Department of Orthopedics

【Growth Process】

The General Surgery Department of Fuyang No. 1 Hospital was established in the 1970s. Since the late 1980s, Director Fang Shangzhi separated the Department of Orthopedics from the Department of General Surgery, and established a formal orthopedic ward from a room dedicated to treating orthopedic patients, and then developed and expanded into two orthopedic wards. It has gone through a journey of more than 40 years. After several generations of hard work and efforts, the Department of Orthopedics currently has two wards with a total of 110 beds, full-day emergency department, and outpatient department, forming a good situation with comprehensive development of medicine, teaching, and research and outstanding characteristics. Today's orthopedics embodies the wisdom, hard work and dedication of many medical staff. Historical review: The Department of Orthopedics originated from the Department of Traumatology. In the early 1980s when it was founded, the Department of Orthopedics mainly treated patients with hand and foot trauma, limb trauma, chronic infection, etc. Due to the limitations of internal fixation materials at that time, Director Fang Shangzhi overcame the constraints and used bone traction, cedar bark, plaster fixation and other methods of integrated traditional Chinese and Western medicine to create a path of integrated traditional Chinese and Western medicine in the treatment of bone injuries that is unique to our hospital. It has filled the gap in orthopedics in the history of our hospital, and the treatment has achieved excellent results and reputation. With the introduction of internal fixation materials and the development of surgical tools, Director Fang Shangzhi performed the first posterior laminectomy discectomy in Fuyang District. On this basis, he continued to attract patients and pushed the development of orthopedics to the forefront. Sub-peak. In the late 1990s, with the active advocacy of then-President Li Xuezheng and the strong support of Director Fang Shangzhi, comrades Ni Jianguo, Hong Yuanhong and other comrades completed the first severed finger replantation in Fuyang County and achieved success through further study and other active preparations. . Since then, the glorious era of microsurgery in the Department of Orthopedics of our hospital has begun. At the same time, under the leadership of Director Ni Jianguo, the Department of Orthopedics has continued to develop and grow. Traumatology and Orthopedics and Microsurgery have formed a considerable scale, and it has gradually begun to expand into areas such as spine and joint surgery. . In terms of joints, Director Ni Jianguo took the lead in carrying out artificial total hip replacement and artificial total knee replacement. In terms of spine, difficult cervical, thoracic and complex lower lumbar spine surgeries were gradually carried out under the leadership of Director Ni Jianguo; sports medicine was carried out by Comrade Zhang Zhiwei began to develop after further training at Shanghai Ruijin Hospital. He completed the first arthroscopic surgery in Fuyang District. He was able to skillfully perform everything from knee arthroscopy to shoulder arthroscopy and cruciate ligament reconstruction. With the technical level at that time, he fully reached the provincial level. The standard of the hospital is second to none in Fuyang County, and it can be said that orthopedics has once again reached a new peak. Medicine has limitations, but services are endless. With the continuous deepening of the concept of rapid recovery, minimally invasive surgery has gradually become another theme in today's orthopedics. Under the leadership of Director Liao Leming, the department has gradually formed a development model based on traumatology and orthopedics and featuring minimally invasive joints. At the same time, it continues to adapt to the development of medical trends. With the active advocacy of the hospital leaders and the active cooperation of Director Ni, the department has transformed minimally invasive into Technology continues to advance, promoting transforaminal endoscopy, shoulder arthroscopy, elbow arthroscopy, lumbar minimally invasive OLIF, minimally invasive artificial hip replacement, etc., paving the way for the future development of orthopedics, and actively leading the general comrades We will continue to expand our territory in the field of joint surgery, transform and upgrade, and create an orthopedics department with the characteristics of joint surgery that Fuyang people can trust and trust. The brilliance of orthopedics today is the result of the hard work and hard work of generations of predecessors! Special tribute to the doctors who have devoted their efforts and wisdom to the development and growth of orthopedics. Thank you to all the doctors and nurses! 1990-2000: Fang Shangzhi, the orthopedics department was separated from the general surgery department and developed independently. Under his leadership, the orthopedics department of Fuyang People's Hospital gradually developed and expanded, the department construction continued to develop, talents emerged in large numbers, and the business volume increased sharply. The first intervertebral disc surgery (main performers: Fang Shangzhi, Ni Jianguo) The first anterior and posterior cervical spine surgery (main performers: Fang Shangzhi, Ni Jianguo) 2000-2015: Ni Jianguo, Hong Yuanhong inherited and developed orthopedics, On the basis of trauma surgery, it took the lead in introducing and developing microsurgery technology, creating an era of replantation of severed fingers in Fuyang Orthopedics, allowing microsurgery flap expertise to begin to work, and also laying a solid foundation for the development of major orthopedics. The first case of fixed stent surgery (main performers: Ni Jianguo and Hong Yuanhong) The first case of replantation of a severed finger (main performer: Ni Jianguo) The first case of medial calf flap transfer repair (main performer: Ni Jianguo) The first case of bridge-type cross flap transplantation (principal performer: Ni Jianguo) The first case of vertebroplasty (principal performers: Ni Jianguo, Liao Leming) The first case of knee and hip replacement (principal performer: Ni Jianguo , Hong Yuanhong) The first case of application of combined stent (Main conductor: Hong Yuanhong) The first case of minimally invasive knee arthroscopic surgery (Main conductor: Zhang Zhiwei) The first case of arthroscopic cruciate ligament reconstruction (Main conductor: Zhang Zhiwei) The first case of minimally invasive closed reduction intramedullary nail surgery (main performer: Zhang Zhiwei) The first case of ankle arthroscopy (main performers: Zhang Zhiwei, Liao Leming) 2015-present: With the development of the concept of rapid recovery With continuous deepening, minimally invasive surgery has gradually become another theme in today's orthopedics. With the strong support of President Zhang Zhiwei and Director Ni Jianguo, Director Liao Leming continues to adapt to the development of medical trends, continuously advances minimally invasive technology, and vigorously promotes shoulder arthroscopy, elbow arthroscopy, intervertebral foraminal endoscopy, and minimally invasive OLIF in the lumbar spine. Minimally invasive hip replacement. The first case of endoscopic discectomy (main performer: Zhang Yunbiao) The first case of lumbar subforaminal decompression and foraminoplasty (main performer: Liao Leming) The first case of shoulder arthroscopy . (Main performers: Zhang Zhiwei, Liao Leming) The first case of elbow arthroscopy was performed. (Main developer: Liao Leming) The first case of percutaneous pedicle screw implantation technology (Main developer: Liao Leming) The first case of large-channel interlaminar approach spinal canal decompression and discectomy (Main developer: Liao Leming) The first case A case of minimally invasive treatment of calcaneal fracture assisted by 3D printing-assisted tarsal sinus incision combined with individualized steel plates (Main developer: Lin Yongpei) The first case of knee treatment with Pristing technology

[Successively served as diagnosis and treatment team leader, director, and head nurse]

January 1990, Chief of Department Fang Shangzhi; Head Nurse Shen Zhouxiang; May 2000, Chief Ni Jianguo; Deputy Director Hong Yuanhong; Head Nurses Chen Wenying and Su Ye; July 2012, Chief Ni Jianguo; Liao Leming Deputy director of the department; Shi Xiaofang, Zhang Jianying, and head nurse Lu Xinyan; In May 2020, director Liao Leming; Lin Yongpei, deputy director of the department, and head nurse Lu Xinyan.

【Current status of subject】

The department currently has 50 beds, treats 1,400 patients annually, and performs about 1,200 surgeries annually, 43% of which are medium and large surgeries. The Department of Orthopedics has specialized outpatient clinics, specialized disease outpatient clinics and expert outpatient clinics. The department has strong technical strength and advanced medical equipment. It is equipped with one imported and domestic arthroscope, one imported foraminal scope, two imported C-arm machines, and two latest domestic C-arm machines. There are no imported perspective occlusions. There are 2 orthopedic operating beds, 1 imported microscope, and 2 domestic surgical traction frames. At present, the Department of Orthopedics can independently carry out various types of trauma, spine, joint, sports, microsurgery and some bone tumor surgeries. It is responsible for the "medical, teaching, research" and clinical quality control tasks of orthopedics in the district. It has established a doctoral clinical research work site, initiated and completed many municipal-level projects, and published more than 20 academic papers, 1 in China, SCI1 articles. It is an established key discipline in Hangzhou.

【Diagnosis and treatment scope】

Various types of hand and foot trauma, such as bunions, tendon injuries, etc.; various fracture traumas, such as limb fractures, fractures near joints, spine fractures, pelvic fractures; various joint diseases: such as knee osteoarthritis, hip joint Disease, DDH, meniscus injury, cruciate ligament rupture, rotator cuff injury. Various chronic spinal diseases: intervertebral disc herniation, spinal stenosis, lumbar spondylolisthesis, etc.

【Technical Features】

At present, the Department of Orthopedics can independently perform minimally invasive surgery for limb diaphyseal fractures, surgery for intra-articular fractures, arthroscopic menisplasty, arthroscopic anterior and posterior cruciate ligament reconstruction, arthroscopic rotator cuff repair, and amputated fingers. Replantation, flap transfer repair, knee and hip replacement, hip revision surgery, minimally invasive lumbar disc removal, lumbar fusion, anterior and posterior thoracolumbar fracture reduction and internal fixation, lumbar spondylolisthesis reduction and fusion, cervical spine It performs highly difficult surgeries including anterior and posterior surgery, hallux valgus orthopedics, etc. It is one of several departments in the First People's Hospital of Fuyang District, Hangzhou whose technical indicators have reached the level of a third-class hospital. In recent years, the department has focused on the development of minimally invasive orthopedics, introduced transforaminal endoscopic technology, pioneered PELD technology in the region, and developed OLIF fusion technology, bringing the multidisciplinary treatment level of the Department of Orthopedics in line with international standards.

【Scientific research results】

The department now has a doctoral clinical research work site, passed a three-year round of Hangzhou key specialty construction, established and completed 4 municipal-level projects, and has many scientific research results reaching the domestic advanced level, and has been awarded the Fuyang City Science and Technology Award. First and second prizes for progress. Published more than 30 academic papers, including 2 in the Chinese series and 1 SCI paper