Expert Orthopedic & Sports Medicine Care at One of Shanghai's Premier Academic Medical Centers
The Department of Orthopedics at Shanghai Sixth People's Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of China's most distinguished orthopedic centers, with a national reputation for excellence in joint replacement, sports medicine, spine surgery, orthopedic trauma, orthopedic oncology, and the management of complex musculoskeletal conditions. Uniquely positioned within a hospital world-renowned for its microsurgery and replantation program, the orthopedics department offers particular expertise in complex limb reconstruction, periprosthetic fracture management, and the orthopedic management of post-replantation patients. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their orthopedic care journey at Shanghai Sixth People's Hospital.
About the Department
The orthopedics department is a national key clinical specialty operating dedicated orthopedic wards, multiple operating theaters with navigation and robotic capability, a joint replacement center, a sports medicine and arthroscopy program, a spine surgery center, an orthopedic trauma service, an orthopedic oncology service, and works in close collaboration with replantation and microsurgery, hand surgery, vascular surgery, rehabilitation medicine, and oncology 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
- Hip Resurfacing — For young active patients with good bone stock; metal-on-metal resurfacing; Birmingham Hip Resurfacing (BHR)
- Revision THR — Aseptic loosening; periprosthetic fracture; instability; two-stage revision for periprosthetic joint infection (PJI); trabecular metal augments; impaction bone grafting
- Indications — Osteoarthritis; avascular necrosis (AVN) of the femoral head; rheumatoid arthritis; hip dysplasia; post-traumatic arthritis; femoral neck fracture
Avascular Necrosis (AVN) of the Femoral Head
Shanghai Sixth People's Hospital has particular expertise in AVN management, which is prevalent in China due to corticosteroid use and alcohol consumption:
- Core Decompression — For early-stage AVN (ARCO I-II); multiple drilling; with or without bone grafting; with or without stem cell injection
- Vascularized Fibula Graft — For ARCO II-III AVN in young patients; structural support and biological revascularization; coordination with microsurgery department
- Tantalum Rod Implantation — Trabecular metal rod for structural support in early AVN
- Total Hip Replacement — For advanced AVN (ARCO III-IV) with collapse; cementless THR; one of China's most experienced AVN-THR programs
Total Knee Replacement (TKR)
- Primary TKR — Cruciate-retaining and posterior-stabilized designs; robotic-assisted TKR (MAKO); computer-assisted navigation; patient-specific implants; unicompartmental knee arthroplasty (UKA) for isolated compartment disease
- Revision TKR — Constrained and hinged implants; metaphyseal cones and sleeves for bone defects; two-stage revision for PJI
- Periprosthetic Joint Infection (PJI) — DAIR (debridement, antibiotics, implant retention) for acute PJI; one-stage and two-stage revision; antibiotic spacers; prolonged suppressive antibiotics
Sports Medicine & Arthroscopy
- ACL Reconstruction — Hamstring and patellar tendon autograft; anatomic single and double bundle; internal brace augmentation (Ligament Augmentation and Reconstruction System — LARS); return-to-sport rehabilitation; 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; SLAP repair; subacromial decompression; AC joint stabilization; biceps tenodesis; HAGL repair
- Hip Arthroscopy — FAI correction (cam and pincer); labral repair and reconstruction; iliopsoas release; gluteus medius repair
- Cartilage Restoration — Microfracture; OATS; ACI/MACI; DeNovo NT; osteochondral allograft transplantation (OCA)
- Ankle Arthroscopy — Osteochondral lesion of the talus (OLT) treatment; ankle impingement; peroneal tendon repair; Brostrom-Gould ankle stabilization
- Elbow Arthroscopy — Osteochondritis dissecans (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 and fusion
- 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 (denosumab, romosozumab, teriparatide)
- Spinal Tumors — Separation surgery + SBRT for metastases; en bloc resection for primary spinal tumors; vertebroplasty for pain control
Orthopedic Trauma
Shanghai Sixth People's Hospital's orthopedic trauma service is closely integrated with the replantation and microsurgery department, enabling comprehensive management of complex limb injuries:
- Periarticular Fractures — Distal femur; proximal tibia; tibial plateau; distal radius; proximal humerus; acetabulum; pelvis; ORIF with locking plates and intramedullary nails
- Open Fractures — Emergency debridement; temporary external fixation; definitive fixation; free flap coverage for soft tissue defects (coordination with microsurgery)
- Periprosthetic Fractures — Vancouver classification for hip; Su classification for knee; ORIF with locking plates; revision arthroplasty for selected cases
- Non-Union & Malunion — Corrective osteotomy; bone grafting; intramedullary nailing; vascularized bone graft for recalcitrant non-union (coordination with microsurgery)
- Limb Lengthening & Deformity Correction — Ilizarov and Taylor Spatial Frame (TSF) external fixation; PRECICE intramedullary lengthening nail; acute correction and gradual distraction
Orthopedic Oncology
- Bone Tumors — Osteosarcoma; Ewing sarcoma; chondrosarcoma; giant cell tumor; chordoma; limb-salvage surgery with endoprosthetic reconstruction; allograft-prosthesis composite; coordination with oncology
- Soft Tissue Sarcomas — Wide local excision; free flap reconstruction for complex defects (coordination with microsurgery); coordination with radiation oncology
- Bone Metastases — Prophylactic fixation; intramedullary nailing; endoprosthetic replacement; vertebroplasty; denosumab; zoledronic acid
- Giant Cell Tumor — Curettage with adjuvants (phenol, liquid nitrogen, argon beam); resection; denosumab for unresectable or recurrent disease
Why International Patients Choose Shanghai Sixth People's Hospital Orthopedics
- AVN Expertise — Comprehensive AVN management from core decompression to vascularized fibula graft to THR; unique integration with microsurgery for vascularized bone grafting
- Complex Trauma + Microsurgery — Unique integration with world-leading replantation and microsurgery for open fractures with soft tissue defects
- Robotic Joint Replacement — MAKO robotic-assisted THR and TKR for improved accuracy
- Limb Lengthening — PRECICE intramedullary lengthening nail; Taylor Spatial Frame for complex deformity correction
- Full-Endoscopic Spine Surgery — PELD and UBE for minimally invasive spine surgery
- Cost-Effectiveness — World-class orthopedic care at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your orthopedic diagnosis, X-rays, MRI, CT scans, and prior treatment history with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate orthopedic surgeon based on your condition — joint replacement, AVN, sports medicine, spine, trauma, or orthopedic oncology.
- Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accessible accommodation near Shanghai Sixth People's Hospital, and Shanghai airport transfers.
- Pre-Operative Optimization — Coordination of pre-operative medical optimization, anesthesia assessment, and implant selection.
- Surgical Admission Support — Full coordination of surgical admission and post-operative rehabilitation.
- 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, AVN treatment, sports medicine procedures, spine surgery, complex trauma reconstruction, or orthopedic oncology — CMCS can arrange a specialist consultation with Shanghai Sixth People's Hospital's orthopedics team.
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