▲X-ray scan of Denpa baba fracture
A few days ago, Shencheng staged a derby battle, and Greenland Shenhua foreign aid Denpa Ba accidentally broke his leg during the game, and his lower leg was fractured at 90 degrees. With the smooth progress of the operation in a few days, he is expected to get out of bed and walk around within half a month.
In competitive events, athlete injuries are almost commonplace, but they can recover quickly from some major injuries, how do they do it?
Text/Reporter Lü Xuan Photo Editor/Liu Zhao
In the 17th round of the Chinese Super League on the evening of July 17, In the 17th round of the Chinese Super League, Shenhua player Denpa Ba suffered a serious injury in a scramble and was later diagnosed with a comminuted fracture of the mid-tibial fibula of his left calf. The "tragic" picture of Demba Ba's injury was immediately labeled "cautious" by the media. "Retirement" and "reimbursement" have also become the words for injury results.
However, with the completion of Denba Ba's surgery on July 22, reports such as "10 days out of bed" and "7 months back to the field" immediately reversed the plot. Is it the "divine doctor" who has the way, or the denpa ba skeleton surprise?
Compared with the "skeletal surprise" of athletes, their unusual will quality is the key to rapid recovery, coupled with scientific and systematic recovery training, it is not difficult for athletes to recover from major injuries that look "creepy".
▲ Demba Ba was seriously injured in a scramble, and the picture was very "tragic"
◆◆◆
Broken legs are not as scary as the picture
When they saw the picture of Denpaba suffering a broken leg on the pitch, many people were worried about whether his career would end here. But Denpaba replied: "It is indeed a very serious injury, but I will try to overcome it and try to return to the team by March next year." I don't think this injury will end my playing career. ”
Denpa's confidence is not without reason, in fact, in international football, there are many examples of returning to the pitch after suffering a serious fracture accident.
For example, former Arsenal player Eduardo da Silva. In February 2008, he was kicked by Birmingham defender Martin Taylor during the match, resulting in a fractured fibula and dislocation of the ankle. Judging from the scene, the horror of the scene and the moment of Denbaba's injury are even worse. But after a series of treatments, it took him less than a year to return to the pitch. At that time, arsenal medical staff made a recovery plan for him: after six to eight weeks, he walked on crutches and walked on the ground, and then gradually increased his local strength and entered a slow recovery process. Jogging after six months. Full recovery after 9 months. Later, Eduardo's recovery was basically in accordance with this process, and after 358 days, he announced his return with two goals in the comeback.
Not only footballers, but also the famous American NBA star Paul George in an August 2014 game, the right calf crashed into the basket frame, serious fractures, the picture is more tragic than Denba Ba, but in April 2015, he returned to the field, bouncing, dunk can not see the slightest impact.
According to Wang Wei of the Football Department of Beijing Sport University, "In the mouth of athletes, injuries are divided into 'hard injuries' and 'soft injuries', and hard injuries such as fractures of various backbone bones are much easier to recover than soft injuries such as knee cartilage wear." "Although the former looks more tragic, it only needs to correct, ensure growth and scientific recovery, and the broken bone can be gradually healed; and one of the troubles of knee injuries is that the damage to the joint cartilage is much more difficult to recover than the bone." Cartilage tissue on joints has poor regeneration capacity, and after wear and tear, it is difficult to expect them to return to their original state on their own repair ability.
▲ On July 22, Denpa Ba completed surgery for a leg fracture. Chief surgeon Blanjie said Denpa Ba's surgery was very successful
A French "divine doctor" dedicated to athletes
In fact, Denpa Ba's surgery only involves the implantation and fixation of intramedullary nails, which is not a very difficult operation for clinicians in China. But Denpa Ba named the Need for french "Divine Doctor" Brenje. On the one hand, due to Denpa's long legs, he needed to deliberately buy an intramedullary nail with a length of 42 cm from Australia; on the other hand, it was out of trust in him, because it was Brownger who operated on Denpa Ba for a fracture ten years ago.
Since founding the clinic in 2007, Brownger has performed an average of more than 400 surgeries a year and more than 4,000 over a 10-year period. "In my experience, I have seen injuries far more serious than Denpa. Some of the players – I can't tell you their names, it's against medical ethics – they fracture very horribly, their bones will crack into 5 pieces of 6 pieces, or even 7 pieces of 8 pieces, which we medically call multi-segment comminuted fractures, and this is the really tricky situation. Demba baba had only two fractures, tibia and fibula, and not multi-segment fractures, but his problem was that he was injured twice in one area. ”
He revealed that there were four cuts in Denpa Baba's injured calf during the operation, but because it was a minimally invasive operation, there were not many stitches. "Although the wound is very long, three or four centimeters, I only have one stitch because then you can't see the stitches from the outside." In fact, the number of stitches is not a problem, the healing ability of the skin is decisive. ”
"Compared to other surgeries, the surgery I did today actually has a more technically special place, because he fractured his bones 10 years ago and he used the knife in the same place. When you have had surgery before, there is always a certain risk of surgery again, which is why today's surgery takes longer. This is because if you perform the operation again in the place where you have previously operated on, some of the internal tissues will be different, so sometimes it will be difficult to identify during the operation. Because this place has been cut before, his bones and skin will be a little different, plus some cell tissue has also been removed... So the whole surgical process will take a little longer. ”
▲ NBA star Paul George also suffered a serious fracture in August 2014, but with the help of professional treatment and rehabilitation plans, coupled with unusual will quality, he returned to the game in April 2015, bouncing and dunking without any impact.
It's not just bone wonder, it takes will quality
So for the rapid recovery of athletes, is it because they are "skeletal surprises"? In Wang Wei's view, such a difference is not obvious. "As long as normal surgery and scientific recovery, the same similar 'hard injury' rehabilitation of ordinary people and athletes is not much different, the real difference lies in the quality of will, ordinary people can not adhere to daily rehabilitation training like athletes, can not adhere to scientific recovery without slackening." This is the reason for the difference between the two. ”
In addition, for professional players, with professional treatment and professional rehabilitation, it is not difficult to recover from fractures and injuries, in contrast, psychological problems are more difficult to overcome.
The aforementioned Paul George had to get the consent of the counselor every time he had to walk up the court for a season after his recovery. Espn medical analyst Kaplan pointed out that even if he has no physical problems, he must undergo psychotherapy before returning to the game. Only by psychologically completely ignoring the injured right leg can he be truly healed.
Similarly, dr. Brownger stressed that not a successful operation means that Denpa baba can definitely return to the best level before the injury. Although the Chinese doctors said after the operation that his calf after the injury would return to the same as before the injury, to a greater extent, he still needed to solve his psychological problems. Brenger also said frankly, "I'm not very sure he can get back to his pre-injury state, Cisse also played for a while after recovering from injury, and then retired and never reached the previous level." But there are also some players who have suffered the same injuries and have played for a long time after recovering from injuries. To some extent, this is related to his psychology. ”
"After these two days of contact, I have some understanding of Denpa. What impressed me most about him was that he had a very strong willpower. Everyone said that he was 31 years old and could not function the same as he did 10 years ago. But you have neglected a little, old age also has the advantage of being older, and his psychology is now more mature than 10 years ago, which will play a very crucial role in the long recovery process. ”
tips
Treatment and rehabilitation of tibia fibula fractures
Although there is no "divine doctor" and it does not reach the will quality of Denpa Ba, for us ordinary people, if we face similar rehabilitation problems, there is also a relatively scientific rehabilitation plan.
Tibia-fibula fracture rehabilitation can be roughly divided into three stages, depending on the course of the disease, each stage has its own rehabilitation purpose and rehabilitation contraindications.
◆ The first stage
Time: Within 2 weeks after surgery, inflammation/protective period
Objectives: Protective braking, control of edema, full range of movement without injury to the joints, and muscle training in adjacent non-related areas.
Precautions: During this period, it is necessary to be vigilant against complications such as compartment syndrome and lower extremity arteriovenous thrombosis.
Rehabilitation Content:
1 to 3 days, ankle movement in bed, painless active activity of the ankle toe joint on the affected side, 3-5 times / day, 20 to 30 minutes / time,
7 to 10 days, actively contract the quadriceps of the affected limb, thumb length and extensor long toe and triceps of the calf for static contraction training, 3 to 5 times / day, 10 to 20 minutes / time.
While protecting the calf on the affected side, the hip and knee joints undergo passive activity training.
Contralateral limbs undergo active activity training.
◆ The second stage
Time: 3 to 8 weeks after surgery, fibrosis/fracture stabilization, the fracture end is stable compared to the previous stage, but still can not fully bear weight.
Objectives: Include controlling edema and inflammation, increasing distal muscle strength and proximal stabilizing muscle strength.
Precautions: The intensity of training gradually increases, and after each training, the affected limb is raised and the knee is raised, the ankle is massaged or the Chinese medicine fumigation treatment is completed.
Place a standard spring foot pad on the sole of the foot, make the hip and knee joints slightly flex 5 ° ~ 10 °, and perform knee extension resistance training, 3 to 5 times / day, 10 to 20 minutes / time.
Maintaining the static contraction of the calf muscles trains the active activity of the ankle joint, gradually increasing the range of motion of the hip and knee joints, or training with the continuous passive movement (cpm) lower limb trainer for joint range of motion.
At 6 to 8 weeks, under the protection of the double crutch, the affected limb does not stand without weight, and the crutch walks without weight.
◆ The third stage
Time: 9 to 24 weeks after surgery, the scar matures and the fracture heals, at this time a bone connection has been formed between the fracture ends, and the fracture is no longer deformed under external force, and it can be moved with weight.
Objectives: Fully functional muscle strength and endurance, normal participation in all functional activities, work and leisure.
Walking on crutches and weights, the calf muscles gradually transition from static training to resistance exercises (which begin after the surgeon determines that the fracture has healed).
Strengthen the active and resistance training of the muscle groups of the knee and ankle joints of the affected limbs, and improve the weight-bearing ability, endurance and walking ability of the lower limbs.
(This article was compiled by the All-Media Center of Beijing Science and Technology Newspaper, and part of the information is from ifu Medical Company.) Original works, unauthorized reproduction. New Media Editor/Shan Huang