骨科修復(fù)重建外科(骨二科)為佛山市重點專科,科室以顯微外科為基礎(chǔ),涵蓋了手足外科、創(chuàng)傷骨科、修復(fù)重建外科、肢體矯形???、骨髓炎???/font>?,F(xiàn)有主任醫(yī)師2名,副主任醫(yī)師5名,主治醫(yī)師5名,住院醫(yī)師2名,碩博比達78.6%,是一支業(yè)務(wù)能力強,技術(shù)過硬,精力充沛,充滿朝氣和刻苦耐勞的醫(yī)療團隊。設(shè)置固定病床80余張,年收治患者3650人,住院手術(shù)4650臺,門診手術(shù)1200臺。
??铺厣珒?yōu)勢:修復(fù)重建外科是以顯微外科技術(shù)為基礎(chǔ)的特色優(yōu)勢專科。
1、手外科:擅長各種復(fù)雜的手部外傷的救治,手部肌腱、神經(jīng)、血管損傷的修復(fù),各種先天性手部畸形的診斷及治療,在手部外傷術(shù)后功能障礙的治療、手部復(fù)雜損傷晚期修復(fù)與功能重建、手部腫瘤的診斷和治療等領(lǐng)域都達到國內(nèi)先進水平。
2、顯微外科:應(yīng)用顯微外科技術(shù)進行斷指(肢)再植,已完成十指離斷再植、五指離斷再植、雙前臂離斷再植、手指再造等體現(xiàn)顯微外科技術(shù)水平的手術(shù)。在肢體復(fù)雜組織缺損方面,應(yīng)用各種游離組織皮瓣、肌皮瓣、骨瓣及島狀皮瓣修復(fù)肢體復(fù)合組織缺損。尤其擅長四肢復(fù)雜創(chuàng)傷的骨折、神經(jīng)血管損傷、肌肉毀損的復(fù)合損傷救治和保肢治療,以及后期的肢體功能重建。
3、創(chuàng)傷骨科:各種類型尺橈骨遠端、腕部、掌骨、指骨開放及閉合骨折的治療;足部的各種開放、閉合骨折的治療及四肢創(chuàng)傷骨折的治療;四肢各種陳舊骨折畸形愈合的矯正和功能重建。
4、肢體矯形??疲荷瞄L手足部各種先天及后天性畸形的矯正和功能重建,如手部錘狀指、多指、并指等畸形,足部扁平足、高弓足,馬蹄內(nèi)翻足,踇外翻等畸形及神經(jīng)損傷后的手、足部及四肢功能障礙的肌肉移植及肌腱轉(zhuǎn)位等功能重建。科室還開展了各種先天性及外傷后遺留的骨與關(guān)節(jié)畸形疾病的診治工作,包括關(guān)節(jié)周圍截骨術(shù)、關(guān)節(jié)融合術(shù)及關(guān)節(jié)畸形的矯正、功能重建術(shù)等。
5、骨髓炎、骨感染??疲?/font>在嚴重肢體創(chuàng)傷、骨髓炎、骨感染、骨缺損診治方面進行了深入的研究和探討,開展了Ilizarov牽張成骨技術(shù)、Masquelet膜誘導(dǎo)技術(shù)及游離腓骨移植技術(shù)等,挽救了大量的患者的肢體,避免了截肢。
6.手部功能康復(fù):自主研發(fā)的“組合式可調(diào)節(jié)手部多功能牽引支具”得到了廣泛的應(yīng)用,具有安裝簡便、可組合、可調(diào)節(jié)、多功能、價格低廉,佩戴舒適等特點,對手部瘢痕攣縮、肌腱粘連、關(guān)節(jié)僵硬等手部功能障礙的康復(fù)治療均取得良好的效果,并進一步研制了“智能化手部多功能支具”。
科室已承擔省市級科研項目20余項,獲廣東省科學技術(shù)獎三等獎1項,佛山市科學技術(shù)獎二等獎1項、三等獎3項;在SCI錄用雜志和國家級專業(yè)雜志上發(fā)表學術(shù)論文50余篇。科室主編出版了專著《手部腫瘤診療圖譜》1部,由人民衛(wèi)生出版社出版,參與編寫專著2部。目前,獲得及受理專利共40余項,并積極致力于科研成果轉(zhuǎn)化。
Department Introduction
Repair and Reconstruction Surgery (Orthopedics Dept.2) is a key specialty in Foshan City. Based on microsurgery, the Department covers hand and foot surgery, trauma orthopedics, repair and reconstruction surgery, limb orthopedics and osteomyelitis. At present, there are 1 chief physician, 5 deputy chief physicians, 7 attending physicians, 1 resident physician, with a master-student ratio of 78.6%. It is a medical team with strong business ability, excellent technology, energy, vitality and hard work. There are more than 80 fixed beds, 3650 patients, 4650 inpatient operations and 1200 outpatient operations.
Special Advantages of Specialist Department: Repair and Reconstruction Surgery is a specialty based on microsurgery technology.
1. Hand surgery: We are good at the treatment of various complicated hand injuries, the repair of hand tendon, nerve and blood vessel injuries, the diagnosis and treatment of various congenital hand deformities. He has reached the domestic advanced level in the treatment of postoperative dysfunction of hand injuries, the late repair and functional reconstruction of hand complex injuries, the diagnosis and treatment of hand tumors and other fields.
2. Microsurgery: replantation of severed fingers (limbs) with microsurgery technology has been completed, including replantation of ten severed fingers, replantation of five severed fingers, replantation of two severed forearms, finger reconstruction and other operations reflecting microsurgery technology level. In the aspect of complex tissue defects of limbs, various kinds of free tissue flaps, myocutaneous flaps, bone flaps and island flaps were used to repair compound tissue defects of limbs. In particular, he is good at the treatment of complex limb trauma fracture, nerve and blood vessel injury, muscle damage combined injury and limb salvage treatment, as well as the later reconstruction of limb function.
3. Trauma orthopaedics: treatment of open and closed fractures of various types of distal radius and ulna, wrist, metacarpus and phalanges; treatment of open and closed fractures of foot and traumatic fractures of limbs; correction and functional reconstruction of malunion of various old fractures of limbs.
4. Limb orthopedic Specialty: specializes in the correction and functional reconstruction of various congenital and postnatal deformities of the hand and foot, such as hammer fingers, multiple fingers, compound fingers and other deformities of the hand, flat feet, high arch feet, talipes varus, valgus valgus and other deformities of the foot, and functional reconstruction of muscle transplantation and tendon transposition after nerve injury. The Department also carried out the diagnosis and treatment of various congenital and post-traumatic bone and joint deformities, including osteotomy around the joint, arthrodesis, correction of joint deformities, functional reconstruction, etc.
5. Osteomyelitis and bone infection: in-depth research and discussion have been made on the diagnosis and treatment of severe limb trauma, osteomyelitis, bone infection and bone defect. Ilizarov distraction osteogenesis technology, masquelet membrane induction technology and free fibula transplantation technology have been carried out to save a large number of patients' limbs and avoid amputation.
6. Hand functional rehabilitation: the self-developed "combined adjustable hand multi-functional traction brace" has been widely used, with the characteristics of simple installation, combination, adjustment, multi-function, low price, comfortable wearing, etc., and the rehabilitation treatment of hand scar contracture, tendon adhesion, joint stiffness and other hand dysfunction has achieved good results, and further developed. "Intelligent hand multifunctional support".
The Department has undertaken more than 20 provincial and municipal scientific research projects, won one third prize of Guangdong Science and Technology Award, one second prize and three third prize of Foshan Science and Technology Award, and published more than 50 academic papers in SCI recruitment magazines and national professional magazines. The chief editor of the Department published a monograph "Diagnosis and Treatment Atlas of Hand Cancer", which was published by People's Health Publishing House and participated in the compilation of two monographs. At present, 34 patents have been obtained and accepted, and they are actively committed to the transformation of scientific research achievements.