This conference was led by Guohua Ye, Medical Director of Dongguan Hospital of TCM, and Prof. Dr. med. Volkmar Jansson, Director of the Clinic and Polyclinic for Orthopedics at the University in Munich, Klinikum Großhadern. The host was Zhongqiang Huang, Head of General Surgery and Joint Department of Dongguan Hospital of TCM. The attendees include Zhichao Tan, the Associate Head of General Orthopedics Department of Dongguan Hospital of TCM, Xueming Zhou, Head of Orthopedics of Dongguan People’s Hospital, Guanghui Chen, Head of Joint Surgery Department of Dongguan TungWah Hospital and Jiande Meng, Head of Bone and Joint Department of Dongguan Eighth People’s Hospital. Consisting of 2 lectures and 5 cases discussion, the conference was held in an elevating atmosphere.
On the conference, Prof. Jansson share with us of two topics. Firstly, he introduced the EPRD - the German registry for hip and knee replacement, saying that this registry is the Biggest data set in Europe for this kind of surgical procedures. There are 1.25 million prosthesis being registered in it, 80% of German hospitals upload prosthetic replacement data in this database. Revision rates of 400,000 primary implantations with follow up of 4 years are also being taken down in it, so this database is valuable for the accessing of the primary replacement and revision surgeries on hip and knee.
Prof. Jansson shared with us a topic on The key points on treating the postoperative infection of primary hip replacement. He then instructed us with how to prevent surgical site infection, how to differentiate the stage of infection, and the diagnosis and treatment points on PJI infection. Prof. Jansson also shared with us the DAIR (debridement, antibiotics, implant retention) procedures. The success rate of DAIR procedures on treating infection can go from 18% to 100%. While Prof. Jansson pointed out that Arthroscopic DAIR and Repeated DAIR are not recommended. If DAIR treatment fails, referring to two-staged revision with removal of implants always is the golden rule.
Prof. Jansson also made it clear on the duration of antibiotic treatment in their hospital. According to guidelines in their hospital, 12 weeks of antibiotic treatment is recommended.
The two lectures of Prof. Jansson’s are all instructive so the fellow surgeons all learned a lot from them.
Later on, Zhongqiang Huang, Head of General Surgery and Joint Department of Dongguan Hospital of TCM shared a case of Traumatic arthritis on the right hip(advanced stage). all the fellow surgeons had an active discussion on how to orderly loosen, how to reconstruct the center of rotation and how to prepare the prosthesis in this session.
Subsequently, Xueming Zhou from Dongguan People’s Hospital delivered a case sharing of hip revision surgery. As in these case, infection is hard to identify so Prof. Jansson gave him instruction on doing bio-section and arthroscopy to determine the infection together with six-weeks antibiotics treatment.
Moving on to the Case Sharing of Director Guanghui Chen from Dongguan TungWah Hospital. He delivered a case of UKA replacement to UKA revision. The patient was diagnosed as infected after UKA, Director Chen removed the prosthesis, performed debridement, put in the spacer and the performed UKA revision weeks later. Prof. Jansson praised Dr. Chen for his treatment.
Then Director Jiande Meng from Dongguan Eighth People’s Hospital shared a case with Charcot joint. Director Meng also discussed with Prof. Jansson and fellow audiences on the timing of surgery, surgical approaches and choice of prosthesis. Prof. Jansson was very positive about Director Meng's choice of technique and implants.
Finally, Associate Director Zhichao Tan from Dongguan Hospital of TCM delivered a case sharing on hip revision. The patient firstly had swell on her right hip as well as cystic mass on her thigh. And she was diagnosed as prosthetic loosening after primary hip replacement with complication of Type 2 Diabetes Mellitus an so on. After excluding infection on this case, Director Tan gave surgery on this patient and A twenty-month post-operative follow up shows that the patient had recovered well. Prof. Jansson said it was a great case and the treatment procedures and choice of prosthesis and the outcome of the surgery are of success.
At the end of the conference, Director Huang expressed his gratitude towards Prof. Jansson for his excellent courses and patient guidance, which are quite beneficial to those who were present. He thanked Director Zhou from Dongguan People’s Hospital and Director Chen from Dongguan TungWah Hospital for their cases sharing. He also thanked companies of brotherhood for their support and encouragement to the development of the Orthopedics Department of Dongguan Hospital of TCM. Last but not least, he thanked Guangzhou Gloryren Medical Technology Co. for providing this platform for all parties to learn from each other.
Prof. Jansson expressed that he was quite honored to be invited to this Sino-German Joint Surgery video conference. He found the cases in the conference very interesting. He had learned a lot about Chinese Joint Surgery from this conference.
Hospital of the University of Munich
Hospital of the University of Munich lies in Munich, the capital of Germany's wealthiest state, Bavaria.
The LMU Klinikum (until 2020 Klinikum der Universität München) is the merged hospital complex of the Ludwig Maximilian University of Munich, including the Campus Innenstadt in the city center and the Campus Grosshadern in Hadern. the University Hospital of Munich is one of the world's leading university hospitals in the medical field today, representing the highest level of medical and scientific research in Germany and Europe. This title not only depends on his being a world-class educational and scientific research institution, but also its high medical level is well-known for the treatment and care of patients and enjoys a high reputation in Europe. The 13 Nobel Prize winners came from the Affiliated Hospital of the University of Munich, and 34 Nobel Prize winners had studied postgraduates in the school. There are more than 9,000 professors, doctors, therapists, nursing and technical personnel and their administrative staff in the hospital, providing patients with high-quality medical services in all aspects.
The Affiliated Hospital of the University of Munich consists of 45 specialized hospitals and colleges and departments, subdivided into 29 specialized hospitals, 11 research institutions and 7 major departments. The hospital also works closely with experts from different medical fields to achieve timely and effective personalized diagnosis and treatment for patients. The Affiliated Hospital of the University of Munich has 2,300 beds and rescues approximately 500,000 patients each year. It is located in the center of Munich and its two districts in Munich Grosshadern. It is one of the largest large general hospitals in Germany and Europe.
Klinikum der Universität München ranked the second of TOP KLINIK of FOCUS in 2017.