The Department of Orthopedics

The Department of Orthopaedics of Zhongshan Hospital, Fudan University is a national key discipline, a doctoral degree-granting site, a postdoctoral mobile station, and a key discipline in the first, second and third phases of the Ministry of Education's "211" project The department has been honored with numerous international, national, provincial and ministerial awards.

The Department of Orthopaedics of Zhongshan Hospital has had a long history, establishing  in1937 when the hospital was founded. O manyMrenowned specialists have emerged since then and made great impact on the progession of orthopaedics in China.  Prof. Li, Hongru, a famous orthopaedics specialist and educator, was one of the founders of orthopaedics in our country, and a Level-2 professor awarded by the Ministry of Health. Prof. Wu, Zuyao participated as a key member in the compilationof the first unified textbook of the nation's medical colleges and universities titled "Surgery",  China's magnum opus of surgery titled "Huang Jiasi's Textbook of Surgery", as well as China's first "Textbook of Orthopaedic Surgery", "Orthopaedic Surgery";. Prof. Qiu, Lin was one of thefirst educators in  hospital management. Prof. Shi, Yifei wasamong the pioneers in the application of the thumb reconstruction using second toe transfer technique (see Shanghai Local History). Prof. Chen, Zhongwei, an academician of the Chinese Academy of Sciences (Department of Biology), an academician of the Third World Academy of Sciences, one of the founding fathers of China's microsurgery, was regarded as "the father of the world's microsurgery" because of his success in the world's first successful replantation of a severed arm in 1963.  Prof. Zhang, Guangjian was the first  to promote AO concept in the Shanghai area since 1988 and held the first national AO workshop in Shanghai in 1993. Now the AO concept has become thea worldwide  standard model of orthopaedic internal fixation.

The history of the Department of Orthopaedics of Zhongshan Hospital  is rich with glory. Zhongshan Hospital  began attempting open reduction and internal fixation of fractures inas early as in the late 1940s.I 1953, intervertebral discography was performed. Since 1962, experimental research on micro vessel surgical techniques, innovated was conducted and led to theionof a variety of  microsurgery, instruments  suture concepts,  suture materials and small vessels transplant techniques. In 1970, total humerus replacement surgery. using metal prothesis was performed In the same year, the Shanghai Type II artificial femoral head, was designed and introducedto update from  the original Type I model. In 1974, the newly emerged concept of limb preservation andwas quickly adopted by Zhongshan  turn into great success. In 1976, emergency anastomotic vascular free flap transplantation. was introduced In the same year, knee arthroscopy, was performed marking its contribution to the early development of arthroscopic surgery in the Shanghai area. In 1980, the department was honored with the Scientific and Technological Achievement Award of the Ministry of Health for the application of synovectomy and artificial joint replacement for the treatment of rheumatoid. In 1982, the Microsurgery Central Laboratory was established under the leadership of Academician Chen, Zhongwei. He designed the iliac bone transfer with rotary iliac deep vascular tip for the treatment of aseptic necrosis of the femoral head in children and adults. In 1996, Chen, Zhongwei completed the development of a multi-dimension-freedom electronic prosthetic hand controlled by a reconstructed finger, which won the first prize in the State Technological Invention Award. In 2003, the team led by Academician Chen, Zhongwei and East China University of Science and Technology won the second prize of the State Scientific and Technological Progress Award for the development and application of calcium phosphate cement.

Since the reform and opening-up, the Department of Orthopaedics of Zhongshan Hospital has introduced and carried out many new technologies and methods., including total hip replacement, allogeneic knee transplantation, minimally invasive surgery of percutaneous discectomy for lumbar disc herniation, anterolateral approach for thoracolumbar burst fracture, of Kanadaimplementation the e device, Tagawa’s rotational acetabularosteotomy for  developmental dislocation of the hip in adults. In addition, the Department of Orthopaedics took the lead in performing difficult surgeries such as synovectomy for the treatment of rheumatoid arthritis,  internal fixation of odontoid fracture, and limb-preserving reconstruction surgeries for pelvic and limb tumors after large resection. The department was also leading in cranial base deformity and upper cervical spine surgery,  as well as osteotomy for severe spinal deformity.  RExpertise in orthopedic trauma, spine surgery, joint surgery, and bone and soft tissue tumor was a proud trademark in the history of the Department of Orthopaedics of Zhongshan Hospital.

The orthopedic team of Zhongshan Hospital has strong comprehensive strength. Prof. Chen, Zhengrong served as the vice-chairman of the Trauma Society of the Chinese Medical Association, the chairman of the Trauma Specialty Committee of the Shanghai Medical Association, and the deputy editor-in-chief of the Chinese Journal of Trauma. He specialized in the diagnosis and treatment of joint surgery, spinal surgery diseases and bone tumors. Prof. Chen, Tongyi was the deputy director of the Academic Committee of the Mobilization Center of National Biomedical Materials, a visiting professor of the  Engineering Research Center for Biomedical Materials of Ministry of Education, a member of the Microsurgery Society of the Chinese Medical Association and vice-chairman of the Shanghai Branch, and has considerable attainments in spinal surgery, artificial joint replacement, peripheral nerve injury, limb replantation and free tissue transplantation, as well as in the diagnosis and treatment of complex trauma.

List of Directors of OrthopedicsaDepartment since 1964

Currently, the academic leader is a young and middle-aged expert with outstanding contributions to the National Health Commission, and has been awarded many honors such as "China's Good Doctors" by the National Health Commission, "Famous Doctors of the Nation", "Shanghai Scientific and Technological Elites", "Shanghai Leading Talents", "Outstanding Contributions to the Development of Shanghai Medicine", and "Shanghai Distinguished Specialist Award”, and so on. He is not only a chief physician with excellent medical skills, but also a leader in the field of orthopedics and spine tumor. Prof. Dong has been working deeply in the field of bone defects repair for many years, and has achieved international leading research results, won the First Prize of Shanghai Science and Technology Progress Award as the first author, and five related research results have been translated into practial application; he has led a team to specialized in the treatment of spinal tumor, innovated surgical methods, invented surgical instruments, and taken the lead to promote the total en bloc spondylectomy for spinal tumors in China; he has held the national class of total en bloc spondylectomy for 12 consecutive years, which has greatly pushed forward the application of this technology in China. In addition, Prof. Dong is the president-elect of the Popularization of Science Branch of the Chinese Medical Association, the director of the Institute for Popularization of Medical Science at Fudan University, and the public welfare ambassador of Shanghai for the promotion of popularization of science and technology. He has been active in the front line of public welfare for science and technology over the past few decades, and he is a firm practitioner of "Healthy China". He has made remarkable achievements in the prevention and treatment of lumbar  herniation, and won the second prize of the National Science and Technology Progress Award as the first author. In terms of scientific research, Prof. Dong has led a young team of doctoral students to achieve outstanding results, presided over a total of 31 national, provincial and ministerial projects, including 8 projects from National Natural Science Foundation of China, published 215 papers as the first and corresponding authors, of which 126 are SCI-indexed, and trained 56 PhDs.

The Department of Orthopaedic Surgery of Zhongshan has maintained close cooperation with internationally renowned medical institutions and scholars, including Harvard Medical School, Johns Hopkins University, Mayo Clinic, Twin Cities Spine Center, Thomas Jefferson University Hospital in Philadelphia, North Carolina Joint Center in the United States, and the University of Southampton in the United Kingdom. Young doctors are regularly sent to these foreign medical institutions to receive specialized training.

Status of Orthopaedic Department

1、Bed establishment

The Department of Orthopaedics has 2 and a half wards (97W, 96W, 95W) with 110 beds in the wards. And another 10 beds in the day surgery ward.

2、Specialty Group

The Department of Orthopaedic Surgery has 4 subspecialties: spine, joint, trauma and tumor. Clinically, it mainly treats patients with spine, joint, trauma, bone and soft tissue tumors, bone and joint tuberculosis, osteomyelitis, peripheral nerve injuries, hand diseases and congenital deformity of bone and joint.

3.Specialized clinical techniques

1)   Total en bloc spondylectomy, especially for recurrent and multi-segmental thoracolumbar tumors, is at the domestic and international leading level. Surgical treatment of spinal degenerative diseases, fractures, kyphosi; minimally invasive surgeries for spinal degeneration, fracture and tumor; separation surgery of spinal metastases.

2)   Hip preservation surgery for femoral head necrosis with vascularized bone flap, single- and two-stage revision surgeries for periprosthetic joint infection, rotational acetabular osteotomy for developmental dysplasia of the hip; Unicompartmental knee replacement for osteoarthritis of medial compartment of the knee joint; high tibial osteotomy , and other joint reconstruction surgeries.

3)   Treatment of various complex fractures and serious multiple injuries; reconstruction surgeries for post-traumatic bone and soft tissue defects with skin flap or muscle flap transfer; repair of peripheral nerve injuries.

4)   Arthroscopic treatment of anterior and posterior cruciate ligament injuries of knee joint, arthroscopic diagnosis and treatment of traumatic and degenerative diseases of knee and shoulder joints, and arthroscopic diagnosis and treatment of common diseases of small joints such as elbow, ankle and wrist.

5)   Limb salvage for bone tumors of the extremities.

6)   Surgical treatment of hallux valgus , complex calcaneal fracture, calcaneal malunion and nonunion. Arthroscopic treatment of posttraumatic ankle arthritis.

7)   Surgical management of Diabetic neuropathy .

4、Staff

There are 43 physicians, including 32 with doctoral degree, 10 with master's degree and 1 with bachelor's degree. In our department, there are 2 professors, 11 chief physicians, 14 deputy chief physicians and 16 attending physicians. There are 1 postdoctoral supervisor, 8 doctoral supervisors and 9 master's supervisors. Most of the attending physicians have gone abroad for further studies.