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Orthopedics & Traumatology

The Department of Trauma and Orthopaedics

 

Overview
    The Department of Trauma and Orthopaedics at  Peking University People’s Hospital was established in 1999. It has since grown to  a well-staffed and equipped organization with  a nation-wide  reputation for excellence in clinical service, teaching, and research. Special areas of expertise include trauma, spine, peripheral nerve, shoulder and elbow, foot and ankle, and sports medicine. The medical faculty assumes teaching responsibility for medical students and nurses, provides advanced specialty training for surgeons, and pursues research in clinical and basic science related to orthopaedics. The department was warded the honor of excellence by the Chinese National Health and Family Planning Commissionin 2010. It provides clinical care to a large volume of patients, including more than 30,000 outpatient visits and 2,000 inpatient surgeries annually.


Clinical Services
    The department provides comprehensive care, consultation, and surgery in multiple sub-specialties including trauma, spine injury, peripheral nerve injury, shoulder and elbow injury, foot and ankle injury, sports injury, and complex orthopaedic injuries throughout the region. Our colleagues in critical care, rehabilitation medicine, neurology, rheumatology, and other fields work together to provide the most appropriate and comprehensive care for each patient.


1. Bone and Joint Injury
    Treatment of bone and joint injuries is the long traditional stronghold of the department. With foundations based on AO trauma principles, we have greatly improved patient outcomes, particularly in osteoporotic fractures, proximal femoral fractures, proximal humerus fractures, and other complex periarticular fractures.  We utilize the latest technological advances, including LCP, LISS, MIPO, PHILLOS, intramedullary nailing, PFNA, DHS, joint replacement, and arthroscopy.


2. Shoulder and Elbow
    Almost all arthroscopic procedures can be performed in our department: arthroplasty (TSA/RSA/TEA), fixation for complex fractures (LCP/PHILLOS/MIPO), arthroscopy for rotation cuff injury, and other athletic injuries.
    We have launched an annual training program that aims to improve surgical  skills and introduce new technologic advances.
    The Chinese Journal of Should and Elbow Surgery, the first professional journal in shoulder and elbow surgery, has been  published electronically every quarter since 2013 and became the Key Magazine of China Technology in 2016 which means it is one of the best journal in China. This journal aims to introduce new progress in surgical techniques and clinical research.


3. Foot and Ankle
    Medical services include fractures, athletic injuries, arthritis, and deformities. Specialized surgical services include:Ankle arthroscopy, Ligament reconstruction, Complex fracture fixation, Foot and ankle reconstruction.


4. Peripheral nerve and soft tissue injury
    Based on our excellent research focusing on peripheral nerve regeneration, we have vastly improved outcomes in the treatment of peripheral nerve injuries, such as brachial plexus injury, sciatic nerve injury, and peripheral nerve entrapment.
    In addition, reconstructive surgeries for nerve injury related to limb deformity and soft tissue loss have greatly reduced the amputation rate and improved limb mobility and function.A biomaterial conduit for bridging small peripheral nerve gaps is well-developed and under clinical trials. Reconstruction surgery, such as nerve transposition and muscle transposition, solves limb problems caused by peripheral nerve injury and cerebral palsy.VSD and free muscle transfers, particularly latissimus dorsi and trapezial flaps, are used to handle soft tissue loss in trauma patients.


5. Spinal injury and degenerative disease
    We specialize in treating acute conditions of the spine including spinal fractures and spinal cord injuries. Other services include degenerative spinal diseaeses and cerebral palsy in childhood. We utilize minimally invasive surgery to conduct a number of complex surgeries including:
    Artificial disc replacement (ADR), cervical fusion (ACCF, ACDF), lumbar
    Decompression and fusion (ALIF, PLIF, TLIF, XLIF, IF-DITF, MIS-TLIF, MILD, PMVO, PPSF), posterior half corpectomy, kyphoplasty, fixation
Vertebroplasty (PVP, PKP)
    Selective posterior rhizotomy (SPR)


6. Sports and arthroscopic surgery
    This field covers six joints:
    Shoulder: Cuff Injury, Bankart, SLAP, Frozen Shoulder, Acromioclavicular Dislocation
    Elbow: Traumatic Arthritis (TA), Rheumatoid Arthritis (RA)
    Wrist: TA, RA, TFCC, Distal Radial Fracture, Scaphoid Fracture
    Hip: Hip Impingement Syndrome,  Femoral Head Necrosis
    Knee: Ligament Injury, Meniscus injury, Tibial Plateau Fracture, Intercondylar Eminence Fracture
    Ankle: Fracture, Ligament Injury

 

Education

Degree  Education
The department assumes teaching responsibilities for medical students in 8-year MD program, master and doctor of Peking University. We provide excellent subjects, orthopaedic primary instructional lectures, diagnosis and practice instructionand orthopaedic surgical instruction for them.  In addition, the department also provides teaching and training to nursing students.

Continuing Education
We recognized that continuing medical education is  an essential feature of doctors’ professional responsibility. Therefore, efforts are placed on  regular activities for career development, education, and training. Thebiannual visiting program at our department offers professional lectures, surgical demonstrations, tutorials, and clinical case conferences to  surgeons from across the country. An annual forum  focusing on shoulder and elbow surgery assists visitors in promoting accurate diagnosis and developing surgical skills. Moreover, as AO lecture group members, Dr. Zhongguo Fu, Dr. Dianying Zhang, Dr. Tianbing Wang and Dr. Hailin Xu contribute to the promotion of AO theory.


Research
    Our research is supported by various funding mechanisms, such as the National High-tech Research and Development Program of China (863 Program), the National Basic Research Program of China (973 Program), the Eleventh Five-Year Plan and etc. As a result, we have won over 20 awards, such as Gusi Peace Prize (2016) and State Science and Technology Awards, and obtained 22 patents in total. Our scientific research focuses on three aspects:


1. Repair of peripheral nerve injury
    We have successfully developed a biomaterial conduit for bridging of small peripheral nerve gaps. The second-generation conduit promotes nerve regeneration with controlled drug release and is currently in clinical trials. There are other research projects such as artificial peripheral nerve constructed by bone marrow stem cells. Prof. Baoguo Jiang is awarded Chief Scientist in a national multi-center study focusing on mechanism in study on the mechanism of nerve regeneration and central nerve reconstruction after peripheral nerve injury and repair.


2. Bone and joint injury
    The department’s foundation is based on trauma and fracture research. We are well equipped for a wide-array of research projects that utilize SHIMADZU AG-IS tensile system, REGER RNJ-200 mechanical testing system, motion analysis system, and micro CT. The biomechanical research projects focusing on peri-articular fractures of the hip, ankle, knee, and shoulder are underway.


3. Road traffic injury and rescue
    Our department plays an important role in Chinese trauma rescue and treatment. In 2010, we assembled more than 30 institutions and medical facilities in six regions of China to run a health care charity project focused on treatment of serious traffic injuries which was the start of the Chinese model of trauma rescue and treatment. This project aims to create a thorough and scientific standard operating procedure for serious injuries of each unique situation in China. The hope is that this project will significantly decrease morbidity and mortality in these patients. We set up the China Trauma Rescue and Treatment Association to build a better rescue and treatment situation for trauma patients in 2017.