Practicing Medical Skills in a Small Clinic-Chapter 256 - 152: Successful Transverse Fracture Reduction—A Peaceful Night Awaits_2

"Great teamwork, finally we've got it set. Bring the splint over and help to secure it!"

After manual manipulation and alignment, without fixation, it would be a wasted effort.

This time, Dr. Chen didn't need any guidance in applying the splint.

Because what he's done most frequently is applying splints and casts.

The specific fixation method used is determined flexibly by professional doctors based on the situation.

Once the splint was applied, Li Jingsheng felt the bones to check the effectiveness of the manual manipulation.

Quite satisfied.

The fracture line at the broken ends was almost undetectable by touch.

This indicates a highly successful bone alignment.

"Teacher, please take a look."

Li Jingsheng said to Doctor Xu.

Doctor Xu felt the fractured ends, then with one hand fixed the splint on the fracture area and with the other, gently tapped the fracture's distal end.

Fortunately, anesthesia was applied, otherwise, the patient would have fainted from pain countless times.

"Xiaoli, feel it again."

After tapping, Doctor Xu asked Li Jingsheng to palpate the bone for changes at the fracture site.

After feeling it, Li Jingsheng's face showed a look of understanding.

The fracture line at the broken end was almost completely gone, obviously indicating a higher degree of congruence than when he had initially aligned it. The broken end of the humerus became more stable after setting.

It's like a broken stick, gently aligned, easily breaking apart again.

If firmly aligned to a close fit, lifting it would show that the joined fracture site remains stable and unmoved, quite solid.

At this moment, the patient's humerus end had achieved this joint effect.

The teacher is truly remarkable!

His skill clearly surpasses that of this student.

However, for Li Jingsheng to be able to independently complete manual manipulation for transverse bone injuries after just about a month of learning is extremely impressive.

Doctor Xu is a master with decades of experience.

If Li Jingsheng were to practice for decades, he would undoubtedly be far superior.

"Your arm is set, but it must be carefully maintained. Ideally, rest for about a month. You need to come to the hospital for an X-ray check every two weeks."

Doctor Xu provided some instructions to the patient.

With this, the patient was considered dealt with.

After the patient left, Doctor Xu looked at Li Jingsheng.

"Do you know the purpose of my tapping on the distal fracture end just now?"

"It should be to allow the fractured ends to fit more snugly, enhancing the stability of the fracture connection."

Li Jingsheng's response brought great satisfaction to Doctor Xu.

A rare, gratified smile appeared on his face, "Your talent in bone setting is exceptional, and your perceptiveness and practicability are top-notch. Wouldn't it be great if you could dedicate yourself entirely to learning bone setting with me!"

He knew that Li Jingsheng had no interest in this, so he just mumbled a couple of sentences before dropping the subject.

"During the operation just now, have you gained a further understanding of the techniques of oscillation and bone end touching?"

"Yes, I think I can try it on the patient outside with severe soft tissue adhesion."

There was a hint of anticipation and excitement in Li Jingsheng's expression.

From the moment Doctor Xu first let him treat this patient with a transverse humerus fracture, he understood Doctor Xu's intention.

To intentionally allow him to further grasp the techniques of oscillation and touching while treating this patient.

Because the reduction of that patient with wrist soft tissue adhesion would require these bone setting techniques.

"It's not just about trying, but you must give it your all. If you fail to reduce it, he will have to be admitted to the ward for surgical treatment."

Doctor Xu spoke seriously.

After speaking, regardless of whether Li Jingsheng agreed, he called out.

"Li Li, let the patient with wrist dislocation accompanied by fracture come in!"

By not conducting the bone setting in the external manual room, but having the patient come inside for treatment, it was clearly in consideration of Li Jingsheng.

If things went wrong, it wouldn't result in public embarrassment.

Minimizing negative impact as much as possible.

"Finally, it's my turn!"

The patient came in happily.

His face was full of joyful anticipation.

If he knew that the doctor about to operate on him hadn't mastered the key techniques and was using him as a 'guinea pig', he probably wouldn't be smiling.

"Lie down on the bed, just lie flat."

Doctor Xu instructed the patient to lie down on the bed.

Then looked at Li Jingsheng.

His eyes conveyed one thing: it's up to you.

Li Jingsheng felt a bit apprehensive at this moment.

Facing such uncertain cases, most doctors feel the same, a natural instinct to back down.

Only a few doctors would ignore the humanity of the patient entirely.

"Dr. Li, the anesthesia has taken effect."

Nurse Li Li stood by his side to remind him.

Director Hua had been sitting outside on a small round stool watching, not saying a word throughout.

The fact that Li Jingsheng managed to treat the previous humerus transverse fracture patient was quite a shock to Director Hua.

Though having learned from Nurse Li Li and Dr. Chen about Li Jingsheng's significant progress, enabling him to treat some patients on his own, witnessing his actual ability to align a humeral fracture manually was still shocking and delightful for Director Hua.

His gaze at Li Jingsheng housed more appreciation and fondness.

At this moment, Li Jingsheng set aside all distractions, concentrating on manually reducing the fracture for the patient.

His left hand grasped the patient's forearm, while the right hand held the patient's palm, in a handshake-like manner.

"I will need to shake your wrist to release the adhered soft tissue; if you feel nervous, just close your eyes."