The Godfather of Surgery

In Cheng Liquan's office, Su Nanchen and Cheng Liquan stood in front of the reading light.

"Master Su, what should I do? I didn't look carefully at the time, so I fell into this pit." Boss Cheng's face flushed.

Su Nanchen was very calm: "Don't worry, it stopped at the edge of the pit, and it hasn't fallen yet. It's not that you were not careful. Few people have experience with this kind of case. It's too special."

Boss Cheng slapped himself in the face: "Master Su, it's all my fault. If I listen to you and don't take this kind of patient for the time being, nothing will happen."

"It's useless to talk about this now! We'll study together when he comes over tomorrow. The operation hasn't been done yet. What's the big deal?" Su Nanchen comforted him and complained afterwards, to no avail.

Surgery is something that can't be done with reluctance.

When Su Nanchen came here last time, he was in a hurry and did not see the patient or study the patient's imaging data. This time, he came here specially and found that the patient was too special, with severe deformation of the intercondylar fossa, bone hyperplasia packing, and partial defect on the posterior side of the tibial plateau. The defect happened to be the original insertion of the posterior fork tibia, and the patellofemoral joint was still underdeveloped, so a CT three-dimensional reconstruction of the knee joint was urgently performed.

Su Nanchen and Boss Cheng looked at the CT 3D reconstruction in front of them, their brows furrowed, quadruple reconstruction was already extremely difficult, and with this special circumstance, the difficulty of the operation increased exponentially.

In this operation, on the basis of quadruple reconstruction, intercondylar fossa formation is also required. This intercondylar fossa formation is not easy to do. It is not a matter of restoration, but requires the surgeon to design an intercondylar fossa shape to meet the needs of the operation. of various needs, otherwise the operation will fail with dire consequences.

If it weren't for a doctor who is experienced in multi-ligament reconstruction of the knee joint, he would not have realized the bad consequences at all. Fortunately, Su Nanchen has experience in this area, otherwise he would have stepped on the thunder.

"I checked later, this patient was seen in Yunjian, they said that the schedule was too tight, in fact it was not the case, they contacted Professor Ye, after seeing the patient's imaging data, Professor Ye thought it was too difficult, especially This intercondylar fossa can't be formed, so they refused. They put this patient to me and deliberately hurt me, it's too dirty." Cheng Liquan was very sorry, his face was sweaty, this time Su Nanchen rescued him , If it wasn't for Su Nanchen, he would not have known the serious consequences of the matter.

"Those people are vicious! They dug a hole for me to jump in. I almost jumped, and the signboard was smashed by one operation." Cheng Liquan was a little scared.

"The operation is definitely not possible. The person I invited for you, no matter how good they are, can't complete this kind of operation, but I will pick him up tomorrow to study and study together. I have already made an appointment with him." Su Nanchen thinks this case is too much Special, Yang Ping must be invited over. Even if the operation is not performed, it is necessary to see the patient and study it.

"Listen to you, I will pay for your friend's expenses according to the operation, and I will never let you embarrass Su Shao." Boss Cheng wiped his sweat.

Su Nanchen didn't speak, and was still looking at the film on the reading light. No matter how powerful Yang Ping's operation was, it was impossible to complete this kind of operation.

This intercondylar fossa cannot be done at all. If it is done routinely, it will definitely cause instability of the patella joint, and the reconstructed posterior fork will be ineffective. This is the reason why Professor Ye dare not do it.

If you want to do it, you need to design a software, build a model, use 3D simulation technology to reconstruct the intercondylar fossa on the computer, and through continuous trial and error, design an intercondylar fossa, use 3D printing or virtual reality technology, doctor photo Even so, the surgeon must have a strong spatial imagination to make a qualified intercondylar fossa.

——

Su Nanchen sent the patient information to Yang Ping's mailbox. Yang Ping was playing football and did not see Su Nanchen's information.

"Ding dong! Mission: It's a fledgling, go to another hospital to perform a knee joint multi-ligament reconstruction, the surgery level is perfect, the reward is 40,000 points, the task time limit: within 24 hours!"

When I was playing, the system issued a task. Strangely, I didn't release a single task for my own five-joint reconstruction. This four-joint reconstruction actually issued a single task, and the reward score reached 20,000 points. Could it be that this four-joint reconstruction is more difficult than the five-joint?

Now the system is very good at picking tasks, and the reward points are also high. It is not a particularly difficult operation. It is too lazy to deal with it. High difficulty and high reward seem to be the current principle of the system.

After playing and resting, Yang Ping glanced at the patient's information on his mobile phone. Sure enough, the reconstruction of this quadruple was more difficult than the last five, and it was a grade higher.

In the evening, Yang Ping began to study the case in detail.

It is actually a hidden quintet, which is more complicated than the quintet that I made myself a few days ago. Why? Because on the basis of quadruple, intercondylar fossa shaping is also required.

The quintuple I made myself is a quadruple plus habitual dislocation of the patellofemoral joint. This is based on the quadruple plus intercondylar notch formation. I have done an anterior cruciate ligament reconstruction before, which has intercondylar notch formation.

However, the formation of this intercondylar notch is more difficult than the previous one. The previous patient only needs to perform the shaping according to the mirror image of the contralateral intercondylar notch.

This is no good. In this case, the entire intercondylar fossa is severely deformed, the posterior side of the tibial plateau is still partially defective, and the patellofemoral joint has dysplasia. The quadruple injury and these three factors make it worse.

Patellofemoral joint dysplasia indicates that the patient's previous intercondylar fossa was abnormal. As for what happened, who knows; the posterior tibial plateau defect indicates that when reconstructing the posterior fork, the formed intercondylar fossa must be considered. The insertion point of the femur is not the normal position, the shaping should take care of this, so a very special intercondylar fossa needs to be shaped.

According to the previous method, if the mirror image is used to perform intercondylar fossa shaping based on the normal intercondylar fossa on the opposite side, the operation will definitely fail, resulting in the loss of the reconstructed posterior fork function and the instability of the patellofemoral joint.

Originally, the patient can barely walk now. It is very likely that after the operation, the patellofemoral joint is unstable due to frequent lateral dislocation, which makes it difficult to walk. It is possible to walk without surgery, but cannot walk after surgery. Can the patient accept it?

In this operation, we need to conceive the shape of an intercondylar fossa by ourselves. This shape has no template control. Several conditions must be met at the same time, which not only provides the best tunnel entry point for the ligament, but also does not cause disturbance of the patellofemoral joint and cannot cause ligament damage. Impact, this difficulty is not recovery from beginning to end, but a process of reconstruction, which is equivalent to designing an intercondylar fossa with strict parameters. If there is a slight error, the operation will collapse.

We can only rely on the ability of brain composition. The core of the super training program is to cultivate the ability of brain composition. This kind of composition is not a simple static composition, but a dynamic, connected and logical composition.

Yang Ping's brain composition ability is constantly improving. This time, he is very easy to construct static graphics, forming one time without making multiple additions, but the construction of dynamic images is still very difficult. to be pictured.

The graphic changes in the mind, sometimes it needs to move, sometimes it needs to switch, one intercondylar fossa appears one after another, and then the ligament is implanted in the ideal position, no! Then continue to modify the intercondylar fossa, re-implant the ligament, repeat many times, and the best function and balance can be obtained after several groups of ligaments are implanted; but there is an impact during the flexion and extension process, continue to modify until the impact completely disappears; patellofemoral The instability of the joint appeared again, and the teeth continued to be modified, and the trial and error continued. When I finally solved this problem, my forehead was full of sweat, my clothes were soaking wet, and my brain was exhausted. I was fortunate to be able to find the most suitable shape of the intercondylar fossa through composition.

Yang Ping checked the final shape of the intercondylar fossa several times, and there was no problem, so he remembered it in his mind and prepared it for tomorrow's surgery.

"This patient's intercondylar fossa needs to be formed, and it is extremely difficult to form. Come and see it tomorrow!" Su Nanchen left a message.

"I have read the information, it is really difficult, but the problem is not big." Yang Ping replied.

——

This guy, this kind of surgery is not a big problem. It's really a miracle. I still haven't looked at the image data carefully.

At 8:30 in the morning on Sunday, Su Nanchen arrived at Sanbo Hospital on time, and about 9:00, Yang Ping arrived at Liquan Hospital.

In order to show his importance, Boss Cheng stood at the door of the hospital, and Su Nanchen brought Yang Ping into view. He took a look, no, how could someone who is stronger than Professor Ye be so young, no matter how clumsy he is, he can still see this person Approximate age, isn't this just in your twenties? What is the concept of being in your twenties? At most, it is only a small attending. What kind of ways did Su Nanchen play this time?

Boss Cheng thought for a while, Su Nanchen always speaks and does things with one word, so there is no need to worry about this problem at all, the person he invites must be a master. It's a pity, it would be nice if the patient was an ordinary quadruple reconstruction. Today, the operation was done, filling the gap in Liquan Hospital, marking that there is no technical gap between Liquan and Yunjian. But this patient--, the operation can't be done, it's a pity! Boss Cheng sighed, unwilling.

As a businessman, Boss Cheng is shrewd and tactful. He didn't show any thoughts on his face, and he didn't even show his careful thoughts. He stretched out his hand from afar.

"Sanbo's Yang Ping, Dr. Yang!" Su Nanchen introduced.

"Hello, Dr. Yang, it's a great pleasure to meet you, Cheng Liquan-" Boss Cheng was warm and friendly, making people feel familiar at first sight, he immediately handed the business card with both hands respectfully, and bowed slightly.

Yang Ping took the business card: "Boss Cheng, I have long admired the name. In the medical circle, who does not know the name of Boss Cheng."

There is fame, but Yang Ping knew Cheng Liquan's name for the first time.

The three chatted while walking. This sports medicine center is really good. The decoration is designed by professional people. Even the slope of the stairs, the width of the steps, the height of the handrails, and the color matching are very particular.

High-end, not only technology, but also an experience.

This person is in his twenties, but his behavior, words and deeds, there is no frivolous air at all, but a strong calm and self-confidence everywhere, Chaoshan people are good at doing business, businessmen are good at observing people, Boss Cheng From secret observation, Su Nanchen, a friend, is really a master in terms of temperament.

The beautiful nurses lead the way. The slim-fitting nurse uniforms outline the figure exquisitely, and the professional smile makes people feel very comfortable. This hospital is very careful.

Yang Ping has heard about these specialized hospitals to some extent, and is somewhat prejudiced, but Su Nanchen's friend should not be too wild.

Intuitively, this hospital is still very formal, and Boss Cheng kept introducing his hospital all the way.

"Sit down in my office first and have a rest!" Boss Cheng said.

Yang Ping waved his hand: "No need, watch the film first, and then see the patient later."

When everyone went to the doctor's office, the reading light was already full of video films. Yang Ping walked to the light and looked at the patient's film carefully.

Everyone gathered around. Two doctors and several postgraduates were trained by Boss Cheng. They are the pillars of the hospital. Now they are not optimistic about finding jobs with doctors and masters. Especially in G city, it is difficult for better public hospitals to gain a foothold. Some can only Secondly, go to some private hospitals, either large general private hospitals, very few, or such small and sophisticated specialized hospitals.

Yang Ping's eyes narrowed slightly, and his sharp eyes swept across the film.

Boss Cheng held his breath. He still hoped that the operation could be done. Although the hope was very slim, although this was an operation that Professor Ye gave up, and Professor Ye was unwilling to perform it, who else in the country could do it? When it comes to this type of surgery, the others are at most on the same level as Professor Ye.

Seeing that Yang Ping didn't speak, just stared at the film on the reading light, Su Nanchen and Boss Cheng were not easy to speak, they just waited quietly. It was a little bad to call someone over for this kind of surgery.

After reading it, Yang Ping said, "Go, go see the patient."

Boss Cheng asked the doctor to lead the way and took Yang Ping to the ward to see the patient. The wards here are all suites and the decoration is very luxurious.

Yang Pingzai inquired about the medical history, carefully examined the patient, and had sufficient information, so he was confident.

Go back to the doctor's office.

"How is it?" Su Nanchen asked.

Boss Cheng was eagerly waiting for the result.

"Send the patient!" Yang Ping said lightly.

Send a patient? Can this be done?

Su Nanchen wasn't sure, what he said was true or false, this operation can be done, this guy is really crazy.