Appendix
In commemoration of the 50th anniversary of Dr. Xu Jingbin' s medical career
Note from Wei: Mr. Xu Jingbin, a leading authority in Chinese orthopedics, was my father's mentor in the field. During Mr. Xu's lifetime, my dad collaborated with other disciples of Mr. Xu to organize a '50-Year Medical Career Commemoration for Xu Jingbin.' They published a special issue in 'Southern Anhui Medical Journal.' Below is a compilation of relevant information to honor this highly respected and esteemed expert.
a group photo taken in 1973 at the Orthopedic Training Course
In the back two rows are the 'Nine Great Warriors.' In the middle row, on the far right, is Li Mingjie. In the front row are three teachers: On the left is Yuan Sizhong from the regional hospital, who was the class adviser; Mr. Xu is in the center, and to his right is Director Zhang Kan from Yijishan Hospital.
Old Steed Rests in the Stable, a Model in White Coat
— Congratulating Professor Xu Jingbin, a Renowned Orthopedic Expert in China, on His 50 Years in Medicine
To adapt to the favorable conditions of current reforms and openness, and to promote academic exchange and strengthen friendly interactions between orthopedic peers in this region and across the nation, the Wuhu Branch of the Chinese Medical Society hosted this academic seminar. The conference specifically addressed prevalent issues in contemporary orthopedic clinical practice, such as trauma and fractures; internal fixation and non-union; fractures of the femoral neck; microsurgery; spinal canal disorders; and cervical spondylosis. Selected papers that are clinically advanced and practical are published in this supplementary issue of the Southern Anhui Medical College Journal.
In this beautiful season when the spring winds are greening the southern banks of the Yangtze River, and orthopedic peers are gathering in Wannan, it also marks the 50th anniversary of Professor Xu Jingbin's medical career. A renowned orthopedic expert, he has spent decades diligently employing his superb skills to treat numerous patients, alleviating their pain. He has cultivated a large number of skilled clinicians in orthopedics for the party and the people. Using this opportunity to hold an academic celebration that's quite different and meaningful is indeed significant.
Xu Jingbin was born in 1919 in Jiujiang, Jiangxi Province. He graduated from the National Xiangya Medical College in Hunan in 1944. In 1948, he served as the attending physician in orthopedics and surgery at the former Central Hospital; in 1951, he led the surgical team in the Volunteer Army aiding Korea against America. From 1953 until now, he has been the head of the orthopedic department at the PLA Nanjing 81 Hospital. In the early 1950s, he was among the first in the military region and Jiangsu Province to perform lumbar disc herniation removal and debridement for bone and joint tuberculosis. In the 1960s, he introduced the practice of using large amounts of tap water to irrigate severe open wounds, reducing the infection rate to 0.4%. He was the first to report artificial femoral head replacement and occipital-cervical fusion in domestic literature. In the 1980s, he invented a device for treating non-unions, treating hundreds of non-union patients. This non-surgical method has been widely used in hospitals nationwide. In 1986, he was invited to lecture at Columbia University, the New York Orthopedic Center, and the Electrobiology Research Institute in New Jersey, bringing honor to his homeland.
In recent years, through clinical practice, he has innovatively designed many surgical instruments and internal fixation materials. For example, he created a compressive cannulated screw system for treating femoral neck fractures and external fixators for bone drilling, allowing patients to get out of bed and resume activities sooner, thereby avoiding the various complications associated with prolonged bed rest.
Over the past 50 years, he has served everywhere from the military to local communities, from cities to rural areas, and from military camps to factories and mines. In the operating room, under the surgical lights, he's used his scalpel to fight disease and defy death, successfully completing over 3,000 lumbar disc herniation removal surgeries alone. His noble medical ethics, superb skills, and selfless contributions are worthy of our admiration and learning.
He is meticulous in his teaching and tirelessly instructs others. In addition to fulfilling regular clinical training, he has nurtured outstanding professionals in the field of orthopedics who excel in their specializations …………
Excerpts from the Commemorative Supplemental Articles
…………
Efficacy Assessment:
- Excellent: Fracture has healed, joint function at the fracture site has returned to normal, and there are no late-stage complications.
- Good: Fracture has healed, and the range of joint function at the fracture site is reduced by less than 20 degrees. There are no late-stage complications, or if there are, remedial treatment has brought the condition up to excellent or good standards.
- Poor: Fracture has healed, but the range of joint function at the fracture site is reduced by more than 20 degrees, or complications have resulted in permanent disability.
In our group of 110 cases of multiple fractures, the treatment results were:
- Excellent in 80 cases (72.7%),
- Good in 7 cases (6.4%),
- Poor in 11 cases (10%),
- Fatalities in 12 cases (10.9%).
Key Takeaways:
- Quick, comprehensive examinations and early accurate diagnoses coupled with the correct treatments are crucial for the successful treatment of multiple fractures and traumatic shock. The rate of success in treating shock is directly proportional to whether or not there was proper pre-hospital treatment and how quickly patients were admitted for medical care. Effective rescue should begin at the site of the injury. The first few minutes to hours after the injury are pivotal for a successful rescue. In our group, the majority of survivors were those who received better pre-hospital care or were admitted early. Among the fatal cases, apart from 5 with brainstem injuries and 3 with ruptured spleens, the remaining 4 were delayed due to late admissions. For example, one case of untreated post-injury hypotension went undiagnosed until 48 hours later, by which time blood pressure was undetectable, and progressive respiratory distress led to death the next day. This highlights the importance of immediate first aid, especially considering that the technical skills of grassroots medical personnel, transportation equipment, and urban emergency response capabilities are essential components of emergency care.
-
Complexity of Multiple Fractures and Traumatic Shock: These cases are often severe and complicated, requiring specialized diagnostic and treatment approaches. It's essential to accurately gather patient history and perform comprehensive examinations, particularly to identify life-threatening, concealed injuries. Monitoring blood pressure alone isn't enough to determine the presence of shock; it must be considered within the context of the patient's overall condition. Timely fluid resuscitation, blood transfusions, and oxygenation are vital to reduce the period of shock. Life-threatening complications should be addressed promptly; waiting is not an option. In this study, 30 cases were treated for shock and fractures concurrently, and 25 cases with general complications or open wounds underwent surgery after achieving stable blood pressure.
-
Importance of Rapid Volume Replacement: Quick and timely replenishment of blood volume is crucial for treating hemorrhagic shock successfully. Delayed or insufficient volume replacement can lead to complications like Disseminated Intravascular Coagulation (DIC). In this group, 9 cases were saved through aggressive primary injury treatment and voluminous blood transfusions, particularly with fresh blood, which also replenished clotting factors.
-
Early Treatment of Fractures as an Anti-Shock Measure: The treatment of fractures in patients with multiple injuries and traumatic shock should focus on reducing mortality. Early treatment of fractures should be considered an essential aspect of anti-shock measures. For long tubular bone fractures, strong internal fixation should be performed. For some open fractures, primary internal fixation can be performed as long as conditions allow and wounds are thoroughly cleaned. This simplifies complex fractures, aids in early joint mobility, and speeds up overall recovery.
…………
featured in the 13th volume of the Southern Anhui Medical College Journal, published in 1994
