Chapter 72: External Rotation Reduction Method (Asking for Favorites, Asking for Follows)

After the young man agreed, Xiao He took him to discuss and sign the informed consent and pay the fees, and first entered the Operating Room to prepare the Forearm Sling and other items for after successful reduction.

The daughter in the family of three asked, "Doctor, then what about us? Are you just going to leave us hanging here? Can't you call another, older doctor?"

Fang Ziye heard this, took a deep breath, and said, "Although the next sentence isn't particularly pleasant to hear, at this time point, it is rather awkward."

"Eastern Han's Orthopedics Annual Conference is a large-scale academic conference; basically all Associate Professors and Professors of Orthopedics from large hospitals will go attend. The Department's remaining manpower resources are relatively insufficient; this is something that cannot be helped."

"Although the Professors have all left, the Department's elective surgeries must proceed normally, and emergency patients like you must also be received normally. Doctor Jin cannot leave right now; there is another, even more critical, even life-threatening patient waiting for him to see."

"This is indeed a rather awkward point for the Department at the moment; we can only ask for your understanding."

Fang Ziye explained patiently.

"What about Tongji Hospital or the Provincial People's Hospital?" the daughter asked again.

She had just checked; Trauma Surgery — Tongji Hospital, Peking Union Medical College Hospital, and even the Provincial People's Hospital — their levels might be even better than Zhongnan Hospital.

"You can certainly go ask, but basically, whether it's Tongji, Peking Union, or the Provincial People's Hospital, as long as it's Orthopedics, they are all at this time point attending the Nationwide Orthopedics Annual Conference, right?"

"Sorry, I need to go prepare some Forearm Slings for post-reduction fixation; you might need to wait a bit more, but it won't be long."

"After Doctor Jin finishes that emergency consultation, he will hurry back immediately. I've already sent Doctor Jin a message." Fang Ziye replied like this.

The message was also sent in person.

Fang Ziye explained to this point, and the three people stopped making a fuss; Fang Ziye had explained very clearly, and he wasn't the least bit guilty.

Actually they could also understand; one side's patient was fighting for their life, their own mother was just in pain — the concepts weren't the same at all; running to other hospitals now would undoubtedly be a waste of time.

And coa, she had checked; it was indeed recently, held in Xia City, Fujian Province; the time matched up perfectly, and the conference schedule's first day was today; Fang Ziye wasn't lying.

After the young man agreed, he generously signed his name and was taken to the Operating Room by Xiao He.

Just a simple Anterior Shoulder Dislocation; for such a dislocation, reduction is relatively simple — only the External Rotation Reduction Method is needed, also called the Kocher Reduction Method; it has been in use since 1870; the reduction success rate is roughly eighty percent to one hundred percent.

Fang Ziye currently estimates his own reduction success rate is at least above ninety percent; telling the patient around seventy percent is naturally a conservative estimate.

After entering the Operating Room, Fang Ziye instructed the patient to lie flat.

The Kocher Reduction Method does not need an Assistant; it only needs the operator alone to operate.

One hand holds the patient's Wrist, flexing it to about 90°; this is to relax the patient's biceps brachii.

The other hand, starting from the Elbow, applies traction to release the patient's Shoulder Joint space.

This process requires sustained traction until the joint space is completely released.

Fang Ziye immediately mildly abducted the Forearm, and gradually externally rotated the upper arm; the other hand then adducted to bring the elbow along the chest wall toward the midline, then internally rotated the upper arm!

After such an operation ended, he immediately felt the patient's Shoulder Joint flash once, followed by the popping sound of the joint's Humeral Head entering the Glenoid Cavity.

"Thud!"

The sound was rather dull, but very natural.

At the same time, the young man let out a light "aiyo"; his supine posture shifted to half his body tilting toward the affected side.

Fang Ziye released his force at this moment and asked, "The deformity at the Shoulder Joint has disappeared, the joint has returned to the Glenoid Cavity; how is the pain sensation?"

"Much better, but still a bit painful." The young man's injured side was the right Shoulder Joint; his left hand rested on the arm, gently stroking.

"Stand up, move the Shoulder Joint; mainly do abduction and lateral raise, then do flexion and raise above the head; if these active movements have no problem, put on a Forearm Sling, hang it for about half a month, then just discard the Forearm Sling." Fang Ziye instructed while demonstrating.

The young man didn't trust Fang Ziye that much; holding a "might as well try" mentality, wanting to return to work early.

But Fang Ziye's operation and confidence didn't hesitate at all; at this moment he followed along.

The more he did, the more he felt the pain at the Shoulder Joint gradually relax; after his right hand slowly raised above his head, his eyes lit up: "It really doesn't hurt much anymore, Doctor Fang."

"Closed Reduction naturally relieves the malposition pain stimulation brought by the Joint Dislocation."

"For safety's sake, you go downstairs and get a Shoulder Joint AP film, re-check once; we'll personally see the Joint Reduction, so both you and I can rest assured. Okay?"

"We'll put another Forearm Sling on you; the re-check film Medical Order has already been opened; you go downstairs to the Emergency side, directly do an X-ray, no need to wait for the result, directly come back up; if there's no problem, you can directly leave."

"No need to take any Medicine either; if after reduction you still feel chronic pain stimulation, then it might be Rotator Cuff Damage; then come back for re-check."

"However, based on your current dislocation situation assessing the violence magnitude, the probability of Rotator Cuff Damage isn't high either; but nothing is absolute; we doctors can only do a statistical analysis based on other people's damage situations; we can't guarantee you anything."

"Even if only one person out of a hundred has Rotator Cuff Damage, we doctors don't dare say you are one of the ninety-nine." Fang Ziye joked while instructing Xiao He to help put on a simple Forearm Sling.

The Forearm Slings inside Trauma Surgery are already standardized; no need to use Bandages to tie knots and make them; therefore the operation is exceptionally simple.

"Thank you, Doctor Fang; then I'll come find you again in a bit."

"This morning, I indeed had to see a rather important Client, right nearby; I originally thought to ride an Electric Scooter; who would've thought, just as I reached the bridge on Han Street, I took a fall."

"That step there is too inconspicuous." The young man complained like this.

Fang Ziye heard this and smiled: "Then I think you can report it to the Road Administration; Our Hospital has recently received at least two people who fell there……"

"No other problems; after going back, insist on Functional Exercise; don't treat yourself as a Patient; just still need the Forearm Sling's auxiliary fixation, just in case."

"Not lifting heavy objects — this is the most important."

"If this side was just reduced, and you go twist a hundred or eighty jin, or go to the Training Room to pull and train, then it's still no good." Fang Ziye joked with the other party like this, considering the instructions complete.

As for the young man who came with him, he was his Colleague and Assistant; he was riding another electric scooter; after seeing his boss fall, he hurriedly braked, avoiding falling himself, then hurriedly brought the person out.

Fang Ziye watched another 10 Knowledge Points credited, and couldn't help but feel smug.

(Chapter End)