Orthopedics Department

The Department of Orthopedics, the Second Affiliated Hospital of Tianjin University of Chinese Medicine, is a "key discipline" of traditional Chinese medicine in Tianjin. The department features the integration of traditional Chinese and Western medicine and perioperative TCM participation therapy. It provides disease diagnosis and treatment in the fields of trauma, spine, joints, sports medicine, bone tumors, hand and foot surgery, etc. The department has strong technical force, with disciplinary members including: 3 chief physicians, 10 deputy chief physicians, and 2 attending physicians, 76.5% of whom have senior professional titles; 64% have doctorate and master's degrees, and 3 are master's degree supervisors. Over the years, the department has undertaken more than 10 scientific research projects at the provincial and ministerial level or above, participated in more than 40 national drug clinical trials, and published more than 100 papers in core professional journals of orthopedics. The subject team includes Tianjin’s “131 Project” talents, national TCM clinical outstanding talents, members of Tianjin’s health education lecturer group, health communication ambassadors, etc., who respectively serve as standing committee members of the National Society of Traditional Chinese and Western Medicine and Orthopedics, chairman and deputy chairman of provincial and municipal societies. He serves as an academic member of the editorial board of orthopedic professional magazines. In 2013, the subject leader introduced "new technology of artificial elbow joint replacement", filling the gap in this field in Tianjin. He was the first to carry out artificial elbow and shoulder joint replacement in Tianjin, ranking at the leading level in the industry in Tianjin.The department takes common diseases in the Department of Traumatology of Traditional Chinese Medicine as the entry point, and focuses on lumbar paralysis (lumbar disc herniation), nuchal paralysis (cervical spondylosis), knee paralysis (knee osteoarthritis), and fracture diseases (fractures of limbs). It optimizes diagnosis and treatment plans and rationally uses traditional Chinese medicine and traditional Chinese medicine for disease prevention and treatment, with remarkable clinical results. The department has American Hologic dual-energy X-ray bone densitometer, computerized medium frequency therapy instrument, orthopedic microwave therapy instrument, warm moxibustion therapy instrument, fracture therapy instrument, infrared therapy instrument, cervical and lumbar traction machine, Siemens mobile C-arm X-ray, American Stryker arthroscopy equipment and a variety of in-hospital preparations for the treatment of neck, waist and knee diseases and acute and chronic soft tissue injuries of limbs; Traditional Chinese medicine has a remarkable effect in the conservative treatment of fractures and various bone diseases, especially for the treatment of cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis, knee osteoarthritis, osteoporosis, and limb fractures. There is a complete set of relatively mature treatment plans. The department focuses on the integration of traditional Chinese and Western medicine, the application of traditional Chinese medicine "paying equal attention to muscles and bones" therapy, as well as department team building and talent cultivation. Every year, it selects doctors to study in authoritative orthopedic hospitals across the country, and in 2019, it became a member of the Orthopedic Research Alliance of Beijing Jishuitan Hospital.The Department of Orthopedics treats an average of more than 40,000 outpatients per year and performs more than 1,000 surgeries per year. The acute trauma treatment team is rich in experience. Three people have been selected into the Tianjin Stress Rescue Team and have become proficient in the use of artificial hip, knee, shoulder and elbow joint replacements in the treatment of clinical diseases; With the development of minimally invasive orthopedic technology, our department has vigorously carried out diagnosis and treatment projects such as minimally invasive technology for the treatment of traumatic fractures of limbs and elderly hip fractures, transforaminal endoscopic technology for the treatment of lumbar disc herniation, and arthroscopy for the treatment of knee osteoarthrosis, reducing surgical risks, improving efficacy, and benefiting the majority of patients. Shock wave therapy, a characteristic diagnosis and treatment project of traditional Chinese medicine 1. Early stage of orthopedic disease—TCM ointment conditioning and functional exercise guidance for sub-healthy conditions.2. Common diseases in the Department of Orthopedics and Traumatology include cervical and lumbar disc herniation, spinal stenosis, cervical spondylosis, osteoarthritis, osteoporosis, frozen shoulder, acute and chronic soft tissue injuries, tenosynovitis, medial and lateral humeral epicondylitis, acute and chronic gout and other diseases. Our department adheres to the guiding ideology of "treating the disease before it's too late" in traditional Chinese medicine. Basically, relying on the eight principles of TCM syndrome differentiation, traditional TCM external treatment techniques - massage, acupuncture, cupping, etc., supplemented by microwave, physical therapy, traditional Chinese medicine fumigation, traditional Chinese medicine external application and other comprehensive treatments, can comprehensively adjust the body's state, achieve the purpose of alleviating symptoms and eliminating diseases. 3. Traditional Chinese medicine diagnosis and special treatment of difficult diseases such as neurospinal injury, ankylosing spondylitis, avascular necrosis of the femoral head, limb weakness and other diseases. 4. On the basis of applying the "holistic view" theory of traditional Chinese medicine, TCM rehabilitation training guidance and postoperative complications prevention are carried out for postoperative patients. Traditional Chinese medicine ointment is a preparation derived from the compound of traditional Chinese medicine, integrating the essence of extensive traditional Chinese medicine. By looking, smelling, listening, and feeling, we can use appropriate ointment formulas for harmonious treatment according to different people with different physiques. It can be taken all year round and has the effects of strengthening the body, replenishing qi and calming the mind.Traditional Chinese medicine health ointment prescriptions can be divided into paste prescriptions and decoction prescriptions. It is a semi-fluid dosage form made by repeatedly boiling traditional Chinese medicine pieces according to the principles of traditional Chinese medicine, removing the residue and extracting the juice. After evaporation and concentration, sugar, honey or donkey-hide gelatin is added. It has the characteristics of small size, high content, easy to carry, sweet population, strong individualization, etc., and it is also very popular among modern people because of its excellent effect. Acupotomy therapy in traditional Chinese medicine is a closed release technique between surgical methods and non-surgical therapies. It is formed on the basis of incisional surgery combined with acupuncture. The characteristic of the small acupuncture therapy operation is to penetrate deep into the treatment area to make easy cuts to the lesions, and peel off harmful tissues to achieve the purpose of relieving pain and eliminating diseases. Its indications are mainly soft tissue damage lesions and bone and joint lesions. The operation of acupotomy therapy is relatively simple, and it has the advantages of good curative effect, quick effect, short treatment course, no toxic side effects, and wide adaptability. It is mainly suitable for the treatment of soft tissue damage lesions, bone and joint lesions, etc. The traditional Chinese medicine Shenxiao Tie Shenxiao Powder is used externally to treat acute soft tissue injury and acute gout.In the prescription, gardenia, rhubarb, adenophyllum, Platycladus leaves, etc. clear away heat, purge, stimulate menstruation, diuresis and reduce swelling; cinnamon twig, ashwagandha, and angelica are pungent and warm to dispel cold, reduce swelling and relieve pain, agarwood lowers qi and relieves pain, and Drynariae, Panax notoginseng, frankincense, etc. activate blood circulation, remove blood stasis, and clear the meridians. At the same time, it is supplemented by Drynariae and Dipsacus to connect tendons and bones. Traditional Chinese medicine wet compress therapy is used to treat cervical and lumbar diseases. A warm medicine pack is applied to the affected area. The sweat pores will open due to heat, allowing the medicine to reach the disease site directly. It has the effects of warming the meridians and unblocking the meridians, removing blood stasis and relieving pain. It can improve local blood microcirculation, relieve muscle spasm, eliminate nerve root edema, and effectively relieve pain symptoms. Traditional Chinese medicine fumigation therapy, also known as steam therapy, steam bath therapy, and traditional Chinese medicine atomization transdermal therapy, is a traditional Chinese medicine external treatment therapy that is guided by the theory of traditional Chinese medicine and uses the steam generated after decoction of drugs to achieve therapeutic purposes by fumigating the body. Acupuncture, which uses acupuncture and moxibustion for treatment, originated in the Neolithic Age. "Acupuncture" refers to acupuncture, which involves inserting needles into acupuncture points on the human body to treat diseases. It is based on the syndrome differentiation principle of "replenishing the deficiency and purging the excess". After the needle is inserted, the body's own regulatory response is obtained through the combined use of tonic, purgative, tonic and purging techniques;Moxibustion" refers to moxibustion, which uses fire to light moxa sticks or moxa sticks to burn acupuncture points, allowing heat to penetrate into the skin to warm and ventilate qi and blood. Acupuncture stimulates acupuncture points on the body surface in this way, and adjusts the functions of qi, blood and internal organs through the conduction of meridians throughout the body, thereby achieving the purpose of strengthening the body, eliminating evil, treating diseases and health care. It can be used to treat cervical, lumbar and knee diseases. Cupping method is also known as "cupping gas" and "suction tube therapy", and was called "corner method" in ancient times. This is a therapy that uses cups and jars as tools to use heat to expel the air in them to create negative pressure, causing it to stick to the skin and cause blood stasis. Traction therapy is a method that applies external force to a certain part of the body or a joint to separate it to a certain extent, and the surrounding soft tissues are appropriately stretched, thereby achieving the purpose of treatment. Microwave radiation therapy can increase tissue temperature, dilate blood vessels, accelerate local blood flow, increase permeability of blood vessel walls, enhance metabolism, improve nutrition, promote tissue regeneration and absorb exudate, etc. It has analgesic, antispasmodic and anti-inflammatory effects, and has a significant effect on muscles, tendons, ligaments, joints and other tissues and peripheral nerves.