As an important branch of orthopedics, joint surgery plays a key role in the orthopedics. In recent years, the development of joint surgery is rapid. Total hip arthroplasty (THA) has been practiced indenpendtly in most hospitals above level 2 in China. Meanwhile, such joint replacement operations as shoulder, knee, elbow, and ankle are more and more common in high-level hospitals.
After the establishment of new Chinese Orthopedics Association, the re-election has been carried out for each study group. The new join group is facing many challenges and opportunities. As a new leader of joint group, I have some assumptions and arrangements for the future work following:
1. On the base of Joint Group of Chinese Orthopedics Association, Chinese Hip Society (CHS) and Chinese Knee Society (CKS) should be established. This refining will be better for appointing specialists for the reeducation of orthopedists, and compiling training outlines.
2.Standard and admittance of joint replacement should be drafted in order to avoid medical risks. Under the lead of national Ministry of Health, admittance of joint replacement has been discussed repeatedly, and related contents are being drafted. The primary common views have been achieved that hospitals above level 2 are permitted to do simple THA, but only level-3 hospitals are allowed to do total knee arthroplasty (TKA) since TKA demands higher technology and skills. For other joints, as they are not common, we agreed that these operations should be done in level-3 hospitals. Organized by Military Medical Press and Joint Group of Chinese Orthopedics Association, we recorded 8 hip joint operations and 8 knee operations as examples, which are operated by 16 most famous specialists in China and will be showed and explained by the surgeons in COA 2012. This will surely promote the development of joint surgery.
3.National register system and workstation for joint replacement should be built. Sweden has built the first complete register system of the world since 1979. Register system is helpful for gaining complete epidemiology data of joint replacement, analyzing the reasons of failure, improving the skills of operator, promoting the development of artificial joint designing, and evaluating the effect of different artificial joints objectively. Many counties have built the register system for joint replacement. This could provide a large database which is helpful for surgoens and even the whole society. Therefore, we need a complete national/local register for joint replacement. Happily, our national joint replacement register system has already been on the test-on stage. It only takes 10 minutes to input whole data of a patient. This system is simply operated, rationally designed, and expected to be put into use next year.
4. Continuing medical education. COA 2012 is undertaken by joint group, which includes 75 lectures about joint surgery. Nearly all fields and development on joint surgery are covered. We have started to perform the course on joint surgery, which is expected to be published in 2013. This will be a textbook on joint surgery, and is worth for all surgeons.
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