Chapter 321: Manual Reduction

Xu Leyu looked at the surgical field, not knowing what to say.

The position of the clavicle plate in Ji Xiang's hands was impeccably good; he only needed to drill the holes and drive in the screws.

This surgery was easy, certainly, but it made Xu Leyu feel very unreal.

He did not nitpick to show off how high his own level was. It wasn't that Xu Leyu didn't want to, but there really was nothing to say.

If one were to deliberately find fault just for the sake of it, that would be beneath one's station.

It was just that the surgery felt as if he were the one guiding Zhao Tianjiao, yet at this moment, he was the one being guided.

This feeling was extremely strange, and for a moment, Xu Leyu found it somewhat hard to accept.

He calmed his mind once more, drilled the holes, drove in the screws, then checked for bleeding points, and seeing no active bleeding, began to suture layer by layer.

Because Zhao Tianjiao was there, Xu Leyu did not want this son of Dean Zhao to feel discouraged; plus, knowing that Tying Knots was Ji Xiang's forte, he even did the Tying Knots himself.

Ji Xiang did not compete or fight for it; after every knot was tied, the Suture scissors arrived immediately.

Xu Leyu noticed that the movements of the Suture scissors in Ji Xiang's hands were extremely standard: pressing down along the Suture, lifting 0.5cm after reaching the knot, and slightly tilting to cut the Suture.

Sigh, this level is truly high! Xu Leyu sighed inwardly.

The surgery was performed extremely quickly; the surgery that he originally thought might not even be finished in 1 hour had already begun the process of waking the patient after 22 minutes.

The patient woke up, vital signs were normal, and the group lifted her onto a flat stretcher and sent her down.

"General Manager Xu, has that Doctor Xiao Ji performed surgery before?" The Anesthesia doctor walked down with General Manager Xu, chatting as they walked.

"I don't know, anyway I heard he is doing quite well in the Urology Department." Xu Leyu was also puzzled, and he replied in a muffled voice.

"Why do I have a feeling that Doctor Xiao Ji is already capable of independently performing internal fixation for a Clavicle Fracture?" The Anesthesia doctor was also somewhat unable to believe it.

"That's what I'm thinking too," Xu Leyu said confusedly. "Basic skills are basic skills, and surgery is surgery. That surgery just now... how should I put it? If I were to go and be the assistant and our Director was the surgeon, it would still be impossible to do it this fast."

"So you thought so too!" The Anesthesia doctor was surprised. "I thought I had seen it wrong, it really is like that."

"Strange." Xu Leyu frowned and subconsciously ran his hand through his hair.

"Let's watch two more surgeries and see. I heard Doctor Xiao Ji does both Interventional Surgery and Urology Department surgeries quite well," the Anesthesia doctor said curiously. "General Manager Xu, do you think there really are geniuses?"

"How would I know? I'll observe again when the next one comes to the Emergency Department." Xu Leyu was also full of curiosity about this question.

Returning to the ward, the two took a look at the patient, the Anesthesia doctor returned to the operating room, and General Manager Xu explained the precautions to the Family Member.

Just as they exited the ward, they saw several burly men walking toward them. The person in the middle was leaning to one side, with his right arm hanging in front of him.

Shoulder joint dislocation; Xu Leyu knew what the problem was just by seeing the patient's walking posture.

"Tianjiao!"

"I'm here, General Manager Xu." Zhao Tianjiao ran over.

"The patient should have a shoulder joint dislocation. I'll take a look, and then you go and reduce it."

Zhao Tianjiao was very skilled at this work, and Xu Leyu was at ease letting him do it. Moreover, there was another reason—Xu Leyu had sensed Zhao Tianjiao's fighting spirit just now, and letting Zhao Tianjiao show off appropriately would avoid greater conflicts in the future.

"Alright."

Having not performed the surgery just now, Zhao Tianjiao felt stifled inside. Happening upon a patient with a shoulder joint dislocation, Zhao Tianjiao immediately became excited.

General Manager Xu took the patient to the Treatment Room.

On the way, he asked about the medical history. The patient was working at a construction site and accidentally fell when he was about to finish work, resulting in him being unable to move his right arm.

They went to the Emergency Department, and the doctor in the Emergency Department performed a physical examination, concluded it was a shoulder joint dislocation, and sent him to the inpatient department.

Xu Leyu first performed a physical examination on the patient.

The patient's injured shoulder was swollen and painful, with limited active and passive movement; the affected limb was elastically fixed in a slightly abducted position, often supported by the healthy hand, with the head and torso tilted toward the affected side.

The Deltoid Muscle of the shoulder was collapsed, presenting a square shoulder deformity; the displaced humeral head could be felt in the axilla, under the coracoid process, or under the clavicle, and the glenoid cavity was empty.

The Dugas test was positive; when the hand on the affected side was placed against the chest, the palm could not touch the shoulder on the opposite side.

"It is a shoulder joint dislocation, reduce it," Xu Leyu said, then turned and left.

Zhao Tianjiao glanced at Ji Xiang and Lu Kai beside him, as if looking down from a height, silently displaying his own "level."

"Lu Kai, go move a chair, that one over there." Zhao Tianjiao ordered Lu Kai.

Lu Kai was indifferent and didn't care at all about Zhao Tianjiao's overbearing manner; he smilingly went to move the chair over.

"Sit on it." Zhao Tianjiao had the patient sit on the chair, with the affected limb resting on the back of the chair.

He grasped the patient's wrist with one hand, flexed the elbow to 90 degrees to relax the biceps, and with the other hand grasped the elbow, applying continuous traction, slight abduction, and gradually externally rotating the upper arm.

However, the "click" sound did not appear.

Zhao Tianjiao did not panic; the Koch Method was not a technique that worked every single time.

He grabbed the patient's right arm and took advantage of the chair back to pull downward.

"Ah~~~"

A scream echoed in the Treatment Room.

Zhao Tianjiao was stunned for a moment.

Theoretically, this shouldn't happen! He had already performed over 20 cases of shoulder joint dislocation, and every time he had solved the problem using either the Koch Method or a downward pull.

He had performed it very accurately just now, and there was nothing wrong.

But in the end, he heard the patient's scream, yet there was no faint "click" sound.

"Does it hurt a lot?" Zhao Tianjiao asked somewhat flustered.

"It hurts." The burly man's forehead had already started to sweat, and he said while enduring the pain.

Zhao Tianjiao checked it.

Normally, after reduction, the shoulder immediately restores its normal blunt, rounded, and full shape; the dislocated humeral head can no longer be felt in the axilla, under the coracoid process, or under the clavicle; and the Dugas test becomes negative.

But there was no change at all in the patient's right shoulder.

What the hell is going on! Zhao Tianjiao was stunned.

"Your dislocation is very severe, let's try one more time." Zhao Tianjiao reacted quickly and explained to the patient.

"Mm."

"Your body is in good shape and your muscles are strong, so try to relax as much as possible, otherwise it will be very difficult for me to work," Zhao Tianjiao said.

Should he try using the back of a chair again? Zhao Tianjiao hesitated, but the Patient's screams from just a moment ago made him feel a bit afraid.

If that doesn't work, he would use that move! Zhao Tianjiao thought to himself.

"Come, lie down." Zhao Tianjiao guided the Patient to lie on the examination table, with the affected limb on the outside.

He positioned the Patient and began to take off the shoes.

"Doctor, what are you doing!" the Family Member asked cautiously, not understanding.

"By bracing with my foot, I can exert more force," Zhao Tianjiao replied, "otherwise, because his body is in such good shape, I can't pull it down with just my arms."

The Patient and the Family Member looked confused.

"We call this the Foot-Pedal Method." Zhao Tianjiao was also a bit flustered, fearing that the Patient and the Family Member wouldn't understand, so he explained the details of the Foot-Pedal Method first.

(End of chapter)