Chapter 174: Chapter 0167: First Step Out of the Hut_2
The patient’s patellofemoral joint is underdeveloped, implying that the patient’s femoral intercondylar fossa was already abnormal. To what extent, who knows; the damaged posterior tibial plateau ans that when reconstituting the posterior cruciate ligant, the femoral stop point on the posterior cruciate ligant of the reshaped femoral intercondylar fossa won’t be in a regular position. This factor should be taken into account in the reshaping. Therefore, a very unusual femoral intercondylar fossa needs to be reshaped.
If the previous thod is adopted, it would involve mirroring a normal femoral intercondylar fossa from the opposite side for reshaping. The surgery would surely fail, which would lead to the loss of the function of the rebuilt posterior cruciate ligant and instability of the patellofemoral joint.
The patient can still walk reluctantly now, but after the surgery, frequent lateral dislocations might occur due to the instability of the patellofemoral joint, making walking difficult. If the patient can walk without a surgery and can’t walk after the surgery, would the patient accept it?
This surgery requires one to imagine a specific form for the femoral intercondylar fossa. There is no template for this form that needs to satisfy various conditions simultaneously. It has to provide the best tunnel entry point for the ligant, avoid causing patellofemoral joint disorder, and prevent ligant impingent. The difficulty lies not in restoring but in recreating. It is equivalent to designing a femoral intercondylar fossa with strict requirents. Any error could lead to the collapse of the surgery.
One can only rely on their brain’s imaging abilities. The core of the super cultivation plan is to develop this brain imaging ability. And this goes beyond straightforward static imaging. It needs to be dynamic, connected, and logical.
Yang Ping’s brain imaging abilities have been improving steadily. He found building this ti’s static images quite easy, finalizing them in just one attempt without any supplentary work. However, creating dynamic images remained challenging. He had to revise, supplent, and reinforce it repeatedly before it took shape.
Images in his mind kept changing. Sotis he needed to move, sotis to shift. One after another, femoral intercondylar fossae appeared. Then, the ligant would be implanted at the ideal position. If it wasn’t working, the femoral intercondylar fossa would be further modified before implanting the ligant again. This process was repeated many tis. Finally, after a few groups of ligant implants, the best function and balance were obtained. But the impingent occurred again during flexion and extension. The modifications continued until the impingent was completely eliminated. Patellar instability recurred, so Yang Ping grimly continued to revise, repeatedly trying and eradicating errors. By the ti he finally solved the problem, his forehead was drenched in sweat, his clothes nearly soaked. The ntal exhaustion was imnse, but he was relieved to have found the most appropriate shape for the femoral intercondylar fossa through visualization.
Yang Ping went over the final shape of the femoral intercondylar fossa several tis, confirming that there were no issues. Thus, he committed it to mory for use in the surgery tomorrow.
“This patient’s femoral intercondylar fossa needs reshaping and it’s extrely difficult. Co over and take a look tomorrow!” was a ssage from Su Nanchen.
“I’ve reviewed the information. Indeed, it’s tough, but it shouldn’t be a problem,” responded Yang Ping.
—
This guy, he claims that a surgery like this would not pose a problem. Either he has truly mastered surgeries, or he hasn’t reviewed the imaging materials thoroughly.
Su Nanchen arrived promptly at Sanbo Hospital at 8:30 on Sunday morning. Around 9 o’clock, Yang Ping had also arrived at Li Quan Hospital.
To show his appreciation, Boss Cheng was waiting at the hospital entrance. When he saw Su Nanchen and Yang Ping approaching, he was taken aback. How could soone even more skilled than Professor Ye possibly look so young? Even at a glance, it was impossible not to notice that this man was barely in his twenties. In essence, at this age, he would at best be a junior doctor. What was Su Nanchen up to this ti?
Boss Cheng quickly reassured himself, reminding himself that Su Nanchen was a man of his word. He didn’t have to worry about the expertise of a person Su Nanchen had personally invited. It’s just a pity that if the patient were undergoing a regular quadruple reconstruction, the surgery could have been done today. This would have filled the void at Li Quan Hospital and represented that there was no technological difference between Li Quan Hospital and Yunjian Hospital. But this patient — the surgery couldn’t be perford. What a pity! Boss Cheng sighed, feeling sowhat unwilling.
As a savvy businessman, Boss Cheng swiftly rearranged his features, revealing none of his thoughts. From a distance, he extended his hand to welco them.
“From Sanbo Hospital, Yang Ping, Dr. Yang!” Su Nanchen introduced.
“Hello, Dr. Yang, nice to et you, Cheng Liquan-” Boss Cheng was gorgeous and affable, giving everyone a sense of familiarity at first sight. He quickly extended his business card in both hands, nodding slightly in respect.
Yang Ping took the card: “Boss Cheng, your reputation precedes you. Who in the dical circle doesn’t know Boss Cheng’s na?”
Despite his fa, this was indeed the first ti that Yang Ping had heard Cheng Liquan’s na.
The three of them chatted as they walked. This Sports dicine Center was genuinely impressive. A professional designer was hired to plan the interior, taking ticulous care of details, such as the slope of the stairs, the width of the steps, the height of the handrails, and the color matching.
Luxury isn’t just about the technical aspect; it’s also about the experience.
This man may be in his twenties, but his deanor is far from irresponsible or unstable. Instead, he radiates an extrely strong sense of calm and confidence. Chaoshan people are good at doing business, and businessn are adept at observing people and situations. Boss Cheng observed furtively and realized that seeing from his temperant, Su Nanchen’s friend was indeed a master.
A beautiful nurse led the way, the tailored nurse uniform highlighting her charming figure. Her professional smile made everyone feel very comfortable. The hospital was indeed running with great dedication.
Yang Ping had heard a little about these specialist hospitals and had so preconceived notions about them. But since it was opened by a friend of Su Nanchen, it likely wasn’t too bizarre.
From a visceral feeling, the hospital seed very regular, and Boss Cheng introduced his hospital all the way.
“Let’s rest in my office for a while!” Cheng offered.
Yang waved his hand: “No need, let’s take a look at the images first, then check on the patient.”
Everyone went to the doctor’s office, where the light box was already filled with dical imaging films. Yang Ping walked up to the light box and closely studied the patient’s images.
Everyone gathered around; two doctors and several master’s degree students. They were all trained by Boss Cheng and represented the pivotal support of the hospital. For doctors and master’s degree holders, job prospects are not very optimistic, especially in G City. It’s challenging to find a foothold in the better public hospitals. So had to settle for private hospitals, either the large, comprehensive ones, which were few and far between, or these smaller, specialized hospitals.
Yang Ping’s eyes narrowed slightly as his sharp gaze scanned the images.
Boss Cheng held his breath. Although his hopes were slim, he still wished for the surgery to be feasible. After all, this was a surgery that even Professor Ye had given up on. If Professor Ye didn’t dare to perform it, who else in the country could? When it ca to surgeries of this nature, others could at most be considered on par with Professor Ye.
Seeing that Yang Ping remained silent, rely staring at the images on the light box, Su Nanchen and Boss Cheng didn’t want to interrupt him and waited quietly. In hindsight, calling soone over for this kind of surgery was indeed sowhat inappropriate.
After examining the images, Yang Ping said, “Let’s go and see the patient.”
Boss Cheng instructed the attending doctor to lead Yang Ping to the ward to examine the patient. The wards here were all suites, luxuriously decorated.
Yang Ping inquired about the patient’s dical history in detail, perford a thorough examination of the patient, and obtained sufficient information. He now felt quite confident.
They returned to the doctor’s office.
“How is it?” Su Nanchen asked.
Boss Cheng eagerly awaited the verdict.
“Admit the patient!” Yang Ping answered casually.
Admit the patient? Does that an the surgery can be perford?
Su Nanchen was also unsure. Was Yang Ping being serious, or was he kidding? If he could perform this surgery, then this guy must be insane.
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