Professor Tian Hua: Hip and Knee Replacement Expert in Beijing

Professor Tian Hua: Hip and Knee Replacement Expert in Beijing

Professor Tian Hua: Complex Joint Replacement and Revision Specialist

Professor Tian Hua is a senior orthopedic surgeon, professor, doctoral supervisor, and director of joint surgery at Peking University Third Hospital. His clinical and academic work focuses on hip and knee replacement, revision arthroplasty, advanced osteoarthritis, rheumatoid arthritis, osteonecrosis of the femoral head, developmental hip dysplasia, implant materials, digital orthopedics, and robotic-assisted surgery.

Clinical and Academic Focus

  • primary total knee replacement;
  • primary total hip replacement;
  • revision hip and knee arthroplasty;
  • advanced osteoarthritis;
  • rheumatoid and inflammatory joint disease;
  • osteonecrosis of the femoral head;
  • developmental dysplasia of the hip;
  • robotic and digitally assisted joint surgery; and
  • second opinions for painful or failed joint replacement.

Total Knee Replacement

Total knee replacement resurfaces damaged parts of the knee with metal and polymer components. It is usually considered when severe pain and disability persist despite appropriate non-operative treatment.

Planning considers alignment, ligament balance, bone loss, deformity, stiffness, prior surgery, body weight, infection risk, and patient goals. Recovery requires pain control, blood-clot prevention, early movement, and structured rehabilitation.

Total Hip Replacement

Total hip replacement replaces the damaged femoral head and acetabular surface. It can relieve pain from osteoarthritis, osteonecrosis, inflammatory disease, fracture, or dysplasia.

Implant fixation, bearing surface, component position, leg length, spinal alignment, bone quality, and activity expectations all affect planning and long-term performance.

Revision Joint Replacement

Revision surgery may be needed for infection, loosening, wear, fracture, instability, stiffness, malposition, or implant failure. It is usually more complex than primary replacement because of scar tissue, bone loss, damaged ligaments, and previous implants.

Evaluation can include serial X-rays, CT, blood inflammatory markers, joint aspiration, culture, and implant identification. Infection must be considered in every painful replacement.

Osteonecrosis of the Femoral Head

Osteonecrosis occurs when blood supply to the femoral head is impaired, which can lead to collapse and arthritis. Causes include corticosteroid exposure, alcohol, trauma, blood disorders, autoimmune disease, and idiopathic disease.

Early-stage treatment may include observation, risk-factor management, protected loading, or joint-preserving procedures. Advanced collapse often requires hip replacement.

Developmental Hip Dysplasia

Hip dysplasia can cause shallow socket anatomy, instability, cartilage damage, leg-length difference, and early arthritis. Replacement can require specialized component placement, bone reconstruction, soft-tissue balancing, and management of altered nerve anatomy.

Robotic and Digital Assistance

Robotic and navigation systems can support preoperative planning, bone preparation, alignment, and implant positioning. Professor Tian has performed pioneering robot-assisted hip and revision knee procedures and has led development of domestic digital orthopedic systems.

Technology can improve execution of a plan but does not replace surgical judgment, infection prevention, soft-tissue management, or rehabilitation. A robot does not guarantee a better outcome for every patient.

Blood Conservation and Recovery

Modern joint replacement uses combined measures to reduce blood loss and support early recovery. These may include tranexamic acid, careful surgical technique, optimized anemia management, regional anesthesia, multimodal pain control, and early mobilization.

Who May Consider a Consultation?

  • patients with severe hip or knee osteoarthritis;
  • patients with rheumatoid or inflammatory joint destruction;
  • patients with advanced osteonecrosis of the femoral head;
  • patients with hip dysplasia requiring reconstruction;
  • patients considering robotic-assisted replacement;
  • patients with pain, loosening, stiffness, or instability after joint replacement;
  • patients with suspected prosthetic-joint infection; or
  • patients seeking a second opinion before primary or revision surgery.

Medical Records to Prepare

  • a concise pain, function, treatment, and surgery timeline;
  • standing knee or pelvis X-rays and full-length alignment films;
  • CT and MRI in original DICOM format when available;
  • all previous joint-replacement and revision operative reports;
  • implant labels, model, size, and manufacturer information;
  • serial imaging showing wear, loosening, migration, or bone loss;
  • ESR, CRP, joint-fluid cell count, culture, and molecular infection tests;
  • bone-density and general medical assessments;
  • walking, range-of-motion, and rehabilitation records; and
  • a clear list of pain-relief, mobility, and activity goals.

Planning an International Consultation

A hot swollen joint with fever, wound drainage, sudden inability to bear weight, suspected fracture, or acute dislocation requires urgent local assessment.

Stable patients should confirm whether original imaging, implant details, and infection results can be reviewed. Remote medical-record review requires physician authorization. Final primary, revision, or robotic-surgery eligibility requires in-person orthopedic and medical assessment.

How CMCS Can Assist

CMCS – China Medical Concierge Shanghai is an independent medical concierge and health management company, not a hospital. We assist international patients with organizing and translating orthopedic records, identifying an appropriate specialist, requesting appointment availability, arranging interpretation, and planning medical travel in China.

Access to Professor Tian, remote review, joint replacement, revision surgery, a particular implant, or robotic technology is subject to doctor and hospital approval. CMCS does not guarantee appointments, implant or robot availability, procedure eligibility, pain relief, or clinical outcomes.

Important Note

Doctor titles, clinical roles, implants, robotic systems, procedures, and appointment arrangements may change. This profile is based on the supplied verified research document and is for general information only. It does not replace assessment by a qualified joint-replacement team.

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