The Sports Healer Starting from Milan
Chapter 123 One Stitch After Another
Chapter 122 One Stitch After Another
Lin Mu thought that unless he maxed out several of the microsurgical techniques, he would have to give up.
Otherwise, the surgery wouldn't be performed well.
Thinking about this...
Lin Mu felt that there was great potential for him in the future.
It includes joint surgery for the knee, ankle, shoulder, and hip, as well as spinal surgery and microsurgery.
"Professor Blaze, you should explain the specific procedures to the patient."
Lin Mu shrugged and didn't reply.
Professor Blaze looked at Hill, his expression instantly turning serious. "Don't worry, although free flaps are rarely used in the foot and ankle, they are completely manageable even with common complications."
After several discussions, the surgical plan was decided to be a "quasi-one-time surgery" with a two-day interval.
Today, Professor Blaze removed the avascular, infected scar and covered the lateral malleolus with a vascularized fascial flap, providing a stable and low-risk environment for bone healing and ligament reconstruction.
Then Lin Mu took over.
After the joint surgery was completed, Professor Blaze performed a simultaneous fascial flap transfer and coverage.
This provides an observation window for the receiving area.
After all, Hill had a history of infection.
This approach can also reduce the duration of a single anesthesia session.
Hill nodded.
She was then wheeled into the operating room by the nurse.
The operating room lights went out.
Lin Mu, who had arrived early, saw the smile on Professor Blaze's face.
"It seems the surgery was a success."
Lin Mu stepped back to the side, allowing Hill's family to come forward.
Tamia and the others expressed their gratitude.
Professor Blaze waved his hand and quickly walked to Lin Mu's side. "I'm looking forward to your surgery the day after tomorrow. Let's see if it's as fast as they say."
"I've never been fast, just rather steady."
Lin Mu shrugged.
Roberto Mochini also rushed over. Hill was an important patient at the hospital, and he wouldn't be worried at all if Lin Mu were to perform the surgery on him.
As for Blaze...
Two days later.
Lin Mu received news of Ronaldo's arrival in Milan before the surgery.
Yesterday he also had a meeting with his colleagues to discuss Stoudemire's surgical plan.
It has been finalized that it will take place tomorrow.
He was busy again, having just finished operating on Hill today, and was scheduled to attend the launch meeting for the European multicenter clinical trial of ACL double-bundle reconstruction surgery tonight.
"I'm busy."
Lin Mu sighed and went to Hill's ward to remind Hill's family, "The surgery will take a long time."
Then.
.
After scrubbing his hands, Lin Mu arrived at the sterile area, where a nurse helped him put on his surgical gown and sterile gloves.
"Preoperative verification".
Lin Mu entered the operating room.
The anesthesiologist, myself, and the circulating nurse confirmed Hill's identity, the surgical site, and the procedure.
Hill was not yet anesthetized at this point.
"You'll get the result you want when you wake up."
The eyes above the mask seemed to hold a convincing power.
Hill nodded.
Lin Mu signaled to the anesthesiologist that they could begin.
Because the surgery takes a long time.
Just like Totti.
Lin Mu opted for spinal dural anesthesia combined with unilateral lower limb popliteal sciatic nerve block.
This is also the mainstream choice for athletes undergoing major lower limb surgery.
Unlike general anesthesia, it does not affect the athlete's cardiovascular and respiratory functions, and it can also retain the analgesia catheter after the operation, prolonging the analgesic effect.
Otherwise, it would be very troublesome if the wound were torn apart due to pain, nausea, or vomiting.
"Remember that the patient has a history of severe Staphylococcus aureus infection. Poor blood supply to the local soft tissues is the biggest risk factor for this surgery. If the infection invades the joint, there is a risk of amputation!"
Lin Mu's serious voice came from behind his mask, "So this is the key point of prevention for this surgery."
The operating room was so quiet that you could hear the sounds of various instruments running.
"Wipe your sweat."
Lin Mu has already cleaned Hill's left ankle joint cavity using arthroscopy.
In this process.
He was very careful to avoid infection.
At this moment, inside Hill's previously chaotic joint cavity, not a single piece of synovium that needed to be removed remained, and the loose bodies had also been removed by Lin Mu.
The adhesions on the anterior border of the tibia were also released.
Lin Mu also performed microfracture surgery on Hill's deep cartilage defect.
He turned his head and glanced at Hill.
The latter wasn't watching TV like Totti; instead, he was in a light sleep, his chest rising and falling slightly.
"The next step is to treat the talus cartilage defect area."
Lin Mu took a deep breath.
The guidelines indicate that talar osteochondral injury is a significant variable affecting the postoperative outcome of lateral ankle instability surgery.
Therefore, even if his ligaments were handled very well beforehand, if the cartilage was not properly treated, his postoperative recovery would be greatly reduced.
Therefore, the trees are highly focused.
Peel the cartilage to a stable boundary and pick up a thin metal nail.
It's like a temporary scaffold.
It can temporarily immobilize broken bones, and then remove them after the bones have healed.
"Be careful, senior brother."
The second assistant couldn't help but remind him.
By comparison.
Stephen, the first assist, and Anna, the third assist, remained calm.
Although Hill's ankle had been repeatedly injured and the local scars were hardened, drilling with Kirschner wires was extremely difficult.
However, for forest trees, it is still a controllable operation.
Lin Mu held the electric drill and drilled in slowly. Despite the buzzing vibration, Lin Mu's right hand remained perfectly still.
The needle tip arrived at the predetermined depth precisely.
Lin Mu glanced at the C-arm machine.
One stitch after another, and another!
Even though everyone had witnessed how powerful the forest was.
But I still couldn't help but gasp.
"alright."
Lin Mu breathed a sigh of relief when he confirmed that the depth of each needle was within the required range.
This is just the simplest step.
The second step is to address the issue of talus deformity healing, which requires osteotomy and autologous iliac bone grafting.
This was before Lin Mu performed surgery on Zhao Ruirui.
The "autologous bone grafting" technique was upgraded to level four.
Otherwise, he wouldn't be able to perform the surgery on Hill right now.
"The blood supply to the talus is very fragile. Excessive stripping can lead to ischemic necrosis, which is the most serious complication of talus surgery."
Lin Mu said softly.
His hand movements were even gentler than his voice.
Therefore, when he saw that the blood supply was suspicious, he immediately reduced the area of osteotomy.
Sacrificing blood supply for the sake of perfect force lines is not advisable.
Time ticked by, people waited anxiously outside the operating room, while those inside worked patiently.
The wood was fixed with hollow titanium alloy screws to fill the defect area with bone grafts.
During the surgery, he simulated a basketball sudden stop and an inversion ankle twist to observe the extent of talus displacement.
Then I loosened the screws a little more.
His forehead was now covered in fine beads of sweat.
The nurse saw it but didn't dare to wipe it, afraid of interfering with Lin Mu's work. Only after Lin Mu said something did she dare to pick up the gauze and wipe Lin Mu's sweat.
"Now you can relax a bit."
Lin Mu glanced at the time.
Okay.
Modified Brostrom procedure for the lateral ankle ligament!
This is his absolute strength.
His modified method involved suturing the extensor retinaculum to the periosteum of the fibula for double fixation.
Anna watched the smooth, flowing process with rapt attention.
She truly believed that Lin Mu had turned surgery into art.
But she dared not say it.
Otherwise, Lin Mu would definitely scold her, saying something like, "Surgery is for the patient's health, not for art and beauty." She has been scolded by Lin Mu quite a bit recently, and she has learned her lesson.
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