nucmednet Chapter 105 Another Improved Spell
Chapter 105 Another Improved Spell
Chapter 105 Another Improved Spell
"Can I go through security?"
Totti complained.
"It's fine to file in advance; there won't be any issues."
Lin Mu smiled.
It was quite interesting chatting with Totti.
If he weren't so busy, he really would have liked to stay. Lin Mu waved his hand, "You rest first. You can leave the surgery to me tomorrow, don't worry."
After saying that, he left.
Only Totti, who had been completely indifferent just moments before, was now filled with worry.
His previous demeanor was all an act.
No one can laugh it off when faced with a career-ending injury.
He just didn't want people to see his vulnerability.
He was a prince of Rome.
He is the hope in the eyes of countless Italian fans.
"Dr. Wood is indeed very skilled. None of the patients who have undergone surgery by him have had any problems so far."
Totti's agent offered words of comfort.
"They haven't returned to the field yet."
Totti muttered something.
Recoba, Zanetti, and others did not actually undergo surgery; they only received conservative treatment.
All things considered.
Lin Mu performed surgery on only one football player, Raul.
Thinking about this...
Totti suddenly realized there was nothing to be nervous about.
If he can't make it to the World Cup, then Raul will most likely do the same.
Totti chuckled twice.
the next day.
The highest-standard operating room in orthopedics.
After Totti received an epidural, he was positioned supine with his hips slightly elevated to allow his feet to rotate naturally inward.
It's just not very convenient to watch TV.
Lin Mu looked back.
A few meters outside the sterile surgical area, a small LCD TV suspended in the air is playing something.
But he couldn't hear it.
The wired headphones are provided only for Totti's use.
And it's also impossible to touch sterile wounds, tubing, or infusion lines; it's quite troublesome.
But who made Totti pay for it?
From a clinical research perspective, playing videos during epidural anesthesia can reduce patient anxiety and stabilize blood pressure and heart rate.
This is also a standard humanistic service project.
"Surgery begins!"
Lin Mu gave the order.
He still opted for the traditional incision method instead of minimally invasive surgery.
A longitudinal incision was made along the posterior border of the fibula, starting 1 cm below the tip of the lateral malleolus and extending upwards for nearly 8 cm.
The skin, subcutaneous tissue, and deep fascia were cut layer by layer to expose the distal fibular fracture site of the Totti fracture.
"It's really complicated."
Stephen's Mediterranean Sea is sweating again.
The situation is the same as in the movie.
Totti's fibula was not a simple transverse fracture, but a fracture with shortening and rotational displacement.
Traditionally, doctors need to rely on X-rays and CT scans to slowly visualize the original length and rotation angle of the fibula before performing surgery.
Lin Mu took direct action.
"Reset clamp".
As soon as Lin Mu reached out his hand, Anna handed it to him and placed it in his palm.
Lin Mu looked up and gave her an approving look.
They then pressed on Totti's fractured area, pushing the fibula back to its original length and aligning it.
Stephen is still using a C-arm machine to confirm the force line.
Lin Mu had already said, "Two millimeters short, three degrees outward roll."
After saying that, adjustments were made.
The next step is to implant the titanium steel plate.
This step is crucial.
The stress distribution of the screw is determined by the fit between the titanium steel plate and the skeleton.
The woodwork was done very carefully.
Suddenly, I heard the sound of teeth grinding behind me.
Lin Mu couldn't help but turn around and take a look.
Totti's expression was unpleasant.
"Totti's fist is harder than his ankle ligaments; he can stop half a season with one punch, but he can't stop himself from getting a red card."
The television program is playing footage on a loop of Totti shoving his opponent down last year.
Roma also lost a crucial point in their quest for the Champions League due to his suspension.
But when the host told a lame joke...
"How long do you think Milan can last without Kaká?"
"I don't know how long Milan can hold out, but I think I can hold out for five days at most."
In Italian.
The pronunciation of "卡卡" is similar to "大便" (dàbiàn, meaning poop).
Totti laughed again.
Lin Mu looked away and continued performing the surgery.
Inserting screws into the steel plate at the proximal and distal ends... Actually, some people say that the profession of orthopedic surgeon is like a carpenter with aseptic technique.
That seems to be true.
Just like screwing in screws, you can't screw them in one after another, but you have to screw them in from opposite corners.
This makes the connection between the screw and the steel plate more stable.
To form an overall framework structure.
"There's even a feel to screwing in screws..."
Lin Mu felt it was a bit tight and picked up a torque wrench to test it.
It's definitely gotten bigger.
The fibula was finally in place. Lin Mu looked at Totti, "Francisco, how are you feeling?"
"I'm furious!"
Totti answered immediately.
The television was showing footage of last season's matches against Juventus, including missed penalty calls against teams like Roma, Lazio, and Inter Milan, as well as a case where Juventus benefited from a penalty decision.
"The Serie A referees' match schedules were handwritten and customized by Moggi!"
Moggi is the manager of Juventus.
The program didn't provide concrete evidence of any behind-the-scenes manipulation, but it sarcastically suggested that Juventus had a home-field referee advantage.
Totti thought so too.
Lin Mu breathed a sigh of relief.
When performing surgery under epidural anesthesia, it is necessary to communicate frequently with the patient to ensure that they remain conscious.
I rested for a few minutes.
Lin Mu is preparing to begin the next surgery.
Instead of suturing the fibular incision, he made two small incisions in front of the ankle joint.
Arthroscopy was inserted.
"Will this work?"
Stephen, Anna, and the others exclaimed in surprise.
They had only seen arthroscopic exploration during fracture surgery in some cutting-edge journals.
"fine."
Lin Mu didn't explain, and quickly searched the area.
The arthroscopic findings were even more severe than the MRI, showing a 1cm² lesion on the medial side of the talus, along with a large amount of blood and fine bone fragments within the joint cavity.
There is shedding of deep fibers in the deltoid ligament.
Everyone gasped in shock again.
Lin Mu, however, was prepared, since he had already seen it before.
"Modified Brostrom procedure for lateral ankle ligament".
Lin Mu looked up at Anna.
He knew that his junior sister had written an article before.
It's about the Brostrom procedure. Because this procedure involves directly suturing and anchoring the ligaments, the repaired ligaments are significantly weaker than before the injury.
Patients also find it difficult to return to their pre-injury athletic level.
In 1980, Dr. Gould made a modification to the procedure.
An additional layer of extensor retinaculum is sutured onto the ligament surface to provide double reinforcement.
Linmu, on the other hand, changed the open-type to minimally invasive method and replaced the single anchor with a double anchor for athletes.
Anna was so shocked she couldn't speak.
"Actually, this improved technique is not very difficult."
Lin Mu's casual remark left everyone speechless once again: "The mainstream approach in the past was actually off track. It only sutured the distal end of the extensor retinaculum to the periosteum of the fibula, leaving the retinaculum suspended and not completely covering the ligament suture area."
"What I'm going to do is fix it proximally to the fibula and anchor it distally to the neck of the talus, forming a stable tension with a double layer of ligament body and supporting band."
This was also a misconception in foot and ankle surgery in Europe and America at that time.
Orthopedic surgery is divided into two schools of thought.
One school of thought is the anatomical school, which adheres strictly to the brostrom procedure, suturing ligaments whenever possible and believing that additional reinforcement is unnecessary and damages the physiological structure.
The other faction is the reconstructionists.
They believe that weak ligaments must be treated with tendon transplantation, and there is no middle ground of "double-layer reinforcement of the nearby fascia".
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