Chapter 312： Take off her hate sky high

Chapter 312: Taking Off Her Hate

What is the first metatarsophalangeal joint? It is actually very simple. It is the joint where the thumb and the instep are connected. The thumb function on the hand is the most important, and the same is true on the foot. This joint is also a force joint.

The people injured by this joint are all big fat people, some ball players, fat people because the weight is too large, the joints can't bear it. Athletes mostly suffer from exhaustive injuries. But there are some ordinary people who are not fat and are susceptible to this disease. It is women wearing high heels, especially which kind of hate shoes they like to wear. They are beautiful and tall, but this shoe is really a weapon to damage the metatarsophalangeal joints.

Because wearing high heels can increase the weight of the forefoot, the metatarsophalangeal joints are overextended, the deep transverse ligament between the forefoot metatarsals is loosened, the transverse arch collapses, and the second, third, and fourth metatarsal heads sink, just to the total toe nerve located here Excessive compression, resulting in total toe bottom neuroma. In addition, because the heel is too high, the arch of the foot collapses and the metatarsal head sinks, which can compress the common toe artery adjacent to the common toe nerve at the metatarsal head, causing arterial blockage and leading to ischemia of the toe nerve , Hypoxia, fibrosis.

This is not alarmist, and because this joint is a load-bearing joint at the end, once the injury, it is very troublesome to treat and treat, and this injury is a chronic process. If the injury is acute, it can also be restored by surgery. But this chronic injury, The vascular bed and nerves at the end of the limb are damaged first, and then the bone. In layman's terms, when women in high heels begin to have pain, they have already damaged their joints and related soft tissues and bones.

If you find that the treatment is late, she will be accompanied by permanent toe pain, aching pain, and numbness, severe numbness on the soles of the feet, you can imagine how uncomfortable this is. Even early treatment is troublesome, two methods, surgical and non-surgical.

The non-surgical method is to wear flat shoes, and then put something on the front and bottom of your toes, so that your thumb is as straight as possible. Imagine the bones that have already been bent, and then straighten them forcibly, how difficult it is. Not only difficult, but also painful, very painful. In weekdays, when a woman wears high heels for a day, why her foot hurts is caused by changing the stress curve. So if you love your woman, please take off her hate sky high!

The black man was hospitalized, with a height of two meters and a weight of more than two hundred pounds. There was really no way for him to lie down in an ordinary bed. Even if it was too late to customize, he could only wrong his friend in this neighboring country. Two long bench stands After getting to the end of the bed, he just made the **** guy lie down.

Because the inspections are very complete, all the inspections that can be done, and the recent inspection results, there is no need to repeat the inspections. Arranging the surgery directly, this is the result that Ms. Wang wants. For them, time is money, recover early, and play early.

The metatarsophalangeal joint is a very small joint of the human body, but after this joint is injured, ordinary orthopedic surgery can improve the symptoms and reduce the pain. It is more demanding to restore it to a normal state. Many basketball players It's all because of this joint that led to retirement.

"Make a dorsal incision and open it for repair. Now you are ready for surgery, Lao Chen, you go to the patient to talk to the patient and inform them. The place where you signed is signed." Zhang Fan directly determined the plan.

Old Chen said lovelyly: "I, I don't know English!"

"Oh, isn't Ms. Wang in. You can just tell her!"

"Yes, yes, forget this stubble." After speaking Lao Chen went to Ms. Wang. Although the black brothers are very reluctant to have surgery here. But there is no way. He has passed the peak of his sports career. It is good to have a gold master now. He must do whatever he wants him to do.

After the operation started, the anesthesiologist estimated the weight of Hei Dahan and added an anesthetic. "Dr. Zhang, this fat man is so heavy, I dare not give too much anesthetic, so the effect may not be obvious. You add a little more local anesthesia. "The anesthesiologist has never seen such a huge person, a little bit uncertain.

"Okay!" Zhang Fan looked at the fat man's body, it was really too big and too thick. Black, very dark. Shut up, close your eyes and turn off the lights. "Doctor Zhang, do you think his skin is also black!" Li Liang asked, grasping the big toe of Hei Dahan.

"It should not be, the dermis is estimated to be black, but the dermis is just like us." Zhang Fan also had the first operation on black people.

"Start! Anesthesia is fine," said the anesthesiologist.

Li Liang started disinfection, laid out a list, put a hole towel. After everything was ready, Zhang Fan and Li Liang went to surgery, and Song Bing toured. Looking at the weird toes of black people, Zhang Fan sighed, and the athletes looked at the scenery. In fact, their hard people couldn't really understand it.

Although Hei Dahan is not a first-class athlete, his toes are deformed because of his weight-bearing training, overloaded sports, and his huge weight. Although each toe is very thick, but like the old man, it is very curved.

"You see, his second and third toes have obviously suffered multiple fractures, and there is already a compensatory thickening here." Zhang Fan observed Li Liang after observing the remaining toes.

"Their money is really not easy to make." Li Liang has separated the first toe. This separation is a bit laborious and too thick. It is estimated to be as thick as the wrist of a two-year-old child.

"No one is easy, how easy it is." The anesthetist interjected.

At the beginning of the surgery, Zhang Fan held a small sharp knife and opened the skin gently. The scalpel was very sharp. In the early years, the scalpels were used many times. Now the scalpels are disposable. Although sharp, they are not durable. , The skin is dull after a few strokes.

"This operation must pay attention to minimizing the damage to blood flow. His damage has damaged most of the vascular bed. If he wants to continue to maintain high-intensity exercise, it is necessary to protect the remaining blood flow." Zhang Fan aside Say one side to avoid the dorsal toe artery gently, and then use a hilt to separate the brachialis flexor muscle.

Surgery does not require a knife for all exposed areas. For example, a knife is needed for the skin, and a very sharp knife is used. When the muscle layer is used, it is usually separated by fingers or the handle. Especially for such athletes, muscles are very important for them. If the sharp weapon is broken, although it can heal later, scar tissue will be formed, which will have an impact on the burst and persistence of strength.

This kind of functional joint surgery for athletes is very difficult to do. If ordinary people do this joint injury, there is no need to do extreme strength exercises, so as long as the joint function position is reached, pain and mutation are eliminated. As for some insignificant blood vessels, The ligature that can be ligated does not require special attention to the joint capsule, and the scar healing in the later stage is sufficient.

But if the athletes do this, the pain will be relieved, but the sports career is also over. This is also a lot of teams have fixed orthopedic joint doctors. This top-level joint doctor can reach the joints with minimal trauma. restore.

Although Zhang Fan only opened the first-level microsurgery, and only showed half of the operation volume, but because he was too capable, Zhang Fan practiced it in the system. I do n’t know how many times. The three-dimensional figure of the structure of this joint It took shape in his mind.

Cheekbones, phalanges, and Zhang Fan slowly gently separated some inflammatory tissue with forceps and then rinsed with saline. This operation is not so dangerous, but for the surgeon's understanding of the joints, the delicate operations on the hands are too demanding.

Surgery is not about dragging water. Why is mopping water here? It means that there is less movement. For example, some inflammatory tissue in the joint capsule can be scraped with a spatula. Do not scrape it twice. This operation is a comprehensive consideration of the doctor's comprehensive quality.

The inflammatory tissues were cleaned up and Zhang Fan began to repair. This kind of subtle repair cannot be done or used by ordinary doctors, but it is very important for this special population. In the United States, there are no more than 20 good doctors for this kind of surgery, and the doctor who is a little older at this surgery cannot do it, so the cost of the surgery is also quite expensive.

"Dr. Zhang, why is this repair oblique?" Li Liang couldn't understand, because according to the physiological position, it should be oblique. Zhang Fan didn't speak. This time was the most critical moment. The success or failure of the operation was at this moment.

Zhang Fan held her breath and did her best to make her hands reach an absolute stability, and gently repaired, one, two, three, four. Finally, Zhang Fan exhaled a long breath, "Shh!" Finally he repaired the deformed and scarred muscles.

Time has passed for more than three hours. This is micro surgery, which is very time consuming. After waiting for his breathing to be smooth, Zhang Fanlue said to Li Liang, "The oblique type here is to consider his weight and occupation, and the oblique type is more stable."

"Oh!" Although Zhang Fan explained, Li Liang was still a little dreadful. After all, the surgery was done little, and there was no way to feel it for a while.

"Electric drill, Kirschner wire." Zhang Fan said to the surgical nurse. Song Bing was boring. This operation was performed under a microscope almost all the way. He couldn't see anything. The electric drill lightly opened the small hole, and the Kirschner wire stably fixed the joint.

"When plastering, you must ensure that the plaster is fixed all around. It won't work in a day," Zhang Fan said to Li Liang and Song Bing.

"Good!" After the operation, Ms. Wang and the athlete's black buddies were almost asleep outside the operating room! After Zhang Fan pushed the **** man out of the operating room, the group of black buddies surrounded them happily, and chattered, Zhang Fan studied English for so long, and he did n’t understand them. What more!

"Doctor Zhang, it's hard." Ms. Wang looked at Zhang Fan expectantly, and Zhang Fan understood her meaning. After taking off the mask, he smiled first and then said, "The damage is serious, but it has been repaired. The rest depends on his recovery in the later period, and I will know in four weeks. It is estimated that he can continue to play basketball in the future. "Before the operation, Zhang Fan couldn't guarantee anything, but it was different after the operation.

He has confidence in himself, because he worked hard and did not know how much sweat was in the system!

Three chapters!

how about it!

(End of this chapter)