I Spent Those Years In the Operating Room Fighting Monsters

　　 There are medial and lateral meniscus-shaped bones on the articular surface of the tibia, called the meniscus.

　　 The edges are thicker, closely connected with the joint capsule, and the center is thin, showing a free state.

　　 The normal meniscus can increase the depression of the tibial condyle and cushion the internal and external condyles of the femur, so as to increase the stability of the joint and cushion the shock. It is to protect the direct impact of the femur and tibia.

　　 is also when we usually wear shoes, we will habitually put an insole to make it more comfortable to wear.

After 　　 meniscus injury, the main symptom is knee pain, and some patients have snapping and locked joints.

If not treated in time, the damaged meniscus will continue to wear the cartilage of the knee joint, and our cartilage has no ability to regenerate. The direct consequence of damage to the cartilage is to accelerate the occurrence of osteoarthritis. In severe cases, it can be lame or flexion and extension dysfunction. Seriously affect the quality of life.

　　 Therefore, the role of the meniscus is very important.

　　 Except for older people, and even for older people, keep the meniscus as much as possible if you can.

　　 After all, the meniscus is just an insole, not really the insole we are wearing now. If it is not worn properly or worn out, we can spend a few yuan or even a dozen or even a few hundred yuan to buy a pair and replace it.

　　The things in our body are perfect at birth. Once damaged, the mother who gave you this body is not responsible for the replacement of the original accessories, and others cannot help you recover completely.

　　 Therefore, from a medical point of view, the so-called complete recovery is false. It can only be said to help you solve pain and other problems as much as possible, and to help you complete the actions that you should do in your daily behavior. Once you are injured, you will never be the same!

　　 After the meniscus is damaged, there are several ways to solve the symptoms.

　　 One is to cut off, that is, the torn insole is worn on the foot. It is better to throw the insole directly, it may be more comfortable. It's like a shoe full of small stones, it's better to walk barefoot.

　　 The second is stitching. Stitching is repairing. The broken insole is sewn where it can be sewn, and when it is rolled up, the place where the diaphragm should meet the foot is flattened. Then, although it was a bit rotten, it still had the effect of protecting the feet.

　　 The third is shaping, also called partial resection. It is a supplement to resection. It cuts off the places that should be cut, and keeps the places that should not be cut. It can be used as a buffer between the tibia and the femur.

　　 Fang Nixin is very demanding of herself. She is very hesitant at the moment. Although she has not really studied sports medicine, she has read many articles.

　　According to the current trend and the most top-notch thinking, and also the latest supporting evidence of evidence-based medicine, sutures are more comprehensive than cutting them out will bring more comprehensive benefits to the patient.

　　 But the problem lies here. The radial injury is not consistent with the half-moon shape of the meniscus. The MRI scan of the knee joint is performed in three levels: coronal, sagittal, and cross-sectional. Inconspicuous damage may just not be swept out.

　　 If it had been known that the patient had three ruptures, Fang Nixin would not pull the patient onto the operating table with composure. After all, the stitching effect she made, I don't know what to do.

　　 Li Dongshan also saw Fang Nixin's hesitation at this moment, with a solemn expression. The MRI of this patient was carefully selected by him.

　　 is to let Fang Nixin practice her hand feeling first and find the feeling, but she didn't expect that it would directly bring psychological pressure to Fang Nixin.

The 　　 biting forceps can bite off the inner edge of the meniscus, but it is not suitable for biting off all the meniscus.

　　 If the rupture is not severe enough, after biting off the edge of the rupture, the meniscus will not be free and rolled up, and the rest is still a whole, so it will not cause irritation to the cartilage surface.

　　 This is one of the other principles that plastic surgery can be used for treatment.

　　 But the problem is that after Fang Nixin bit off all the holes on the edge, when he probed the meniscus with a probe, the meniscus looked a little loose.

　　 Li Dongshan also noticed.

　　To stitch.

　　 Li Dongshan said when he saw this: "Nixin, don't be nervous, take your time. Don't worry."

　　 There is a specialization in the field of surgery. Although Li Dongshan is a professor of orthopedics, his sub-specialties are trauma and fracture, which is better than Professor Zhou Xuanqing, but this does not mean that his accomplishments in sports medicine will be higher than Lin Hui.

　　 The development history of sports medicine hasn't been for many years. He hasn't kept up with it and has no energy to specialize in research. In fact, he only knows how to read films better than Fang Nixin. This is not a product of their time.

　　 Fang Nixin nodded slowly and said, "Teacher Tour, give me two 0/2 Aixibang sutures."

Fang Nixin knew very well that the patient’s anterior horns, body, and posterior horns were all injured. He chose the meniscus suture method. Unless he chooses the meniscus suture system in the joints, such as fastfix, he has to do it at the same time. Two stitching methods are used: from outside to inside and from inside to outside.

　　The outside-in method can be punctured with an 18-gauge waist needle or a 12-gauge normal injection needle. The operation is the simplest, but it is only suitable for the front horn and body, and not for the back horn.

　　The inside-out method is better than the outside-in. The needle is threaded from the inside of the joint to the outside of the joint, and the knot is also fixed outside the joint.

　　 It can control the needle entry position of the meniscus in the joint, and the suture is more tidy and reliable.

　　 But the inside-out method requires special surgical instruments. When suture the posterior horn, an additional incision is needed to protect the blood vessels and nerves with a curved baffle. It is suitable for the injury of the meniscus body and posterior horn, but is not suitable for the suture of the anterior horn.

　　 The stitches in the entire joint cost thousands of dollars per stitch, which is too expensive. In addition, the suture of the tibial channel is too harmful to the human body.

"Let’s get another fast-fix needle~www.wuxiaspot.com~ If the posterior horn is sutured from the inside out, an additional incision will be added, which will also increase the patient’s injury. At this time, you can only add more money. .

　　 After listening to Li Dongshan, he quickly explained to the patient himself.

Because the meniscus surgery only requires spinal anesthesia, and the mirror display is on the patient’s head, he can see the whole process himself, and Li Dongshan still speaks, and he said by himself: "Professor Li, I can see clearly, trouble. You can sew it for me."

　　 "Dr. Zou told me before the operation, it will be better to sew it in the future. If you spend more money, it doesn't matter."

　　 "Okay." Li Dongshan got a response and said: "Put needles on those two waists."

　　 Fang Nixin immediately took the waist piercing needle, and then said: "Xiao Lu, come and help me hold the mirror."

　　 Suture from the outside to the inside, naturally it is necessary for a person to hold the arthroscopy to provide a field of vision within the joint. Only in this way can visualized operations be possible.

　　 "Okay, Senior Sister." Lu Cheng also noticed Fang Nixin's entanglement at this moment, took the mirror steadily, and adjusted it slightly to make the field of vision of the entire arthroscopy wider.

　　 Fang Nixin saw this change, but she didn't think about how Lu Cheng did it. She just probed the corresponding position of the patient's meniscus with her hands, and then pierced the waist needle.

　　 The tip of the needle broke out of the joint, but it did not penetrate into the body of the meniscus.

　　 Obviously, stitching is not that simple.

　　 Just then, the door of the operating room was opened, and then a person walked in and smiled and said: "I said I asked where the other set of arthroscopy went, but I didn't expect to find it here."

　　 "Professor Li, the business you are developing now is getting wider and wider."

　　 "This is a breach in the white zone!"