Dazhong.com, poster news reporter Xu Ling, correspondent Guan Tianxing reported from Jinan
In early March, 32-year-old Mr. Sun rode a motorcycle home in the middle of the night and rear-ended a car halfway The tractor parked on the side of the road was injured by a fall, causing severe pain in the right knee.
At first, I thought it was a knee fracture.
The patient was sent to the nearest hospital and X-rays were taken. The doctor thought it was a comminuted fracture of the tibial plateau. The patient is relatively unfamiliar with this term and does not know what to do for a while. The doctor reminded: this part is more complicated, and it is very difficult to do surgery, and it is necessary to go to a large hospital.
What should I do? Only transfer.
Mr. Sun was referred from Weifang to Jinan, and chose a large provincial hospital. The preliminary diagnosis was: anterior cruciate ligament tibial intercondylar spine avulsion fracture.
Recommendation: Immediate hospitalization and surgery as soon as possible.
Patients and their families are most concerned about how to operate. The doctor replied: Of course, surgery is necessary.
*The traditional knee joint surgical incision is 10-20cm
Faced with this choice, the patient’s whole family is not reconciled, and another I inquired and was referred to the Second Department of Joint Surgery, Jinan Central Hospital.
Where is the anterior cruciate ligament tibial insertion
? What to do with an avulsion fracture?
To the Second Department of Joint Surgery, Jinan Central Hospital, the patient was diagnosed with “anterior cruciate ligament tibial insertion fracture”, then, the patient’s question came: anterior cruciate ligament tibial insertion fracture What is the point? where is it?
Gao Yulei, director of the Second Department of Joint Surgery, Jinan Central Hospital, explained to the patient: This is a special type of cruciate ligament injury, and it is also a common clinical joint For internal fractures with obvious displacement, non-surgical treatment will result in nonunion of the fracture and relaxation of the anterior cruciate ligament, which will eventually lead to instability of the knee joint. At the same time, arthroscopic minimally invasive treatment is gradually replacing arthrotomy.
Arthroscopic minimally invasive surgery
half the cost of open surgery
The patient was transferred to Jinan Central Hospital on March 3, the operation was completed the next day, and he was discharged from the hospital on March 8. What surprised the patient and his family was that the cost of arthroscopic minimally invasive surgery was only Half of the open surgery.
The patient said: “I was just transferred to a large hospital in Jinan, and the doctor said that the operation should be performed immediately, and the preparation should be at least 100,000. Later, when I arrived at the central hospital, I very much recognized this method of arthroscopic minimally invasive surgery. , I didn’t expect to save so much money.”
According to the introduction of Cui Cunbao, the chief physician of the Second Department of Joint Surgery, Jinan Central Hospital, double-loop fixation surgery, a minimally invasive surgery under arthroscopy, only needs three 0.5 cm surgical holes as a path, and it is placed in the joint cavity. , through double-loop plate fixation, then bone tunneling, threading to reset the bone fragments, and then fixing and knotting, all surgical operations are completed in a narrow space with minimal trauma, which is a very advanced minimally invasive joint surgery method .