Orthopedics at Shanghai First People's Hospital | CMCS

Expert Orthopedic Care at One of Shanghai's Premier Academic Medical Centers

The Department of Orthopedics at Shanghai First People's Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of Shanghai's most distinguished orthopedic centers, with a national reputation for excellence in joint replacement, sports medicine and arthroscopy, spine surgery, orthopedic oncology, and the management of complex musculoskeletal conditions. With a high-volume robotic joint replacement program and a comprehensive sports medicine service, the department combines outstanding surgical expertise with a world-class research program, offering international patients access to some of China's most eminent orthopedic surgeons. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their orthopedic care journey.

About the Department

The orthopedics department is a national key clinical specialty operating dedicated orthopedic wards, multiple operating theaters with robotic and navigation capability, a joint replacement center, a sports medicine and arthroscopy program, a spine surgery center, an orthopedic oncology service, a foot and ankle clinic, a hand and upper extremity clinic, and works in close collaboration with oncology, rehabilitation medicine, and radiology through a fully integrated multidisciplinary team.

Joint Replacement Surgery

Total Hip Replacement (THR)

• Primary THR — Direct anterior approach (DAA); posterior approach; robotic-assisted THR (MAKO); cementless and hybrid fixation; ceramic-on-ceramic and ceramic-on-polyethylene bearings; dual mobility cups for instability prevention; one of Shanghai's highest-volume THR programs
• Hip Resurfacing — For young active patients with good bone stock; Birmingham Hip Resurfacing (BHR)
• Revision THR — Aseptic loosening; periprosthetic fracture; instability; two-stage revision for PJI; trabecular metal augments; impaction bone grafting; custom implants for massive bone defects
• Avascular Necrosis (AVN) — Core decompression; vascularized fibula graft; tantalum rod; THR for advanced AVN; one of Shanghai's most experienced AVN programs

Total Knee Replacement (TKR)

• Primary TKR — Cruciate-retaining and posterior-stabilized designs; robotic-assisted TKR (MAKO); computer-assisted navigation; unicompartmental knee arthroplasty (UKA); patient-specific implants; one of Shanghai's highest-volume TKR programs
• Revision TKR — Constrained and hinged implants; metaphyseal cones and sleeves; two-stage revision for PJI; antibiotic spacers
• Periprosthetic Joint Infection (PJI) — DAIR for acute PJI; one-stage and two-stage revision; prolonged suppressive antibiotics; rifampicin combination for biofilm

Shoulder & Other Joint Replacement

• Total Shoulder Arthroplasty — Anatomic TSA; reverse TSA (rTSA) for rotator cuff arthropathy and irreparable tears; hemiarthroplasty
• Total Ankle Replacement — For end-stage ankle arthritis; motion-preserving alternative to fusion
• Elbow Arthroplasty — Total elbow replacement for rheumatoid arthritis and post-traumatic arthritis

Sports Medicine & Arthroscopy

• ACL Reconstruction — Hamstring and patellar tendon autograft; anatomic single and double bundle; internal brace augmentation; return-to-sport rehabilitation protocol; one of Shanghai's most experienced ACL programs
• PCL & Multi-Ligament Reconstruction — PCL reconstruction; posterolateral corner (PLC) reconstruction; combined ligament injuries; knee dislocation management
• Meniscus Surgery — Arthroscopic meniscus repair (inside-out, outside-in, all-inside); partial meniscectomy; meniscus allograft transplantation; collagen meniscus implant (CMI)
• Shoulder Arthroscopy — Rotator cuff repair (single and double row); Bankart repair for instability; SLAP repair; subacromial decompression; AC joint stabilization; biceps tenodesis; HAGL repair
• Hip Arthroscopy — FAI (femoroacetabular impingement) correction; labral repair and reconstruction; iliopsoas release; gluteus medius repair
• Cartilage Restoration — Microfracture; OATS (osteochondral autograft transfer); ACI/MACI (autologous chondrocyte implantation); osteochondral allograft transplantation (OCA); DeNovo NT
• Ankle Arthroscopy — Osteochondral lesion of the talus (OLT); ankle impingement; Brostrom-Gould ankle stabilization; peroneal tendon repair
• Elbow Arthroscopy — OCD; loose body removal; lateral epicondylitis; UCL reconstruction (Tommy John surgery)

Spine Surgery

• Cervical Disc Disease — ACDF; cervical disc arthroplasty (CDA) for motion preservation; posterior cervical foraminotomy; laminoplasty for multilevel myelopathy; laminectomy and fusion
• Lumbar Disc Disease — Microdiscectomy; full-endoscopic lumbar discectomy (PELD — transforaminal and interlaminar); MIS-TLIF; OLIF/XLIF for indirect decompression; ALIF
• Lumbar Spinal Stenosis — Minimally invasive decompression; unilateral biportal endoscopy (UBE); interspinous process devices; TLIF for stenosis with instability
• Spinal Deformity — Adolescent idiopathic scoliosis (AIS); adult degenerative scoliosis; kyphosis correction; pedicle subtraction osteotomy (PSO); vertebral column resection (VCR) for severe deformity
• Osteoporotic Vertebral Fractures — Percutaneous vertebroplasty; balloon kyphoplasty; anti-osteoporosis treatment coordination
• Spinal Tumors — Separation surgery + SBRT for metastases; en bloc resection for primary spinal tumors; coordination with oncology and radiation oncology

Orthopedic Oncology

• Bone Tumors — Osteosarcoma; Ewing sarcoma; chondrosarcoma; giant cell tumor; chordoma; limb-salvage surgery with endoprosthetic reconstruction; allograft-prosthesis composite; coordination with oncology for neoadjuvant and adjuvant chemotherapy
• Soft Tissue Sarcomas — Wide local excision; coordination with radiation oncology; free flap reconstruction for complex defects
• Bone Metastases — Prophylactic fixation; intramedullary nailing; endoprosthetic replacement; vertebroplasty; denosumab; zoledronic acid
• Giant Cell Tumor — Curettage with adjuvants; resection; denosumab for unresectable or recurrent disease; pelvic GCT management
• Benign Bone Tumors — Unicameral bone cyst; aneurysmal bone cyst; osteoid osteoma (RFA); enchondroma; osteochondroma

Foot & Ankle Surgery

• Hallux Valgus (Bunion) — Scarf and Chevron osteotomy; Lapidus procedure; minimally invasive bunion surgery (MIS)
• Flatfoot Deformity — Medializing calcaneal osteotomy; lateral column lengthening; spring ligament repair; subtalar fusion
• Achilles Tendon — Acute repair; chronic reconstruction; FHL transfer; insertional Achilles tendinopathy management
• Ankle Fusion & Replacement — Arthroscopic and open ankle fusion; total ankle replacement for selected patients
• Charcot Foot — Offloading; surgical reconstruction; coordination with endocrinology

Orthopedic Trauma

• Periarticular Fractures — Distal femur; proximal tibia; tibial plateau; distal radius; proximal humerus; acetabulum; pelvis; ORIF with locking plates and intramedullary nails
• Periprosthetic Fractures — Vancouver classification for hip; ORIF with locking plates; revision arthroplasty for selected cases
• Non-Union & Malunion — Corrective osteotomy; bone grafting; intramedullary nailing; bone morphogenetic protein (BMP)
• Limb Lengthening — PRECICE intramedullary lengthening nail; Taylor Spatial Frame (TSF); Ilizarov for complex deformity correction

Why International Patients Choose Shanghai First People's Hospital Orthopedics

• High-Volume Robotic Joint Replacement — MAKO robotic-assisted THR and TKR; one of Shanghai's highest-volume programs
• MACI Cartilage Restoration — Autologous chondrocyte implantation for large cartilage defects in young active patients
• Full-Endoscopic Spine Surgery — PELD and UBE for minimally invasive spine surgery; rapid recovery
• Orthopedic Oncology — Comprehensive limb-salvage program; endoprosthetic reconstruction; coordination with oncology
• Minimally Invasive Bunion Surgery — MIS hallux valgus correction; small incisions; rapid recovery
• Cost-Effectiveness — World-class orthopedic care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your orthopedic diagnosis, X-rays, MRI, CT scans, and prior treatment history with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate orthopedic surgeon based on your condition — joint replacement, sports medicine, spine, orthopedic oncology, foot and ankle, or trauma.
4. Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
5. Travel & Logistics — Assistance with visa invitation letters, accessible accommodation near Shanghai First People's Hospital, and Shanghai airport transfers.
6. Pre-Operative Optimization — Coordination of pre-operative medical optimization, anesthesia assessment, and implant selection.
7. Surgical Admission Support — Full coordination of surgical admission and post-operative rehabilitation.
8. Post-Operative Follow-Up — Surgical report translation, rehabilitation guidance, and remote follow-up coordination after you return home.

Book a Consultation

If you require joint replacement, sports medicine procedures, spine surgery, orthopedic oncology, or treatment for a complex orthopedic condition — CMCS can arrange a specialist consultation with Shanghai First People's Hospital's orthopedics team.

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