Practicing Medical Skills in a Small Clinic novel Chapter 255

Transverse fractures mostly occur in the limb bones, belonging to a relatively stable type of fracture.

This patient's injury looks severe, but as long as the procedure is properly performed, manual reduction can be successfully achieved.

However, it requires a high level of proficiency from the operator.

Doctor Xu is in extremely poor physical condition today and cannot personally perform the operation, so Li Jingsheng will take over.

Clinically, transverse fractures are challenging to realign, and even in top-tier hospitals, often only surgical reduction is adopted. In treating bone injuries, sometimes top-tier general hospitals are not as specialized as local orthopedic specialty hospitals in various technical fields.

"Doctor, what about me? I arrived before him!"

The patient with wrist soft tissue adhesion accompanied by fracture and joint dislocation became anxious.

No patient is willing to be overtaken in line.

"Don't worry, once we finish treating him, your turn will come naturally."

Doctor Xu reassured the 'overtaken' patient.

"Why can't you treat us first?"

The patient's wife was still somewhat dissatisfied.

Everyone's time is valuable, isn't it?

"Because your tissues are adhered, making the treatment more challenging, and local anesthesia requires a skin test first. Please sit and wait patiently, it won't take long. Of course, I understand your urgency, but treating illnesses can't be rushed!"

Doctor Xu maintained a very amicable attitude towards ordinary patients.

After hearing his explanation, the patient couple revealed relieved smiles.

They both indicated their understanding.

Inside, the patient was already in a lateral position guided by Li Jingsheng on the treatment bed.

The injury causing the humerus fracture was obviously not minor.

One could see frightening bruises on the patient's left arm. According to his account, he experienced a "door knockout" while cycling. Fortunately, he wore a helmet, and after hospital examination, it was found that only his left arm had a severe fracture.

Other areas only had abrasions, which were not bothersome.

Despite saying they aren't bothersome, the abrasions on the knees, wrists, and other areas were actually quite serious.

Such superficial injuries reaching the dermis are not easy to recover from.

Healing could take at least a week, possibly longer than half a month. Also, infection prevention is necessary.

The most concerning is the occurrence of scar hyperplasia.

Some people have a scar-prone constitution, leading to easy scar hyperplasia after epidermal injury. Knees and other areas are high-risk regions for scar formation.

Subsequent treatment will be unexpectedly difficult.

Each injection costs hundreds, possibly making treatment more expensive than bone injury treatment.

"Teacher, should I first align the bone and then perform traction, what do you think?"

"That's great."

Doctor Xu nodded in agreement.

"Dr. Chen, later I'd appreciate it if you could assist, mainly in maintaining traction stability and gently oscillating the distal fracture. I'll guide you on the direction to swing."

Li Jingsheng, seeing a rare chance, didn't hesitate but took the lead confidently.

With Doctor Xu overseeing from the side, there's no fear of messing up.

"Sure, sure."

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