The ancients said: if you want to do good, you must first use your tools. As an orthopaedic surgeon who sees the operating table as a battlefield, he is proficient in all kinds of weapons in his opponents. Today, we're going to pick up these eighteen weapons in the hands of an orthopaedic surgeon.
No.1: Retractor
In orthopaedic surgery, in order to fully reveal the surgical field of vision, facilitate operation and avoid accidental injury, in addition to the application of general surgical retractors, but also often use some special retractors.
No.2 periosteal stripper
The top of a long handle is an elliptical or arc plate with sharp and blunt edges. According to its different uses, there are many different specifications and styles. The periosteum and soft tissue attached to the bone surface can be peeled off by periosteal stripper.
No.3 Orthopedic bone saw
1.Hand saw
The hand saw in
orthopaedic bone saw has plank saw and line saw two kinds. Bandsaw is only used in amputation for cutting the backbone.
Wire saw with spiral distribution of serrated teeth, used to cut deep bone, such as pelvic osteotomy, the use of wire saw to cut the hip.
2. Power saws
The power saw in orthopaedic saw is divided into two kinds: electric saw and pneumatic saw. There are three kinds of motion forms of power saw: rotation, swing and longitudinal reciprocating.
No.4 Bone hammer
Metal bone hammer is generally divided into light, medium and heavy according to its weight. Light is mainly used for finger, toe bone and facet joint surgery; medium and heavy are mainly used for limb bone and spine surgery.
No.5 Bone file
Like a fitter's steel file. When the ends of the broken bones are uneven or the edges are sharp after cutting and osteotomy, the bone files should be flat and round. In addition, some special bone files, such as acetabular files and medullary cavity files, are also used in some operations.
No.6 Curette
It can be used to scrape scar, granulation tissue, dead bone or pathological tissue of bone cavity and potential lacuna in sinus. The head has various specifications and curvatures in various directions, so that it can enter the lesion from different angles and meet the needs of different parts.
No.7 Bone knife
There are straight bone knife and curved bone knife, that is, the knife handle and the knife body can form a straight line or an angle. The head of the bone knife is two slopes of equal gradient. The function of straight bone knife is to cut bone, cancellous bone can be cut directly with bone knife. When cutting hard bone, in order to prevent bone splitting, we should drill in advance on the predetermined cutting line, and then cut the bone between the two holes with a bone knife. Bending knife can replace flat bone chisel.