Practicing Medical Skills in a Small Clinic-Chapter 255 - 152: Successful Transverse Fracture Reduction—Finally a Good Night’s Sleep

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."

Dr. Chen eagerly craved every learning opportunity.

This hands-on chance is tremendously precious to him.

Moreover, considering the severity and difficulty of aligning this patient's fracture, participating practically ensures greater benefits.

At this moment, Dr. Chen was as excited as an intern grabbing a chance to assist with retractors in the operating room.

Li Jingsheng began aligning the patient's fracture.

Once again, applying the Bone Touching Skill, he constructed a mental map of bone positions before successfully employing advanced bone setting techniques, including traction, stretching, rotating, flexing, to align the patient's broken bone ends.

However, this alignment didn't achieve the ideal connection state.

The fracture ends couldn't achieve a tight fit.

Even if performed by Doctor Xu, a perfect alignment can't be achieved in one go.

"Dr. Chen, apply traction on the patient's left hand! I'll manually stabilize the initially aligned fracture section."

"Okay!"

Dr. Chen was already prepared, while Doctor Xu offered rare meticulous guidance on traction operation essentials.

Soon, traction was completed.

As the steel cables tightened continuously, Li Jingsheng felt the tension.

"Stop, stop! This tension is just right."

Feeling the traction force about right, he hurriedly called to halt.

"Dr. Chen, try gently oscillating the patient's left hand, making sure not to exert too much force."

This task would be better performed by Doctor Xu.

Despite Doctor Xu's poor physical condition, he could definitely assist with force control here.

Nonetheless, Li Jingsheng did not call on Doctor Xu but rather offered Dr. Chen a chance to get hands-on experience.

Philosophically, he distinctly differed from Doctor Xu.

Doctor Xu kept techniques very close, wary of widely sharing the bone setting skills.

Li Jingsheng believed medicine should flourish through generational inheritance of advanced skills.

Dr. Chen was meticulous.

He cautiously oscillated the patient's left hand while striving to keep traction stable.

It was evident he cherished the training opportunity provided by Li Jingsheng.

"The force can be slightly increased."

Li Jingsheng understood Dr. Chen's cautiousness.

With the patient's left limb moving, the bone grinding sound became distinctly audible.

Li Jingsheng remained focused, fully employing the Bone Touching Skill to feel the connection status of the fracture ends.

"Good, very good, lightly oscillate back and forth."

The bone grinding sound gradually diminished.

"Oscillate sideways a bit, but not with too large amplitude."

"Reduce the amplitude slightly."

...

Finally, the bone grinding sound from the patient's fracture ends had completely disappeared.