medical simulator

Femoral neck fracture in the elderly is one of the special and rather rare fractures.

Treatment options include internal fixation with cannulated compression screws, total hip arthroplasty, and partial femoral head replacement.

This is a special fracture, but in terms of treatment options, there will be different options depending on the age group.

Cannulated compression screw internal fixation is included in the skill of fracture open reduction and internal fixation.

However, this operation is only suitable for young and middle-aged femoral neck fractures.

For the elderly, the benefits of choosing hollow compression screws are not too high.

This income does not refer to the doctor's income--

Zhou Cheng slowly wrote down some things he read from the literature.

The population with the highest incidence of femoral neck fractures is the elderly population over the age of 65.

The service life of femoral prosthesis or total hip prosthesis is generally about 30 years——

Such a one-time operation can basically ensure that the elderly will never need to undergo surgery again in the absence of special circumstances such as trauma. The artificial hip joint prosthesis is enough for this lifetime.

And for young and middle-aged people——

If three or 40-year-old patients with femoral neck fractures undergo hemihip or total hip replacement, the prosthesis for joint replacement has a long service life, and they will have another joint replacement in the future, which will increase the patient's life expectancy. economic burden.

Another point is that for total hip replacement or partial femoral head replacement, strictly speaking, you can get out of bed and start activities on the second day after the operation.

Cannulated compression screw internal fixation for femoral neck fractures requires immobilization for at least one month...

Young and middle-aged people can afford to lie down and wait!

But for the elderly, if they cannot get out of bed for a month, it may be a lifetime.

The elderly are prone to various complications when lying down, and their lifeline can already see the end——

Naturally, for a higher quality of life, you can directly choose joint replacement surgery...

Clinical treatment is not static and streamlined.

According to individual differences, choose different treatment methods.

Therefore, hemiarthroplasty can be used as the next simulation target in the follow-up.

Although this is the skill of joint surgery, it can also be used to treat fractures. The purpose is the same as the positioning of the copy, so it should not be downgraded...

The second one is the tibial intercondylar spine fracture. The best treatment method is to borrow sports medicine arthroscopy and deal with it under arthroscopy. The trauma is very small...

After sorting out his thoughts, Zhou Cheng still didn't start the simulation immediately. Anyway, there was still enough time, so he looked for some literature related to joint replacement.

Different from the previously simulated open reduction and internal fixation with small incisions for fractures and bone transport and transplantation for bone defects, the arthroplasty of the hip joint is now very mature, and there is no need to create anything by yourself.

Learning now and using it now, Zhou Cheng felt that the speed of simulation should not be slow.

At nine o'clock in the evening, Zhou Cheng started the simulation.

[Please choose the initial skill to carry. 】

[Fracture Open Reduction and Internal Fixation (Perfect), Manipulative Reduction of Joint Dislocation (Perfect), Limb Muscle Anatomy and Interpretation of Anatomical Muscle Strength and Deformation (Perfect). 】

[Start the simulation. 】

[You have a solid foundation in orthopedic anatomy and perfect surgical operations, and you have been appreciated by the superior physician.And you have obtained the permission of the superior physician to carry out manual reduction of joint dislocation in the department. 】

[Because of your perfect performance in joint dislocation reduction, your superior doctor was very surprised, and began to search for patients from outpatient and emergency departments, and you caught them one by one, and stood firm in the department. .1 heel. 】

Well, that's right.

There is nothing wrong with this route choice. Now that I have been approved by Cai Dongfan, there are many things I can do.

[You have triggered a special adventure—the help of noble people. 】

Ok? ? ?

What the hell is this?

Special adventure?

[Because of the noble person's help, you quickly obtained the surgical permission for open reduction and internal fixation of fractures, and was recommended to go to the top hospital in your province to study for a postgraduate degree in joint surgery. 】

【Your instructor was quite surprised by your surgical operation and anatomy foundation, and because the person who recommended you is quite familiar with your instructor, you soon got a special reception. 】

[You have a long-term first assistant position. 】

Is this really noble?It seems to be more dick than not wanting to work hard on the secret technique?

After all, if you don't want to work hard on the route taken by the secret technique, your superiors are trembling. This time, your teacher is willing, so it must be different.

[Special adventure——the help of noble people, because you joined a special research group, it helped you complete the thesis requirements and graduation thesis topics required for graduation. 】

[Six years later, you officially graduated with a Ph.D. and stayed in the school you attended. 】

[In the same year, your teacher felt that your heat and size were sufficient, allowing you to carry out the first hemiarthroplasty. 】

[Because of your solid knowledge of anatomy, surgical operation and long-term first-assistant experience. 】

[Successfully completed the first operation, and acquired the skill - half hip replacement (introductory), the brothers in your division, expressed their praise and recognition for the success of your operation. 】

[You have routinely obtained the authority of the general surgeon for hemihip replacement. 】

[The next year.The research group you belong to has made a major research breakthrough, and you occupy an important position in the research group. You were exceptionally promoted as an associate professor, and at the same time applied for the National Natural Science Foundation of China. 】

[You have obtained the routine operation permission for joint replacement, and your teacher gradually let go of the operation. 】

[After half a year, you received a total hip replacement (common). 】

Was he promoted to associate professor so soon?

It seems that after having a certain foundation, although my aptitude is clumsy, as long as I learn it now, the speed is not slow.

of course.

This nobleman is really expensive.

He was taken away on the spot just because he was in his research group.

Chapter 88 Guess who I saw?

This time, I just worked as an assistant for six years, and soon after getting started, I got ordinary-level skills, which is naturally quite good.

The most important help here is that special adventure - the help of noble people.

This is even more fragrant than a secret technique that doesn't want to work hard.

Just don't know who he is.

It shouldn't be Yang Yifeng. Yang Yifeng's code name in the simulator is a little friend in the department...

Keep watching.

[Five years later, you received a total hip replacement (proficient), and your teacher felt that you were quite mature, so he began to let you start the first total knee replacement. 】

【You performed quite well, but your teacher stopped your operation halfway, and he completed the key part.He encourages you to read more books.Other members of your clinical team also encouraged you a lot. 】

[The following year, you received a total knee replacement (common), and at the same time, your teacher completely handed over the right of joint replacement surgery to you.He began to take a back seat, or complete extremely complex joint replacements and revisions of joint prostheses. 】

【Ten years later, your teacher started to let you do total shoulder replacement...】

Well, quite satisfactory, but there are too many details.

But it is inevitable that I can't escape, and I didn't come up with a new direction, I just followed the study, and naturally I had to use the clinical direction that the teacher was doing as a template.

You can't just do hip replacement and leave everything else alone.

It was still not that big of a portion.

Next time, you can try to bring special skills in...

[When you were 50 years old, you obtained total hip replacement (proficient), total knee resurfacing (proficient), and shoulder arthroplasty (proficient). Your teacher has retired and taught you some experience. 】

[You have awakened and started to pursue higher-level skills. 】

[At the age of 65, you retired and accepted the re-employment of the hospital. You are still shining in the department and fighting on the front line of the clinic. 】

[No. At the age of 70, you finally realized that you could no longer reach a higher level in this life, so you unloaded all the tasks and started to retire and take care of your grandchildren. 】

[85 years old, died of no illness. 】

[The simulation ends. 】

[Simulation evaluation: ordinary.You are a qualified doctor with self-motivated learning, but you are intoxicated by the present and become an ordinary surgeon. Although you treat countless people, you make no contribution to medicine and make no progress. 】

[Due to dungeon restrictions, the patients received during your simulation are not compatible with the fracture dungeon.Some skill levels have been reduced. 】

[You can choose one of the following. 】

【Total Hip Replacement (Skilled)】

【Half hip replacement (proficient)】

【Knee Resurfacing (General)】

【Total Shoulder Arthroplasty (General)】

After reading it, Zhou Cheng rolled his eyes, isn't this messing with me?

Does the arthroplasty practiced on fractured patients have to be counted in the fracture dungeon?

After thinking about it, I decided to choose total hip replacement (proficient) instead of the proficient level of hemiarthroplasty.

Hemiarthroplasty is relatively simple, and the grade is better.

With the basic skills of the proficiency level, it will be more effective in the next simulation.

And, most importantly, the level of proficiency in total hip replacement, which definitely includes hemiarthroplasty.

But the converse is not equally true.

However, after the simulation was over, Zhou Cheng thought about it carefully.

It is necessary to do a review after the simulation is over.

The simulation this time seems to be a waste of that special adventure. If he has basic skills, the final level he can reach will be even higher.

But it is a pity that I am self-made in joint replacement surgery.

I don't know if the next simulation will have this special adventure.

But adventures may or may not come true, Zhou Cheng doesn't know either.

However, for this simulation, Zhou Cheng decided that he could change the way of simulation.

It doesn't have to be like before, in a skill, all the way to the black land to the perfect level.

Although it keeps going, it will save time, and it can be done in one go.

But it is possible to waste such a special adventure.

It's better to accumulate some regular basic skills, and then the next time you encounter such a special adventure, you can take off on the spot.

And according to the low frequency of this special adventure, it is estimated that it will be difficult to encounter it again.

Opportunities are like that, they are rare, but once they arise, you have to take advantage of them.

The main reason is that Zhou Chengcheng had no such simulation experience before, and the adventures at that time were optional.

Five minutes later, Zhou Cheng started the simulation of the next skill...

The next day, early in the morning!

After Zhou Cheng was woken up by the alarm clock at six o'clock, he turned over and got out of bed!

He ran to the table in the living room first, found the notebook, and carefully rummaged through it...

After flipping through for a while, Zhou Cheng smiled wryly.

This is just a dream, and I am too nervous.

The contents inside are naturally still there, and finally he breathed a sigh of relief.

He had a nightmare just now. In the dream, he lost his notebook, followed by his analog copy, which frightened Zhou Cheng...

However, this is just a dream. The existence of the emulator has nothing to do with the laptop I bought after I got the emulator.

And the notes on it are all the content that can be found in literature and books, nothing special.

Zhou Cheng didn't dare to write a few words about the simulator on paper. His notes were limited to professional content.