.

All in all, the external fixation looks scary, and the external fixator needs to be sterilized and adjusted for several weeks.But it is most suitable for adolescents and children with epiphyseal fractures.

After the orthopedic department gave an affirmative answer, Sun Li'en was probably ready.After the imaging department uploaded the X-rays to the system, he immediately sent the examination results to the orthopedics department for confirmation.By the way, I would like to ask if Director Zheng can go on stage to perform the operation today.

Unexpectedly, after waiting left and right, and finally waiting for the imaging results, the family also returned to the ninth consulting room.Sun Li'en was a little surprised at the inefficiency of the imaging department today - I wonder if Brother Luo drank too much last night.But what is even more surprising is the request of the parents.

"We don't do surgery." The mother took the lead and first expressed her request, "My child is now about to start studying hard in junior high school, and surgery is too time-consuming."

"But his right hand was broken." Sun Li'en was shocked for a long time before he realized what he should say. He tried to make this mother who seemed very worried about her child's study pay attention to the real problem first, "His right hand is broken, how can he learn?" Huh? There are delays left and right, why don't you go to school after your hands are healed?"

"My child is left-handed." The child's mother gave Sun Li'en a contemptuous look, and then said to herself, "I've asked, his fracture can be reattached and put on a cast for a few days, and he doesn't need to be hospitalized at all. "I am afraid that the implication is to accuse the Fourth Central Hospital of Ningyuan City headed by Sun Lien for trying to seek illegitimate benefits through information asymmetry.

Sun Li'en glanced at the X-ray image, then shook his head and said, "His ulna and radius have displaced fractures at the epiphyseal line, which can't be fixed by manipulative reset alone - healed deformities are likely to occur. This is very likely You will end up disabled." He looked at the child's mother seriously and said, "This position can only be reset through external fixation, and if the operation goes well, you can be discharged from the hospital the next day. After that, you only need to return to the hospital for reexamination on a regular basis. The degree of delay is very limited. If the treatment is delayed, with all due respect, the damage cannot be made up by learning."

Sun Li'en was already a little angry, and the child's parents felt like something was wrong with their brains.He even couldn't understand, what kind of parent would put academic performance more important than the child's physical health - even if it is a top student who can be admitted to Tsinghua University and Peking University, is it really worth the price of lifelong disability of his right hand?
"I also had a broken bone when I was a child." The child's mother still had a grimace on her face. "The broken wrist is also a broken wrist. Why don't doctors think about making money now?"

"Surgical reduction is the option with the least risk for him. And the cost of the operation is basically reimbursed by the medical insurance. The hospitalization is only one day, and the follow-up is an outpatient review - we don't have any profit from this." Sun Lien narrowed his eyes. He closed his eyes, "It's just a day or two of study, which can ensure the health and recovery of his hands——Sister, let me say something from the bottom of my heart, it's okay for you to take the child with you now, as long as you sign a consent form That's fine. If it weren't for the fact that the child is only 13 years old, and the injury is very important...why do I have to tell you so much? According to what you said, I would see a few more patients, prescribe examinations and sell medicines. Isn't it good to make money?"

"Just sign the consent form?" The child's mother is still indifferent, but she seems to have found an important way to solve the current problem from Sun Li'en's words, "Take out the consent form, and I will sign it now. If you sign it, you can leave, right? "

Sun Li'en was at a loss for words for a moment, and he even began to wonder if the mother of the child in front of him had some brain problems.But the status bar said she was just a little anxious.

If the status bar is a person, Sun Lien will definitely grab this guy out of his mind, and then press his face in front of this mother and ask sharply, "You fucking call this normal?!"

　The number of chapters in the previous chapter was accidentally typed wrong... sorry, sorry

　　
　
(End of this chapter)