C359 Operation stent

"Alright."

On this day, Zuo Pianfan always expressed his approval towards Yao Sisi's request, and did not oppose it. It was because of this that Yao Sisi felt even more guilty in his heart, and did not have the mood to think about Zuo Pianfan's unusual behavior. Let him take a slice of ginger in his mouth, and use scissors to open his clothes late, and the cotton flew all over the place. (TL: OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG/OMG

Zuo Pianfan felt embarrassed, but after thinking about the fact that she was his wife and he was her husband, he didn't feel that it was inappropriate. Instead, he felt a sense of happiness in his heart, and shook his head.

Zuo Pianfan's back was exposed outside and a wave of cold air assaulted him. Zuo Pianfan trembled again.

"Is it cold?"

"No …" "Not cold."

"You're still holding on."

Yao Sisi said, his one hand slowly channeling Spirit Qi into Zuo Pianfan's body, then he shouted towards the door: "Bring me a few more braziers."

Then, he quickly took out a silver needle from his charcoal pot and pierced it into the bluish-purple needle around's waist. In quick succession, he pierced all of them, and a scorching fragrance faintly mixed with the rich fragrance on Zuo Pianfan's body. It couldn't be considered to be good or bad, but it was a bit pungent.

The fourth needle was nailed to the bone.

"Ah …"

Ginger fell to the floor.

Fifth, sixth … It wasn't until he had placed tenth needle down that Zuo Pianfan finally stopped his painful groans, and that he wouldn't be able to bite out any new wounds from his injured lips. After that, he used a handkerchief to wipe off the blood from the corner of Zuo Pianfan's mouth. Then, he pulled up a blanket and covered Zuo Pianfan's face, allowing him to rest first. In order to not have to fight alone, she asked the old man to help her. The old man had also seen Yao Sisi's hand full of silver needles, and wanted to see what surgery looked like. As a doctor, his pursuit of medical skills was naturally not small. Yao Sisi agreed readily to it.

An hour later, Xin Lan ran in with a bunch of small bags and threw the things in front of Yao Sisi. He also put down the remaining hundred or so silver coins. "

"Here, you asked for them."

Seeing that Zuo Pianfan's breathing had become much steadier on the bed, and that his face was no longer as lifeless as before, he couldn't help but move towards Yao Sisi. "You, you really know medicine."

The expression on her face was extremely wonderful, as if she believed him but did not believe him at the same time. It was true that she had hopes for him. Yao Sisi didn't say a word and only focused on lifting the blade and putting it into the coal fire. After it turned red, he placed it into the hot water.

"Thorny La La …"

The knife made a noise in the water.

"Doctor, please have your child fry these medicinal herbs. This lady has no business with you, you can leave now."

Xin Lan did not think that Yao Sisi wanted her to take responsibility, but wanted her to leave instead, making her feel extremely surprised. If Yao Sisi did not say anything, she would have probably left, and even though she could be considered to have done her part, Yao Sisi had said it, and she was not willing to leave. "I want to see that he is alright, it was caused by my horse after all."

"No need."

Yao Sisi's words were unreasonable and emotionless. She didn't want anyone to disturb her operation.

"You … "Humph!"

Xin Lan was so angry that he almost went crazy, but he didn't have a choice. He turned around and kicked the door open, then left angrily.

Yao Sisi was ready, and told the old man: "Doctor, let's begin."

The old man said resolutely, "Yes, Miss."

This connection was no small matter. Yao Sisi carefully thought back to some theoretical knowledge. In modern times, osteosynthesis is often performed as a means of helping in fracture management and reconstructive surgery.

But the function of the implant itself is only to assist in the healing of the bone, not to attempt to replace the normal bone structure. In general, they are internal splints placed on the fracture site during normal bone healing. The size and loading of the bone and surrounding soft tissue may eventually lead to the fracture of the metal implant.

Therefore, it is important to keep the fracture segment in a immobilized state until a solid bony union is achieved. A solid bony union should be confirmed by clinical and radiological methods. All metallic surgical implants are subjected to repeated stress actions in practice, in which metal fatigue occurs. The weight, range of activity and the ability to carry and bear the implants in accordance with the doctor's order all have an effect on the size and cycle of the implants.

The types and specifications of metal bone screw and metal bone plate manufactured in accordance with national industry standards are in accordance with the regulations for such implants in the department of orthopaedics AO. In the book "Orthopedic Internal Fixation" compiled by AO, the correct use of bone screw and plate and related mechanical analysis are described in detail. Surgeons are requested to read the relevant chapters carefully before applying them. Bone plate was used to connect the broken end of fracture in orthopaedics operation, bone screw was used to fix the fracture in orthopaedics operation, and bone wire was inserted into the medullary cavity to fix the fracture in orthopaedics operation.

A, To find the best position and tilt, cause the fracture compression reduction clamp to temporarily replace the tension function. This can also be used to prevent the shear force of the fracture.

B, pull screw instead of reduction clamp, in the best fixed position and tilt angle.

C, the tension screw position preferably perpendicular to the fracture surface. In the experience of Johner et al, the use of the angular dividing line is only correct for fixation of osteotomy with an oblique angle of less than 40 °. If the angle of inclination of the osteotomy is 60 °, the osteotomy will be displaced because the tension screw cannot be tilted enough.

D, photoelastic analysis shows that the compression action range is relatively small, which may explain why a single tension screw can not overcome the torsion force.

A tension screw screwed right into the fracture provides maximum interslice compression but minimal axial stability. Under axial load, the slip of one piece on the other is accompanied by the loss of reduction and fixation. If a screw is screwed at right angles to the longitudinal axis of the bone, it will provide maximum axial stability, but when it is tightened it will cause malposition of some fractures. Therefore, the best method is to have one screw at right angles to the longitudinal axis of the bone and the rest at right angles to the fracture surface. When more than two screws are used to fix a spiral fracture, the central screw is usually at right angles to the longitudinal axis of the bone, which prevents axial displacement. The remaining two screws were angled to the spiral fracture surface to ensure maximum compression.

Yao Sisi planned to replace it with silver metal sheets and needles. As long as he could minimize the amount of movement and nourishment provided by the food, there wouldn't be much of a problem. Knowing that it would not be easy to drag it out, or else it would cause complications, Yao Sisi picked up the red-hot knife and sliced at the skin on Zuo Pianfan's back.

"Gauze."

"Silver piece!"

"Needle Thread"

Bandage...

This unparalleled operation was completed an hour and a half later. When it was completed, Yao Sisi realized that the old man looked at her as if he was looking at a demon or demon. She also ignored him and instructed the old man not to move Zuo Pianfan, and also told him to give Zuo Pianfan painkillers after he woke up, so she could go and buy some nourishment for him.