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    A small incision can solve a big problem.

    Model Case 1:
    Ms. Luo, female, 67 years old, with pain on both knees for several years, had difficulty in walking. Diagnoses by X-ray: Osteoarthritis of both knees; joint space narrowed. Under spinal anesthesia, she received knee joint clear up surgery with aid of arthroscope. She could walk on the same day of operation and was discharged on the second day with no pain in joint.

    Modern arthroscope is a treatment facility of minimally-invasive orthopedics surgery. We have invested in advance American Stryker arthroscope.

    Advantages of arthroscope

    1. Diagnosis:
    Arthroscope can dynamically watch the pathologic changes and it's forming process during articular movement. The machine brings great benefits for diagnosis of hip and knee joint.


    2. Treatment:
    The effects of adopting arthroscope for complicated and subtle minimally invasive operation are clearer vision and more precise smaller incisions. Compared to the traditional open surgery, it is minimally invasive with less trauma and complications, light pain, short-lying in time, rapid recovery, easy to resume joint movements, and small scars etc.
     

    Which kind of knee diseases is suitable for arthroscope surgery?

    Usually, it is difficult to find cartilage, synovium, meniscus, ligament, and joint damage on X-ray picture. However, we can see them clearly by arthroscope. In principle, every pathologic change in the knee joint can be an operative indication of arthroscope.


    Operative indication of knee arthroscope and the main surgery methods:
    (1) Acute injury of knee joint
    Traumatic hematoma: Examination and cleaning
    Cruciate ligament injury: Repairing or reinforcing surgery
    Peripheral meniscus injury: Suture repair
    Osteochondral fracture: Removal of cartilage debris
    Tibial plateau fracture: Reduction and screw fixation under arthroscope




    (2) Mechanical disorder
    Meniscus injury: Suture, partial resection of the total
    Cruciate ligament injury: Reconstruction of ligament.
    Corpus liberum: Extraction

    (3) Pain of knee joint
    Crooked axis of knee cap, semi dislocation: Lateral patella retinaculum lysis, and internal retinaculum reefing.
    Plica syndrome: Plica removal.
    Fat pad compression syndrome:  Partial resection of fat pad.
    Chondromalacia of patella: Cartilage angioplasty.
    Degenerative meniscus lesions: Partial resection.
     

    2.  Excision & decompression of spinal disc herniation by diskoscope

    The Orthopedics Department of Clifford Hospital adopts diskoscope to treat spinal disc herniation, which has proved to be effective with quick recovery time. You are welcome to consult with us.

    Medical Case 1:
    Mr. Jian, male, 52 years old, had lumbago with pain on lower left limb for one year; Diagnosis of MRI: No.4/ No.5 spinal disc herniation. The patient received surgery of spinal disc resection/decompression and was discharged from our Hospital. His symptoms disappeared within three days.

    The spinal discs technique, a high technology product of surgical department of spine, came out in America in 1997. Like the traditional resection of spinal discs, it resects the protrusion of spinal discs directly by use of rear approach monitored by endoscope. However, its uniqueness which differ it from traditional methods lies in that it can resect the protrusion of spinal discs thoroughly, it is minimally invasive with quick recovery.
     

    Advantages of minimally invasive therapy

    1. Less trauma:
    The size of incision can be limited to 1 cm- 1.5 cm, which is 1/10 of traditional operation.

    2. Safety:
    Since the diskoscope micro-camera system can watch the whole process and magnify the operative vision field by more than 60 times, we can clearly see the blood vessels and nerves which images are transferred to the viewing screen by optical fiber. In this way, we can reduce accidental injuries during surgery.

    3. Rapidness:
    It shortens recovery time. With lumbar pains eased and recovered,
    post-operative patients can walk in 6 hours and be discharged from hospital in several days.

    4. No recurrence:
    Defective disc nucleus can be removed thoroughly by minimally invasive therapy of diskoscope and thus it can prevent a relapse.
     

    Indications

    1. When spinal disc herniation inflicts the patient for the first time, he/she would feel intense pain in lower limb, have difficulty in walking, cold spells and could not sleep in the evening. Minimally invasive therapy can treat patients for whom conservative treatment is not ideal
       
    2. It is useful for patients with more than half-year medical history which is recurrent after conservative treatment and affects his/her work and life.
       
    3. For patients who require surgery and suffered long recurrent medical history with clear diagnoses but no serious symptom.
       
    4. For those who suffered from obvious paralytic/injured nerve root damage, such as grade four or below dorsal surfaces of toes, regardless of the medical history time.
       
    5. Central-spinal disk hernia & nervous lesion of cauda equine, urination and defecation dysfunction; CT diagnosis: no apparent spinal disc / inter articular cartilage calcification.
       
    6. Medical history, symptoms and physical signs are not typical but the CT, medulla spinalis/ epidural opacification diagnosed as spinal disk hernia.
       

    3. Fixation/ repositioning of the fracture

    We have developed various treatments of fracture and adopted integrative therapy, alternative medicine as well as comprehensive treatment, which is effective with short recovery time.

    Medical Case 1:
    Mr. Lin, male, 18 years old, had fracture of radius and ulna on the right arm caused by external injury. He received fixation with small splint after manual resetting and took TCM along with external application. The function of his right arm recovered with healthy bony callus in one month. 


     

     


    Before Reset                                                    After Reset

    Medical Case 2:
    Mr. Li, male, 20 years old, had chest injury for 5 hours caused by traffic accident. Admission diagnosis: Blowout fracture of No 6. vertebrae, complete paralysis.  On admission day, the patient had no feeling for limbs and other parts below chest; action, feeling and reaction abilities disappeared. Under general anesthesia, he received fixation of cervical steel plate and then adopted comprehensive therapy such as physiotherapy, and detoxification. According to the follow-up medical records, parts of his upper limb function recovered. The patient could look after himself on eating foods, wearing clothes and could go outside by wheelchair.

     

     

    Medical Case 3:
    Mr. Deng, male, 70 years old, had left femoral neck fracture caused by external trauma. The patient could neither walk nor look after himself. After receiving artificial caput femoris replacement, he could walk in one week and look after himself in one month.

    Medical Case 4:
    Ms. Zhao, female, 42 years old; had open comminuted fracture of the right leg caused by traffic accident. Considering the partial injuries were serious and the wound was highly polluted, she was not suitable for internal fixation therapy. We adopted external-fixation therapy for her. After 6 weeks, the patient recovered and could walk.
     

    4. Treatments for shoulder & back pains: Shoulder & back pains are common diseases of orthopedics. Although they cannot threaten patient's life, they can bring pain and increase financial burden on patient. Compared to traditional therapy, which is long duration and unclear effect, our Hospital adopts alternative medicine, hyperthermia and medical ozone therapy, which are effective, with little recurrence.

    Medical Case 1:
    Mr. Wang, male, 27 years old, sprained his back when moving heavy things. He could not flex or extend his back. He had received treatment in other hospitals for 3 days but no obvious effects. Then he came to our Hospital and received local hyperthermia therapy, after which the pain was eased. He recovered in 3 days.

    Medical Case 2:
    Mr. Jiang, 71 years old, had right knee osteoarthritis for more than 10 years, and difficulty in walking. He had been treated in many hospitals but no obvious effects were achieved. Then the patient came to our Hospital and received medical ozone therapy three times. As a result, the symptom was eased and after a short period treatment, the function of the right knee was greatly improved.


     

     
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