owlsbooks Chapter 40: Turning Surgery into Art
Chapter 40: Turning Surgery into Art
San Rafael Hospital.
In the orthopedic operating room number one, besides Lin Mu and his assistant, the scrub nurse and the anesthesiologist, there was also Lin Mu.
There were also more than a dozen people who frequently appear in medical journals standing outside.
After Asamoah was under general anesthesia.
Instruments suitable for double-bundle reconstruction, arthroscopic systems, femoral anterior medial and posterolateral bundle positioners, tibial double-bundle positioners, etc., are also ready.
The trees moved.
Incision selection for anterolateral and anteromedial approaches.
It's as if they don't need to think.
Everyone felt as if the arthroscopic access was established in the blink of an eye.
Then came the lightning-fast inspection.
They didn't know whether Lin Mu had actually examined the ACL remnant, meniscus, cartilage, and collateral ligaments.
But after the trees are cleared.
The images from the arthroscopy were so clean.
"no?"
Fu Haoqiang's face was filled with disbelief. "What is this?"
"Is this procedure really that simple? I see a very complex situation inside the patient's knee joint. Is it really okay to handle it so quickly?"
"You didn't see the arthroscopic images; the stumps have already been treated."
"Maybe it's because I practice a lot."
But they quickly shut their mouths.
The doctors at the San Rafael Orthopedics Clinic next to them chuckled to themselves when they saw that these people had the same expressions as they had before.
However, their laughter soon faded.
Because all they could see was that incredibly precise scalpel.
A tiny 2cm oblique incision was made, reaching directly to the insertion point of the pes anserine tendon, with no deviation in the layers.
The subcutaneous fat and superficial fascia were cut through directly.
This is not over yet.
Lin Mu twirled the scalpel he held.
The tendon, which originally required repeated probing to confirm its location before separation, was held in place by Lin Mu's other hand.
"Stripping".
Lin Mu had just finished speaking.
He then inserted the tendon removal knife without any adjustments.
Until the tendon, which had been bluntly detached along the longitudinal fascial sheath, was removed.
The crowd then awoke as if from a dream.
"He removed the tendon just like that?"
A doctor at the Houston Medical Institute muttered to himself.
He still remembers the first time he performed a single-bundle reconstruction surgery, he was flustered and had to frequently change instruments and make adjustments.
There was a lot of blood seeping from the surgical area.
Then look at Asamoah's surgical area on the operating table not far in front of you.
It was so clear and bright.
"This surgery is an art form!"
Someone else sighed.
"How did he get to go straight up on stage to take measurements and organize the groups?" the people at Massachusetts General Hospital exclaimed in shock.
"The tendon he removed was in perfect condition and required no further trimming."
Fu Haoqiang sighed.
The more basic the thing, the more the difference becomes apparent.
"Sigh, I'm still a bit slow today, it's been almost five minutes."
Roberto Mochini looked regretful.
Everyone's eyes twitched violently!
What are you saying?
Even if you're trying to show off, you can't do it like this!
Everyone here is a key member of the department, but who among you took less than five minutes to remove the tendon?
It's more than just a single tendon!
However, none of them complained; instead, they continued to look at the operating table.
The key is to locate and drill the bone tunnel next.
This is also the technology they most want to learn.
However...
They found they couldn't understand it.
too fast.
Two tunnels at the femoral end and two tunnels at the tibial end.
Lin Mu used an electric drill as if he were drilling wood.
They found two spots and started drilling, but anyone could see that the bone tunnels were perfectly prepared.
Because the graft has been successfully passed through the tunnel via the traction line.
First introduce the posterior outer band, then introduce the anterior inner band.
Lin Mu nodded in satisfaction.
The femur was then fixed with a looped titanium plate.
"Prepare to adjust the tension."
He looked up and glanced at the crowd.
This indicates that he will use the "dual-bundle differential tension formula for different knee flexion angles" to make adjustments.
Rather than the original feel or fixed values.
The orthopedic experts from other hospitals still maintained a rational and skeptical attitude.
But when...
The tension adjustment at different knee flexion angles is complete.
With the outer head fixed, rotation is stabilized.
The anterior medial collateral cord is fixed, thus stabilizing the anterior and posterior sides.
Flexion and extension activities are performed.
The Lachmann test and axis displacement test were passed.
No impingement was observed in the intercondylar fossa.
Everyone felt a trembling excitement.
As a doctor, witnessing such a smooth surgery is like having a foot masseur vigorously digging between your toes when you have athlete's foot.
The feeling of exhilaration was indescribable.
Lin Mu, who was in the operating room, quickly finished his work and came out.
Fu Haoqiang stared intently at him.
There's nothing we can do.
He considers himself a leading figure in global ACL dual-bundle reconstruction surgery.
But I just saw the surgery Lin Mu had.
The eyes couldn't keep up with Lin Mu's hands; too many steps were skipped, it was almost a dimensional reduction attack.
The issue for him now is no longer whether he wants to learn or not.
Rather, his Dao heart was somewhat damaged.
"Professor Lin, in our double-bundle technique, the bone tunnel is positioned anteriorly to allow for some buffer space. However, your insertion point is almost flush with the lowest point of the anatomy. Won't this position cause postoperative intercondylar fossa impingement? Theoretically, we don't support this position at all!"
Doctors at the Houston Medical Institute have raised questions.
"I had already predicted the full-angle flexion and extension trajectory of the knee joint during the operation. There was no impact at this point throughout the entire process, which was subsequently proven. Your theory is a general standard, not an individual standard."
Lin Mu shook his head.
Upon hearing this, everyone immediately began brainstorming.
Before they could figure it out.
Why was only one drawer and axis displacement test performed during the operation?
Another person raised their hand to ask a question.
"This is the significance of the 'dual-bundle differential tension formula for different knee flexion angles.' Frequent intraoperative testing can disturb the unfixed graft and destroy the original tension."
"This is also one of the reasons why cruciate ligaments are prone to loosening after reconstruction surgery."
"By using formula calculations at preset times, the most suitable tension can be found."
"No need for repeated adjustments and frequent testing."
Lin Mu put his index finger and thumb together and made a pulling motion.
Others have questions.
He was stopped directly by Francesconi.
Nonsense, what if I finish teaching you here and then deny it?
Show your sincerity first, then we can talk about learning.
Lin Mu stepped out of the medical building and took a breath of fresh air.
starting today.
His ACL double-bundle reconstruction technique is about to make him famous worldwide.
wrong.
We'll have to wait and see how Asamoah recovers.
And then...
When a large number of cases of dual-beam reconstruction and single-beam reconstruction were compared.
Single-beam reconstruction may be phased out of the mainstream surgical procedures.
The phone suddenly started buzzing.
Inter Milan were leading Lazio 1-0 away from home, with Zanetti scoring from a corner kick.
[+129 experience points]
A few small words flashed before Lin Mu's eyes, and he stretched and laughed.
Level 5 surgical skill is impressive.
"What should I add next?" Lin Mu pondered, resting his chin on his hand.
Before he could come up with an answer...
Fu Haoqiang stood beside him, smoking a cigarette with a melancholy expression. After a long while, he finally spoke reluctantly, "Have you ever thought about going to the University of Pittsburgh, becoming a tenured associate professor in the Department of Orthopedics, and the principal investigator of the ACL Anatomical Reconstruction Research Group...?"