Surgery Godfather-Chapter 436 - 401 Curved Drilling_2

Chapter 436: Chapter 401: Curved Drilling_2

Chapter 436: Chapter 401: Curved Drilling_2

The places that needed to be examined with the probe, he examined meticulously; where it was necessary to pause and observe carefully, no steps were neglected; even when it came to lifting up the meniscus, no steps were omitted.

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And he didn’t waste any time that shouldn’t be wasted, not even a second. The proficiency of the surgery had reached a level that brought enjoyment.

In the teaching room of the operating theatre, everyone was watching the video. The arthroscopy was completed under the camera, and the chief surgeon was also performing the surgery while looking at the real-time video, so the surgeon’s view and the audience’s view were the same.

Precise yet delicate, swift but not impatient, elegant without any frivolity, the surgery was performed with the infectious capacity of an artistic expression.

Professor Rongge, an amateur music enthusiast and a professional-level violinist, showed rational judgment and emotional perception in his surgeries.

To have the surgery create an emotional appeal indicates that rationality has reached an extreme, unconsciously producing harmony and rhythm. This level is of a master among the masters, far beyond the reach of an ordinary person.

Professor Rongge sighed, from this Chinese surgery, he noticed a kind of temperament—broadness, depth, simplicity, and sensitivity, not concluded by logical reasoning, but achieved through emotional imagination.

The examination within the knee joint had been completed. Next, the reconstruction of the anterior cruciate ligament commenced. This surgery involved the reconstruction of multiple ligaments.

Instrument nurse was overwhelmed and couldn’t keep up with the pace. Robert had coached her through the surgical steps many times. She was also psychologically prepared, but she still couldn’t keep up.

However, the pace of the operation exceeded her imagination, and she started to become anxious. Robert comforted her, “Don’t worry, Dr. Yang will wait for you.”

Robert was worried that she would break down. Barel was holding the leg, and Robert assisted by handing over the instruments to keep the situation under control.

Preparing for tunnel opening, according to Robert, Dr. Yang would use sagittal plane curve drilling, circumventing the epiphysis. Everyone was eager to watch this step, how Yang Ping would carry out the curvilinear excavation of the tunnel.

“Curve drilling, without the need for a guide pin, currently we can only manually drill, in the future we can use computer software for navigation. There are three types of drilling methods, sagittal plane curve drilling, coronal plane curve drilling, and horizontal plane curve drilling. Sagittal plane curve drilling, to avoid damaging the posterior nerves and blood vessels, the second curve requires a small incision on the front of the knee, from the front to the back, to drill in the opposite direction; horizontal curve drilling, postoperative stress concentrates below the epiphyseal line, may easily lead to concentration of traction stress on the epiphysis, in severe cases causing epiphyseal separation; coronal plane drilling is the safest, most convenient, and most effective, avoiding the shortcomings of the first two drilling methods.

Yang Ping explained as he proceeded, “Robert thought too simply. He thought Yang Ping would perform sagittal plane curve drilling, which was exactly the first method that Yang Ping had eliminated.”

The coronal plane is the hypothetical plane that divides the body into front and back halves; the sagittal plane divides the body into left and right halves; the horizontal plane divides the body into upper and lower halves.

Coronal plane curve drilling, this curve will be located on the coronal plane.

Starting the coronal plane curve drilling, the flexible drill bit could change direction at will for directional drilling.

“Under unfamiliar circumstances, you must use C-arm fluoroscopy monitoring or navigation equipment to assist in preventing damage to the epiphysis.”

Of course, Yang Ping doesn’t need such complex assistance, he can manually drill, he’s too familiar with the anatomy.

Yang Ping told Robert this, merely as a reminder: dangerous shots, do not imitate.

The drill bit starts from the outer wall of the femoral intercondylar fossa, the anatomical center of the anterior ligament, and starts drilling towards the lateral side. Without such a directional drill bit, this curved tunnel could never be drilled.

Following the safe zone underneath the epiphysis, the drill bit travels along a predetermined curve, enters from the outside of the lateral femoral condyle, and then a flexible protective sheath, which can turn corners, is put on to prevent the drill bit from twisting and damaging the soft tissue in the next drilling step.

Under the protection of the sheath, the drill bit turns, passes the epiphyseal line, drill bit drills into another safe zone just above the previous exit, this direction is opposite to the previous one, from outside to inside, passing through half of the entire lower femur is enough, the drill bit is not needed.

This operation is concealed in the bone tissue, and cannot be seen on the screen. To confirm that the tunnel did not damage the epiphysis, Yang Ping decided to carry out a C-arm fluoroscopy.

As the glass shield rose, everyone moved away, and the operator of the C-arm carried out a fluoroscopy.

The drill bit was still in the tunnel, the metallic shadow was the direction of the tunnel, and two curved metallic shadows were beautifully located above and below the epiphyseal line without damaging the epiphyseal plate.

“Curved drilling, beautiful curved drilling!” exclaimed Professor Rongge.

Soft drills are often used in orthopedics, especially when performing drilling in narrow spaces. In some operation blind spots, because the hard and straight drill bit will get stuck, drilling is impossible, just like a bullet has shooting blind spots.

Therefore, soft drills are widely used. Because the drill rod is flexible, stress can be applied to change the direction of the drill bit, allowing for almost any angle of drilling.

But that only allows for any drill holes to be set, the route through the tunnel cannot be controlled.

Now this Chinese doctor, with his designed set of instruments, could skillfully perform drilling on any path.

No wonder Robert took him as a master and secretly went to China to study. The Chinese are too clever.

Not only does this doctor have superb surgical skills, but his concept is also advanced.

The tibial tunnel follows the same method, completing the coronal plane curve segment drilling.

The tendon is inserted into the bone tunnel, neither end of the tendon fixed in the bone tunnel uses the common mini flip steel plate suspension fixation. Instead, a novel reverse hook anchor nail technique is used.

From drilling to fixation, all used the novel anchor nail technique.

All these new techniques, Yang Ping successfully avoided some approval requirements, which are within the FDA’s permitted range.

Anterior cruciate ligament, posterior cruciate ligament, internal posterior structure, internal and external structures, many ligaments are inserted with curved drilling and reverse hook anchor nail fixation method, making children’s surgeries as mature as adults’.

The combination of new instruments and superb surgical technique made this world-leading surgery simple and direct.

“How did Robert meet this Chinese doctor?” Professor Rongge couldn’t help wondering.

The chief sports medicine doctor next to him shook his head: “I don’t know.”

“Does Dr. Yang only focus on sports medicine?” asked Professor Rongge.

“Not really, they say he’s good at spine, joints, trauma, sports medicine!” the chief doctor replied.

Professor Rongge was very unsatisfied. This guy Robert had found such a good teacher but never mentioned it to him.

Stingy, despicable, selfish, narrow-minded!

Professor Rongge was fuming, all the words he could think of, he went through each one in his mind. Afterwards, he was going to have a serious word with Robert.

Why hadn’t he said anything about having such a mentor?

If he only concentrated on a few arthroscopic surgeries of sports medicine, it might be understandable, but this mentor is also good at joint replacement!

Last time, he went out for a week and ambiguously mentioned something about attending an academic conference in China.

This dishonest person, such a dishonest person!

“Prepare for the next surgery.” Someone reminded Professor Rongge.

The second surgery was about to begin in another operating room.