Chapter 4154【243】The method is also difficult
No matter what, orthopedic surgeons are experts in orthopedics and are more aware than laymen of orthopedics of the effort required by the “chief surgeon” and his assistants.
There is not only one reduction method for hip dislocation.
Anterior dislocation and posterior dislocation require different techniques due to different anatomical positions. Even with posterior dislocation, there are generally three common methods for doctors to choose from.
Like the question mark method and the lifting method, the patient lies supine on the bed, and the assistant has to fix the patient's pelvis.
In the third Stinson maneuver, the patient lies prone on the bed with both lower limbs in the air. The assistant is also responsible for assisting in fixing the patient's pelvis.
The third obvious highlight of these three methods is that it is not easy to fix the pelvis.
The simplest understanding is that the question mark method may not require much effort for the assistant to fix the pelvis when the patient's body is completely motionless. The question is, is it still easy to fix the pelvis when the "main surgeon" performs the reduction operation?
Because the human body is a linked machine, when one part moves, other connected parts will definitely follow.
From this most basic principle, we can know that it is reasonable for on-site orthopedic surgeons to emphasize that operators and assistants must be strong enough.
The current patient is in a supine position.
The on-site orthopedic surgeons judged that the "chief surgeon" should be planning to use the question mark method or the lifting method.
Considering that the question mark method carries the risk of femoral neck fracture, the orthopedic surgeons at the scene once again unanimously concluded that the "chief surgeon" should prefer to use the lifting method.
I guessed it right. My cousin Wen Junbao and others are famous orthopedic doctors and not inexperienced medical students. Therefore, Dr. Wen Zihan and Dr. Xie Wanying never thought of looking down on these seniors.
Physicians from the National Association of Orthopedics Department No. 2 said: "I wonder if they have never done similar cases. In our department, if we use the lifting method to perform this kind of manual reduction of posterior hip dislocation, it usually requires three people."
Colleagues from the second department of orthopedics who raised three fingers complained to Dr. Chang Jiawei from the third department of orthopedics: "You haven't been to our department, have you?"
Can someone who has never met me say that I am an orthopedic surgeon and give me assurance that she can do it?
Dr. Chang Jiawei held back his breath.
He was born in Beidu and had never been to the National Association of Orthopedics for an internship. He directly entered the Department of Orthopedics 3 of the National Association of China and did not know many specific conditions of Orthopedics 2.
However, he had been an intern in relevant departments in Beidu, so how could he not know that such a situation existed.
Here we will first outline the entire process of the lifting method.
First, as mentioned above, the assistant should fully press both hands on the anterior superior iliac spines on both sides of the patient to stabilize the pelvis.
As mentioned above, the difficulty is that the assistant must concentrate on fixing the pelvis during the "main surgeon" operation, and has no spare time to help the "main surgeon" do other things.
The "main surgeon" does the lifting method like this. Lifting, even if you think about it, you need to pull. Therefore, when the main surgeon is operating, hold the ankle of the patient's injured limb with one hand, and place the forearm of the other hand on the patient's affected side. At the upper end of the calf near the popliteal fossa, lift the affected limb. If you just can't lift it, you have to pull it upwards. Orthopedic work is not just for you to lift casually. It is a medical profession with a therapeutic purpose. Like other surgical operations, it requires the precision of various operations.
The "surgeon" lift and pull is to lift and pull until the hip and knee joints of the patient's affected limbs are flexed to 90 degrees, that is, two right angles are maintained.
The difficulty is highlighted here. You must know that a patient under general anesthesia is like a person who sleeps to death. When a person who sleeps to death himself does not cooperate with the doctor, his body is in a "rigid" state. Do you think it is effortless during the lifting process by the doctor?
(End of this chapter)
