The Department of Orthopedics & Traumatology

Overview
   
The Department of Orthopedics & Traumatology at  Peking University People’s Hospital was established in 1999. It has since grown to  a well-staffed and well-equipped organization with a nation-wide reputation for excellence in clinical service, teaching, research. Special areas of expertise include trauma, spine, peripheral nerve, shoulder and elbow, foot and ankle,sports medicine. The medical faculty assumes teaching responsibility for medical studentsnurses, provides advanced specialty training for surgeons, pursues research in clinicalbasic 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 2,000 inpatient surgeries annually.

Clinical Services
The department provides comprehensive care, consultation,surgery in multiple sub-specialties including trauma, spine injury, peripheral nerve injury, shoulder and elbow injury, foot and ankle injury, sports injury,complex orthopaedic injuries throughout the region. Our colleagues in critical care, rehabilitation medicine, neurology, rheumatology, 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, other complex periarticular fractures.  We utilize the latest technological advances, including LCP, LISS, MIPO, PHILLOS, intramedullary nailing, PFNA, DHS, joint replacement,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,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 ShouldElbow Surgery, the first professional journal in shoulder and elbow surgery, has been  published electronically every quarter since 2013 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 techniquesclinical research.

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

4. Peripheral Nerve 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,peripheral nerve entrapment.
    In addition, reconstructive surgeries for nerve injury related to limb deformitysoft tissue loss have greatly reduced the amputation rate and improved limb mobility function.A biomaterial conduit for bridging small peripheral nerve gaps is well-developed under clinical trials. Reconstruction surgery, such as nerve transposition, muscle transposition, solves limb problems caused by peripheral nerve injury and cerebral palsy.VSD free muscle transfers, particularly latissimus dorsitrapezial flaps, are used to handle soft tissue loss in trauma patients.

5. Spinal Injury 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
    Decompressionfusion (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 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, masterdoctor of Peking University. We provide excellent subjects, orthopaedic primary instructional lectures, diagnosis practice instruction and orthopaedic surgical instruction for them.  In addition, the department also provides teachingtraining 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,training. The biannual visiting program at our department offers professional lectures, surgical demonstrations, tutorials,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, 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 ResearchDevelopment Program of China (863 Program), the National Basic Research Program of China (973 Program), the Eleventh Five-Year Planetc. As a result, we have won over 20 awards, such as Gusi Peace Prize (2016)State Science Technology Awards,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 releaseis 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 injuryrepair.

2. Bonejoint Injury
   The department’s foundation is based on traumafracture 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,micro CT. The biomechanical research projects focusing on peri-articular fractures of the hip, ankle, knee,shoulder are underway.

3. Road Traffic Injury 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 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 RescueTreatment Association to build a better rescue and treatment situation for trauma patients in 2017.