Chapter 61 Left and Right Fighting Technique
Song Zimo and Xiao Mo pulled him for several minutes.
Professor Zhang put his hand on it and held it gently.
Touch the bones! This is the primary technique for manual bone setting. Through the skin and muscles, one must be able to feel the bones inside, how many there are, the shape and position of each bone.
The eight traditional methods of bone setting: touching, connecting, end, lifting, pressing, massaging, pushing, and holding; the new eight methods of bone setting: touching the heart with the hand, pulling and stretching, rotating and flexing, lifting, pressing, end squeezing, swinging touch, and pinching. Bone splitting, top folding and turning, massage and massage.
Regardless of ancient or modern combination of Chinese and Western, the touch of hands is the first priority. This is the basis of all subsequent technologies. Without it, the subsequent technologies cannot be implemented.
The so-called technique, everything depends on the perception and control of the hands. The ancients who relied on experience to survive really took their experience to the extreme.
Teacher Wang Baohe from Wuqiao, the hometown of acrobatics, performed the acrobatic trick of Three Immortals Returning to the Cave. No one could spot the flaws. Foreigners used several high-definition cameras to shoot from different angles, and finally slowed down the video in the hope of finding flaws. But I just can't find it.
Technique! It can be played to such perfection.
Professor Zhang is sitting upright on the chair. The chair is very stable, and Professor Zhang’s hands are even more stable.
He carefully felt through the skin and muscles, and he knew the shape and condition of each bone of the ulna and radius.
Those who can do this can only be counted on their hands.
Professor Zhang began to manipulate the bone pieces and return them to their places one by one according to the pre-designed order.
It is much better to return bones with soft tissue attached to them, just like leading a cow. There is a rope to pull the cow and the cow is slowly led into the pen. Bones without soft tissue attached are free, just like a cow without a leash. The only way to get it into the cowshed is to drive it. It is self-evident which one is easier, driving or leading cattle.
"Flex, yes! Then straighten, hyperextension, hyperextension again, stop! Return to the straight position, supinate, slowly supinate, good!"
Professor Zhang directed Song Zimo and Xiao Mo. They followed the order very well. During the activity, Professor Zhang's hands did not stop, looking for opportunities and seizing every opportunity to drive the cattle into position.
Compared with controlling the bone block to return to its original position in a static state, controlling the bone block to return to its position during exercise is a more advanced technology. You need to know how to move, when the movement is the opportunity for the bone block to return to its position, and how to control this bone block. Return to position with movement.
Next door, everyone looked at the screen. Although they couldn't understand anything, they knew that what they were watching was a superb stunt. The camera shoots from different angles, and multi-angle pictures are presented. Some students have followed Professor Zhang with their hands, making movements in the air, as if they are also patients under their hands.
"That's it!" Professor Zhang took his hand away from Li Jingshu's forearm: "Perspective!"
Among the people inside, only Yang Ping was free. He stepped on the foot switch of the C-arm X-ray machine, and a fluoroscopic image of the forearm bones immediately appeared on the screen.
The radius was fully restored, but the ulna was not.
The reduction standards for fractures include anatomical reduction and functional reduction. Anatomical reduction is to completely restore it to its normal appearance before the injury, without any deviation; while functional restoration can be restored to almost the same level, with certain deviations, but this deviation will not affect your use, that is, it will not leave any disability.
This ulna did not even meet the requirements for functional reduction.
Professor Zhang shook his head. He has obviously recovered, is he unstable?
Next door, many people have never seen real bone-setting techniques. The distal radius fractures and humeral supracondylar fractures that we usually see are simply traction and flexion, and there is no real manual bone setting.
Today I saw this case of a pulverized and obviously displaced double fracture of the radius and ulna. The radius can be restored so well. This is a real experience of manual bone setting.
Professor Zhang pondered that for radius and ulna fractures, it is not just about resetting the ulna and then the radius, but also taking into account both. Otherwise, it is easy to focus on one and lose sight of the other, because the two are a closely coordinated whole.
"Xiao Song, come here! Xiao Yang, help pull it!" Professor Zhang commanded.
He wants to change to another person. Maybe he is old and has not operated for a long time, so the feeling in his hands is poor. Young people's sensory nerves are more sensitive and may have a higher success rate. Moreover, he was the one who brought Song Zimo out, so he knows the reset level well.
Yang Ping took over Song Zimo's position, grasped Li Jingshu's elbow, and maintained traction with Xiao Mo.
Song Zimo helped Professor Zhang stand up, moved his chair back, and then helped Professor Zhang sit down again. He stood where Professor Zhang was just now and began to reset. In fact, he had already been eager to try.
He is competitive and has a strong desire to perform. The more Yang Ping can't do something, the more he has to perform well. He has been a top student since he was a child, and there is no word second in his dictionary.
There was a little commotion next door.
"Song Zimo also knows how to set bones?"
“I’ve been studying with Professor Zhang for several years, and I’m not just good at it, I’m really good at it!”
"He seems to know everything."
"There is no way, who can make people smart and learn everything at once."
"He seems to know how to play basketball."
"It's not that he's good, he's awesome. He's the main force of the hospital team, and he's indispensable for our hospital's consecutive medical system basketball championships." "Hey, why are you so awesome at everything? I'm satisfied with just being so awesome at one thing."
"Forget it, people are more annoying than others."
Yang Ping maintained the traction force on his hand and looked at Song Zimo, this guy is really good at it and he is not bragging.
Song Zimo put his hand up, ulna! Now the ulna is reduced. He frowned slightly, concentrating on the feeling under his hands, bit by bit.
In fact, others can't see anything. They can only see the manipulation of the hands, directing the assistant to rotate, flex, and straighten.
"How's it going? Xiao Song!" Professor Zhang asked.
Hearing the clicking sound, Song Zimo nodded: "That should be enough."
"Perspective!" Song Zimo said, but found that only he could control the C-arm machine, so he stepped on the switch.
The picture on the screen is displayed.
The ulna was completely reset, but the radius was gone again.
Despite this, everyone could not restrain their surprise that such a shattered fracture could be reduced manually.
Professor Zhang shook his head, still not working. Even if you reset it, you may not be sure.
Professor Zhang analyzed that the previous reductions may have destroyed the soft tissue attachment of some bones, reducing the stability of the bones. There were too few cows to pull and too many cows to drive.
Too many manual reduction operations can easily cause myositis ossificans, where some parts of the muscles become calcified and turn into bones. This complication sometimes leaves serious functional impairment and disability.
Professor Zhang looked at the three-dimensional reconstruction of the CT films on the reading lamp again and said: "Let's do the surgery. Call me Director Han--"
"Don't!" Li Jingshu still insisted.
"Try again!" Li Jingshu begged.
Professor Zhang shook his head: "We can't try again. The fracture is unstable and it's difficult to take care of both sides. If we try again, it will still be the same, which will increase the damage."
Song Zimo was a little confused and kept staring at the reading light. Professor Zhang said to him: "To successfully reduce this kind of fracture, a person must operate with both hands at the same time. The left hand can restore the radius and the right hand can restore the ulna, or the other way around, the left hand can restore the ulna and the right hand can restore the fracture. I could do it before, but now I can’t. I haven’t done this for a long time.”
"Is it okay for the two of us to cooperate? We can do the reduction at the same time. You can restore the radius and I can restore the ulna." Song Zimo asked tentatively without giving up.
Professor Zhang still shook his head: "No, this requires both left and right hands to sense and operate at the same time, and command different movements of both hands based on perception. Two people cannot unify the sensory information on their hands, let alone command movements; besides, both hands must cooperate with each other. How can two people cooperate so well to achieve such a seamless performance? It’s like two people playing the same unfamiliar piece of music on the same piano. You can imagine how difficult it is.”
Seeing Song Zimo's stubborn look, Professor Zhang explained: "Thirty years ago, I could still reset both hands at the same time, but now I can't. This kind of simultaneous reset of both hands does not just require simultaneous operation. The movements of both hands are completely different and must be carried out as scheduled. It’s like writing different words with two hands at the same time. It’s easy to say but very difficult. I really can’t do it now.”
"Fighting each other?" Song Zimo thought of a word.
Professor Zhang nodded: "Yes!"
Director Ouyang may have completed one operation. If you have time, come and take a look.
His graduate student immediately went up to report the situation: "This requires fighting between the left and right."
When Director Ouyang heard this word, it brought back memories. That was more than ten years ago. His senior brother's radius and ulnar bones were crushed and fractured, and they were obviously displaced. He refused to have surgery. At that time, I went to the traditional Chinese medicine hospital to find an acquaintance for a reset, but failed, so I had no choice but to ask my instructor for help.
The mentor found a centenarian old lady in the Imperial Capital through connections and asked the senior to go to the Imperial Capital immediately. Director Ouyang accompanied the senior there.
The hundred-year-old woman used the left-right fighting technique to forcefully dissect and reset the messy bones. Director Ou was so frightened that he had to replay the scene in his head for several days.
Director Ouyang often mentioned this matter to the graduate student, so the graduate student knew about the fight between left and right.
Hearing this new word, a doctor next to him couldn't help but ask: "Zhou Botong's left-right reciprocal stroke technique?"
The graduate student said: "It's basically the same. The left and right hands control the bones separately and follow different routes. And they have to coordinate well and take care of both sides, which is very difficult. Don't look at this bone-setting technique, it's just a simple pull; the really powerful thing is inside. It’s all about skill.”
"Oh, Professor Zhang should know it. He has specialized in research before, and I heard that he has had many masters."
"I guess I did it before. I haven't done it for so long, and I don't know if it will work now."
(End of chapter)