Professor Tang Peifu: Complex Fracture and Orthopedic Trauma Specialist
Professor Tang Peifu is an academician of the Chinese Academy of Engineering, senior orthopedic trauma surgeon, professor, doctoral supervisor, and director of the Orthopedic Medical Center at the Chinese PLA General Hospital in Beijing. His work focuses on severe trauma reconstruction, pelvic and acetabular fractures, minimally invasive fracture surgery, fragility fractures, digital planning, and robot-assisted orthopedics.
International patients can learn more about the hospital and specialist services in our Chinese PLA General Hospital international patient guide.
Clinical and Academic Focus
- complex pelvic and acetabular fractures;
- severe and multiple traumatic injuries;
- fragility fractures of the pelvis;
- nonunion and malunion reconstruction;
- minimally invasive fracture fixation;
- digital and robot-assisted orthopedic surgery;
- bone and soft-tissue reconstruction;
- complex limb salvage; and
- second opinions after failed trauma surgery.
Pelvic and Acetabular Fractures
Pelvic fractures range from stable low-energy injuries to life-threatening disruption caused by major trauma. Acetabular fractures involve the socket of the hip and can damage cartilage, nerves, blood vessels, and surrounding organs.
Initial management prioritizes bleeding control, stabilization, and treatment of chest, abdominal, urinary, neurological, and other injuries. Definitive orthopedic treatment depends on fracture pattern, displacement, stability, skin and soft-tissue condition, and overall health.
High-quality CT with three-dimensional reconstruction is often essential for planning. Some fractures can be treated without surgery, while unstable or displaced patterns may require open or percutaneous fixation.
Fragility Fractures of the Pelvis
Older adults can sustain pelvic fractures after a minor fall or without a clear injury because of osteoporosis. Pain may prevent standing or walking even when initial X-rays appear unremarkable.
CT or MRI may identify posterior pelvic injury not visible on plain films. Treatment can include pain control, osteoporosis management, early mobilization, rehabilitation, and minimally invasive stabilization when pain and instability prevent recovery.
Professor Tang led clinical guideline development for diagnosis and treatment of fragility fractures of the pelvis.
Nonunion and Malunion
Nonunion occurs when a fracture fails to heal, while malunion means it heals in an unsatisfactory position. Causes can include instability, infection, impaired blood supply, bone loss, smoking, metabolic disease, and severe soft-tissue injury.
Reconstruction may involve correction of alignment, removal of infected or nonviable tissue, stable fixation, bone grafting, and soft-tissue coverage. Infection must be carefully assessed before revision surgery.
Minimally Invasive and Robot-Assisted Orthopedics
Navigation, three-dimensional planning, robotics, and intelligent visualization can help surgeons understand complex anatomy and guide implant placement. Professor Tang’s team has developed orthopedic trauma robotic and visual-navigation systems.
Technology supports but does not replace surgical judgment. Radiation exposure, registration accuracy, equipment limitations, fracture reduction, and the patient’s anatomy remain important.
Severe Trauma and Limb Reconstruction
Complex limb trauma can involve bone loss, vascular injury, nerve damage, infection, and major soft-tissue defects. Treatment often requires staged collaboration among trauma, vascular, plastic, rehabilitation, and infection teams.
The decision between limb salvage and amputation should consider survival, expected function, pain, number of procedures, rehabilitation burden, and the patient’s goals. Neither choice should be framed as failure.
Osseointegration After Amputation
For selected amputees, an osseointegrated implant anchors a prosthesis directly to bone. This may improve comfort and control compared with a socket prosthesis, but risks include infection, fracture, implant loosening, and the need for long-term skin-interface care.
Professor Tang’s team has reported advanced work in osseointegration after high-level amputation. Eligibility requires detailed multidisciplinary assessment.
Who May Consider a Consultation?
- patients with a complex pelvic or acetabular fracture;
- older adults with painful fragility fractures and difficulty mobilizing;
- patients with fracture nonunion, malunion, or bone loss;
- patients with infection after fracture fixation;
- patients needing complex limb reconstruction or salvage review;
- patients with failed previous trauma surgery;
- amputees assessing advanced prosthetic reconstruction; or
- patients seeking a second opinion before major revision surgery.
Medical Records to Prepare
- a concise injury, surgery, and recovery timeline;
- X-rays, CT, MRI, and vascular imaging in original DICOM format;
- initial trauma and emergency records;
- all operative notes and implant information;
- culture, pathology, inflammatory-marker, and antibiotic records;
- wound and soft-tissue reconstruction reports;
- bone-density and metabolic-bone evaluations;
- current walking, pain, nerve, and rehabilitation assessments;
- clear photographs of healed wounds when appropriate and authorized; and
- a list of functional goals and questions.
Planning an International Consultation
Uncontrolled bleeding, a cold or pulseless limb, open fracture, new paralysis, severe infection, or unstable major trauma requires immediate local emergency treatment.
Stable patients should confirm whether original imaging and operative records can be reviewed. Remote medical-record review requires physician authorization. Final surgical eligibility and reconstruction planning usually require an in-person examination.
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 trauma records, identifying an appropriate specialist, requesting appointment availability, arranging interpretation, and planning medical travel in China.
Access to Professor Tang, remote review, robot-assisted surgery, limb reconstruction, or osseointegration is subject to doctor and hospital approval. CMCS does not guarantee appointments, surgical eligibility, implant availability, or clinical outcomes.
- Email: contract@medicalsh.com
- WhatsApp: Contact us on WhatsApp
- Website: www.medicalsh.com
Important Note
Doctor titles, clinical roles, surgical techniques, device availability, 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 orthopedic trauma team.
0 commenti