"Then I won't hold back. Considering there's a slight fracture and severe joint dislocation, let's administer so anesthesia!"
Li Jingsheng's last sentence was directed at Li Li.
"Is local anesthesia okay?" Li Li asked.
"Brachial plexus nerve anesthesia will suffice. Dr. Chen, please issue a temporary dical order."
Li Jingsheng wasn't a doctor at the Second Hospital and had no authority to issue dical orders.
Without such temporary dication orders, the hospital wouldn't reimburse the expenses.
According to hospital regulations, many require doctors to issue dical orders, which the nurse must then sign to confirm.
The anesthesia process went smoothly.
Dr. Chen and nurse Li Li were very cooperative.
After all, the family looked quite rowdy, and without Doctor Xu present, if they didn't handle things well, an uproar in the consultation room would surely lead the hospital to hold them accountable.
Once the anesthesia took effect, Li Jingsheng began seriously setting the patient's bones back in place.
With such a slight fracture with adduction type on the lateral neck of the hurus, let alone manual reduction, even open reduction would be quite challenging.
It not only requires high proficiency in ordinary osteopathic skills but also demands a very high level of twist and stretch skill for a successful bone setting and reduction. Conversely, the requirent for traction extension is sowhat lower.
Many orthopedic surgeons, when performing open surgery, might have experienced that what appeared slightly challenging on the imaging seed much simpler post-incision during surgery.
Directly aligning the fracture site, inserting screws where necessary.
Apply a brace if needed.
In reality, after opening up, the difficulty of realigning the bones is much greater than anticipated.
This is actually due to manual technique issues.
Lacking understanding of bone quality and structure, relying solely on imaging to judge bone positioning, even though incision may reduce so difficulty, challenges remain.
Moreover, inadequate treatnt can easily result in joint degeneration or malunion at the fracture site, affecting the patient's normal movent functions.
In even more severe cases, direct occurrences of bone necrosis might happen.
For instance, the femur is one of the areas most prone to necrosis.
Treating bone injuries, even now, is still a specialty of many renowned orthopedic hospitals dostically, often more recognized than top-tier hospitals.
These orthopedic specialty hospitals generally carry on the tradition of Chinese dicine bone setting and managing bone injuries.
Famous figures like Shuangqiao Old Lady, Pang's Family, and the like.
After diagnosis in big hospitals, recomnding surgery without guarantee of fully restored movent functionality.
Patients then seek out specialty orthopedic hospitals, encountering truly skilled doctors, who, without surgery, use manual reduction and possibly traction hospitalization supplented with topical bone injury ointnts and oral bone regenerating dications.
Ultimately, they recover and are discharged, with movent function almost identical to before.
Such cases are not isolated but are quite nurous.
Li Jingsheng's pursuit of master bone setters wasn't out of ambition but rely to learn manual bone reduction to prevent his small clinic from closing. Ensuring a livelihood wherever he goes.
If he could boost the clinic's reputation, enhancing the sales of health products and advancent in surgical services, that would be even better.
At this mont, he enhanced his twist and stretch skill to Master Level, naturally forming a manual reduction approach in his mind.
"First, adduct and inward rotate while securing, then abduct externally, then forward bend, lift, and inward rotate, tightening the fracture surface, and slowly lower the elevated limb..."
With a solemn face, a serious expression, his gaze fixed on the patient's shoulder.
Snap!
The sound of bone cracking was heard, the child gave a slight groan, but didn't scream in pain.
The brachial plexus nerve anesthesia proved effective.
While it is a local anesthesia, it carries risks.
Li Jingsheng noticed a detail; even at such a top-tier hospital as the Second Hospital, a skin test was perford before administering local anesthesia to a child.
Apparently, his small clinic wasn't the only cautious one!
Human life is significant, everyone acts cautiously.
If sothing happens, not only might the patient's life be at risk, but the careers of the doctors or nurses involved could essentially end.
Even without losing their dical licenses, the chance of being sidelined in their career would be quite high.
"Is it fixed?"
The child's father asked anxiously.
"I'll check again to confirm, hold the child still."
Li Jingsheng used the bone touching skill to check again.
The dislocated shoulder joint was now realigned.
The site of the fracture was also set back to its proper position.
Actually, the child's fracture wasn't serious, quite mild.
But it was a fracture.
If left untreated, with proper care over two to three months, it could self-heal.
And there'd be almost no lingering aftereffects.
However, if inadequately cared for, such as not using a sling, allowing the fractured site to continue facing external impact, then it's unpredictable.
"The manual reduction was successful. However, the child needs to keep the arm suspended in a sling around the neck for so ti. Also, there's a fracture, so dication needs to be prescribed for ho use, along with proper care…"
Saying this, Li Jingsheng elaborated on the care details to the child and his parents.
and instructed them to return to the hospital for a check-up in a month.
Dr. Chen had already brought the bandage, humbly assisting Li Jingsheng in handling the subsequent steps.
A few minutes later, the bandage was secured.
Li Jingsheng checked thoroughly, Dr. Chen prescribed dication, then directed the family to proceed with paynt and dication collection.
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