回首頁關於我們醫療服務就醫需知旅遊與生活資訊聯絡我們
選擇語言版本 繁體版
簡體版
English
日文版

Reproductive Medicine Center
Transplantation Center
Joint Reconstruction Center
Health Exam Center
 Index  Medical Service  Joint Reconstruction Center




Changhua Christian Hospital (CCH) has established more than 113 years. It is one of the hospitals firstly established Orthopedics Department. The department has abundant experience in joint surgery. Joint Reconstruction joint disease patients specialized diagnosis, treatments and surgery services. CCH is one of the hospitals which appointed by Department of Health and National Health Insurance Bureau to perform joint surgery demonstration.


 the medical team is staffed by attending physicians  specialized in various joint reconstruct and replacement, providing various newest minimally invasive surgeries according to patient’s conditions.


Minimally Invasive Joint Replacement, Total Knee Replacement, Unicondylar Knee Arthroplasty, Total Hip Replacement, Hip Hemiarthroplasty, Corrective Osteotomy, Joint Infectious and Osteomyelitis Surgery.
about our team


Providing arthritis, joint pain and joint degeneration patients detailed examination and treatment, preventing joint disease deterioration and offering the most appropriate treatment to minimally invasive joint replacement, artificial joint loosening, artificial joint wear, artificial joint dislocation and after surgery infectious patients.


To respect patient privacy, physicians will explain and discuss patients' condition in a private room with patient and families / relatives before, during and after surgery, including treatments and results of the surgery, and matters needing attention after surgery.


The Center is perfectly equipped with joint examination room, artificial joint surgery room, removable X-ray, appropriative beds for joint reconstruction, bone bank, minimum invasive reconstruction devices, etc. These are mainly for providing the best joint reconstruction medical services. The Center provides the new design of artificial knees and hips from western countries. Physicians will implant the most suit artificial joints according to patient’s needs.


The Center using special surgery technique to that has the benefits of smaller incision wounds and faster recovery according to patient’s needs and condition. Both knee and hip surgery has low infectious rates, faster recovery and less pain.


The service amount of Total Joint Arthroplasty in 2008 was approximately   173  cases.


The following surgical procedure will be started after the orthopedics doctor’s detailed examination and confirmed diagnosis for the patient, with decided the best option of Total Knee Arthroplasty or Total Hip Arthroplasty surgery. The estimated period of inpatient stay is 7 days 6 nights.


The attending physician will discuss with the patient and explain the illness and surgical procedure, with informing the scheduled date and time of surgery, and preoperative fasting 8 hours before the surgery. A notification for hospitalization will be released on that day of the last outpatient visit, and the patient will then undergo preoperative examinations at the hospitalization services. These may include: hematology test, liver and renal function, biochemical test, chest X-ray, blood type and cross-match, anesthesia information, recovery preoperative evaluation and health education, etc. The doctor in charge and patient should sign the forms for surgical consent, illness explanation, and consents for blood transfusion and anesthesia, etc.


 Please stick to the fasting at least 8 hours prior to surgical operation, then go to the surgery reporting center as the time scheduled.
 On the day of surgery, we will establish an intravenous line and send the patient to the operation room at the appropriate time, and make a final reconfirmation about the exact surgical site and the type of surgery.
 The principle method of anesthesia would be spinal anesthesia. General anesthesia is only used in certain exceptional cases. Antibiotics are to be injected to prevent infection after the anesthesia. There will be a foley catheter placed in the patient’s urethra for the urine volume monitor during or after the surgery.
 The surgical operation will take about two hours, and a drain tube will be installed at the site after surgery. Patient-controlled analgesia (PCA) could be used upon patient’s request for pain control after surgery.


Risks from anesthesia: Risks among heart, lungs, brain and other organs that is not directly related to the surgical site. Risks from blood transfusion: If the patient need a blood transfusion due to the illness change, then there might be some risks of blood infection or  antibody-mediated rejection resulted from blood transfusion, that are not directly related to the surgical site.


 Deep vein thrombosis and pulmonary embolism caused from thrombosis: According to the study reports, the complications are mostly non-symptomatic. The incidence of symptomatic complications is 0.5 to 3.0%, which will results in lower limb swelling, pain and dyspnea. Clinically, the doctor will prescribe thrombolytic drugs to minimize the incidence rate after knee joint replacement surgery. In case of severe pulmonary embolism, the worst situation would be respiratory failure that finally causes to death, but the incidence rate is quite low.
 Infection: According to the domestic and foreign study reports, the possibility of post-operative infection is about 1.6%, with giving preventive antibiotics pre-surgery. The variant illness of different patient will also present different infection rate. For instance, patients with diabetes mellitus, urinary tract infection, liver cirrhosis, or immunodeficiency will possess increased incidence rates of infection. In case of infection, there will be possibility of causing infectious arthritis and osteomyelitis, that might result in the necessity for removing the artificial joint, or proceeding to arthrodesis surgery. Clinically, the doctor will prescribe antibiotics for 1 to 3 days, depend on patient’s different situation, to decrease the incidence rate after knee joint replacement surgery.
 Patella symptoms: Knee joint replacement surgery may result in patella symptoms, which include unstable patella activity, patella pain, patella subluxation or patella dislocation, and patella fracture. According to the domestic and foreign study reports, the incidence rates varied from 1% to 20%. In Taiwan, the incidence rate has been remarkably decreased because of the advanced technology and continuously improved designs of artificial joint.
 Peroneal palsy: It is the most common nerve damage after surgery. According to domestic and foreign study reports, the incidence rate is 0.3 to 10%. The symptoms include shank paralysis, and drop foot, etc. But the symptoms will be gradually recovered within 3 months for most of the patients.
 Fracture near the artificial joint: The femoral fracture or tibia fracture resulted from knee joint replacement surgery usually are at femoral site. The incidence rate will be higher for patients with rheumatic autoimmune disease, neuron pathological change, severe osteoporosis. According to the domestic and foreign study reports, the incidence rate is 0.3 to 2.5%. In the case of fracture near the artificial joint, there will be some various treatment methods available.
 Risk for long term using: The frayed artificial joint and loosening of implants (infection or non-infection related). Anything has its own fixed number of years, so does the artificial joint. The factors include sex, body weight, age, activity strength, and the experience of doctor in charge, etc. General speaking, the artificial joints of over 85% patients will be lasting for normal function for at least 10 years, and are not necessary for another surgery. For purpose of reducing abrasion to extend the expiring date, PTFE sealing has been developed to prolong the use of artificial joints for more than 80% longer, and suitable for young and active patients. Our hospital also has introduced for patient’s choice, but National Health Insurance will not pay the full reimbursement, so the patient shall pay the difference himself.


Complications during the surgery:
 Bone fracture: The fracture is resulted from the operation of artificial hip joint replacement. According to the domestic and foreign study reports, the incidence rate for bone cement fixation is about 1%, and about 3% for non-bone cement fixation. The risk possibility is related to the patient’s bone quality and technique of the doctor in charge. In case of bone fracture, there may not be any necessity for any additional treatment all depend on the site and size of the fracture, sometimes only observation and post-operative protection are needed. If the bone fracture has bigger area, then there might be additional wire-plate fixation surgery to be proceeded..
 Sciatica paralysis: It is the most common nerve damage after surgery. According to the domestic and foreign study reports, the incidence rate is 0 to 3%. The symptoms include side hip and shank paralysis and pain, powerless, etc. But the symptoms will be gradually recovered within 3 months for most of the patients. For some few cases of being unable to recover, it is necessary to proceed to following up rehabilitation.
 Vessels damage: The damages of large and small arteries resulted from hip joint replacement, it is not vey often clinically. According to the domestic and foreign study reports, the incidence rate is 0.2 to 0.3%. In the general cases of small arteries damage, the patient may just undergo either ligation or electrocautery hemostasis during the surgery. But in the cases of damaging large arteries, then it will be necessary for an angiography embolization or consultation with the cardiovascular surgeon for further treatment depend on the illness necessity.
Post-operative complications:
 Deep vein thrombosis and pulmonary embolism caused from thrombosis: According to the study reports, the complications are mostly non-symptomatic. The incidence rate for symptomatic complications is 0.5 to 3.0%, which will results in lower limb swelling, pain and dyspnea. Clinically, the doctor will prescribe thrombolytic drugs to minimize the incidence rate after hip joint replacement surgery. In case of severe pulmonary embolism, the worst situation would be respiratory failure that finally causes to death, but the incidence rate is quite low.
 Infection: According to the domestic and foreign study reports, the possibility of post-operative infection is about 0.4 to 1.5%, with giving preventive antibiotics pre-surgery. The variant illness of different patient will also present different infection rates. For instance, patients with diabetes mellitus, urinary tract infection, liver cirrhosis, or immunodeficiency will possess increased incidence rates of infection. In case of infection, there will be possibility of causing infectious arthritis and osteomyelitis, that might result in the necessity for removing the artificial joint, or arthrodesis surgery. Clinically, the doctor will prescribe antibiotics for 1 to 3 days depend on patient’s different situation, to decrease the incidence rate after hip joint replacement surgery.
 Fracture near artificial hip joint: The femoral fracture resulted from hip joint replacement surgery. The incidence rate will be higher for patients with rheumatic autoimmune disease, neuron metamorphosis, severe osteoporosis. According to the domestic and foreign study reports, the incidence rate is less than 1%. In the case of fracture near artificial hip joint, there will be some various treatment methods available.
 Artificial joint dislocation: The incidence rate is about 0 to 2% upon different operative types. Some joint movements will be limited after the hip joint replacement. Please be sure to stick to the doctor’s instructions, otherwise the artificial joint may be liable to dislocate. The frayed artificial joint will result in increased incidence of dislocation while longer use.
 Leg length discrepancy: Leg length discrepancy is common after hip joint replacement. According to the domestic and foreign study reports, it is acceptable that the leg length discrepancy is less than 2 cm. In some occasions of patient’s different illness conditions as stroke, nerve pathological change, lower limb muscular pathological change, etc. the doctor may purposely make the operated leg a bit longer or shorter for better following up rehabilitation and exercises.
 Risk for long term using: The frayed artificial joint and loosening of implants (infection or non-infection related). Anything has its own fixed number of years, so does the artificial joint. The factors include sex, body weight, age, activity strength, and the experience of doctor in charge, etc. General speaking, the artificial hip joints of over 85% patients will be lasting for normal function for at least 10 years, and are not necessary for another surgery. For purpose of reducing abrasion to extend the expiring date, highly durable metal bearing hip joint and ceramic bearing hip joint have been developed to prolong the use of artificial joints, and suitable for young and active patients. Our hospital also introduced for patient’s choice, but National Health Insurance will not pay the full reimbursement, so the patient shall pay the difference himself.
The above only listed and explained the most common risks and complications. You will have to discuss with your orthopedics doctor for all the other rare complications or risks caused by individual physique and other diseases, our doctor will sincerely answer your questions.


There will be post-operative drug infusion treatment for the patient, and the medical professionals will change the care dressing and observe the progress of the wound everyday. We will consolidate the treatment protocol and walker training with the rehabilitation department. Basically, the catheter and drain will be removed within 3 days post-operation. The patient will be ready to discharge after the doctor evaluate and confirm the activity appropriate and wound stable.


The first following up outpatient visit will be on the 3rd to 7th days after discharge, the stitches may be removed while the wound is stable after the doctor’s evaluation. The patient shall keep rehabilitation treatment at home according to doctor’s instruction after discharge, with walker to assist walking; The patient will be free to move without any assistant aids after 4 to 6 weeks. The patient should do self-observation while keeping rehabilitation at home, for any incidence of fever, the wound appears red, swelling, pain and abnormal discharge, or suspected joint dislocation, you shall go back to the hospital for immediate help earliest possible.


 Deep vein thrombosis and pulmonary embolism caused from thrombosis: According to the study reports, the complications are mostly non-symptomatic. The incidence rate for symptomatic complications is 0.5 to 3.0%, which will results in lower limb swelling, pain and dyspnea. Clinically, the doctor will prescribe thrombolytic drugs to minimize the incidence rate after hip joint replacement surgery. In case of severe pulmonary embolism, the worst situation would be respiratory failure that finally causes to death, but the incidence rate is quite low.
 Infection: According to the domestic and foreign study reports, the possibility of post-operative infection is about 0.4 to 1.5%, with giving preventive antibiotics pre-surgery. The variant illness of different patient will also present different infection rates. For instance, patients with diabetes mellitus, urinary tract infection, liver cirrhosis, or immunodeficiency will possess increased incidence rates of infection. In case of infection, there will be possibility of causing infectious arthritis and osteomyelitis, that might result in the necessity for removing the artificial joint, or arthrodesis surgery. Clinically, the doctor will prescribe antibiotics for 1 to 3 days depend on patient’s different situation, to decrease the incidence rate after hip joint replacement surgery.
 Fracture near artificial hip joint: The femoral fracture resulted from hip joint replacement surgery. The incidence rate will be higher for patients with rheumatic autoimmune disease, neuron metamorphosis, severe osteoporosis. According to the domestic and foreign study reports, the incidence rate is less than 1%. In the case of fracture near artificial hip joint, there will be some various treatment methods available.
 Artificial joint dislocation: The incidence rate is about 0 to 2% upon different operative types. Some joint movements will be limited after the hip joint replacement. Please be sure to stick to the doctor’s instructions, otherwise the artificial joint may be liable to dislocate. The frayed artificial joint will result in increased incidence of dislocation while longer use.
 Leg length discrepancy: Leg length discrepancy is common after hip joint replacement. According to the domestic and foreign study reports, it is acceptable that the leg length discrepancy is less than 2 cm. In some occasions of patient’s different illness conditions as stroke, nerve pathological change, lower limb muscular pathological change, etc. the doctor may purposely make the operated leg a bit longer or shorter for better following up rehabilitation and exercises.
 Risk for long term using: The frayed artificial joint and loosening of implants (infection or non-infection related). Anything has its own fixed number of years, so does the artificial joint. The factors include sex, body weight, age, activity strength, and the experience of doctor in charge, etc. General speaking, the artificial hip joints of over 85% patients will be lasting for normal function for at least 10 years, and are not necessary for another surgery. For purpose of reducing abrasion to extend the expiring date, highly durable metal bearing hip joint and ceramic bearing hip joint have been developed to prolong the use of artificial joints, and suitable for young and active patients. Our hospital also introduced for patient’s choice, but National Health Insurance will not pay the full reimbursement, so the patient shall pay the difference himself.


 

   Telephone (Chinese): +886-4-7238595 ext 8371  (English) + 886-4-7009699    
 2008 © Changhua Christian Hospital International Medical Center All Rights Reserved.  無障礙A+標章
RSS  Views 996657  Online Views 7人 Update:2017.09.13 網站維護單位:國際醫療中心