initially "knowing" Qinsihe was in August this year, at the China Limb Disability Medical Exhibition Hall in the History Museum of Weifang Medical College, the reporter saw a group of shocking pre- and post-operative comparison photos: those who had severe deformities in the lower limbs and could not stand at all, and could only squat, sit, lie down, and kneel, actually stood up after the operation, could help the kidnaps and even walk with bare hands!
Qin Sihe, from Qinjiazhuang, Gaoze Town, Wulian, Shandong Province, born in 1951, graduated from Weifang Medical College in 1973. By December 31, 2021, 36,664 cases of various limb deformities and disabilities were treated in surgically, making it the most people with lower limb deformities and disabilities in the world. Among them, there were 24,065 cases of sequelae of polio and 4,902 cases of cerebral palsy, all of which were the most common in the world. He is a leading figure in lower limb orthopedic surgery in China and is known as the "first person in the world's orthopedic surgery for sequelae of polio".
Reconstruct the limbs and reconstruct life
On August 24, in Yizhuang, Beijing, in the orthopedic clinic on the first floor of the Rehabilitation Hospital Affiliated to the National Rehabilitation Aids Research Center, the reporter met the 71-year-old Qin Sihe. He is the honorary president of the hospital and the director of orthopedic surgery.
At around 3 pm, he had just finished 7 surgeries a day, and his index fingertips were injured by a steel needle in the operation and were attached to the band-aid patch. He is 1.83 meters tall and thin, with a slightly camel neck, gray hair, square face and white teeth, and a magnificent spirit. Walking very fast, most young people can't keep up.
The most eye-catching thing is his soft big hands. Put your fingers on the table and you can lift them up. He laughed at himself as a morbid, and the joints were loose, and dexterity was dexterity, but lacked strength. It is these big hands that have "swapped" the muscles and bones of tens of thousands of patients with limbs for more than 40 years, and have led them to a new life.
On the morning of the 25th, Qinsihe visited the outpatient clinic. His table was three or four meters away from the door, just a few meters away. He could tell the disease and cause by looking at the patient's gait. Then ask for consultation, watch movies, and check. For patients who need surgery, he used a signal pen to draw surgical incisions on the patient's legs and feet while examining.
26, operating room. Under the shadowless light, lancet gently pressed, Qin Sihe cut a two- or three centimeter-long mouth above the patient's right ankle, and a white and shiny tendon was nimble from it, clamped it with surgical forceps. Then, he also cut an instep on the instep below the patient's big toe, passing the tendon just under the skin and sutured it with the tendon that controlled the big toe. The patient's originally drooping and inverted feet magically "right" came over. In addition to suturing, installing an external fixture, and pauses in explaining and recording for teaching videos, the operation was a total of half an hour.
For Qin Sihe, this is just a simple operation. Some patients were declared unsuccessful and even on the verge of amputation, and were pulled out of the abyss of despair by his big hands. Wang Nan (pseudonym), 35 years old this year, is one of them.
It is summer vacation. Wang Nan, who is about to study for postgraduate 3 in , South , is coming to visit Qin Sihe. When Wang Nan was born, he had a small bulge on his waist, and the disease gradually showed his ferocious face: his feet gradually deformed, his toes were facing inward, and then backward; his soles were facing each other, and then facing upward. Finally, he could only walk with his instep, and he would sweat a lot after walking a hundred meters downstairs. When the parents of the high school teacher saw that he could not go to school, they taught him at home every morning and night.
"Doctor, can I not amputate?" Qin Sihe remembered the first sentence this young man from Hengshui, Hebei said when he saw him.
"Can it be cured! Why do you need amputation?" Wang Nan was stunned when he heard Qin Sihe's words. This is 2010, he is 23 years old.
Since Wang Nan’s age is half a year old, his parents have been holding him around for medical treatment. I don’t know how many trips he has traveled to Shijiazhuang and Beijing, but the answers he has received cannot be cured. When he was 5 years old, the family finally gave up. If it weren't for the edema of his feet, a doctor from an outpatient clinic in a hospital in Beijing would recommend Qin Sihe, and he would have long since lost the idea of treating his feet. What specific treatments have been performed on
? Wang Nan said a series of terms, which is a surgical combination: Achilles tendon extension, three joint fusion, plantar incision, first phalanx osteotomy, bone threading, and external fixator installed. Later, muscle displacement surgery was performed - the extraabdominal oblique muscle to replace the gluteal medius.Because Wang Nan's gluteal muscles atrophy are severely atrophic, and his hips are weak, so he sways when walking. In this way, some of the abdominal muscles are pulled to the hips to enhance the strength of the hips, and the swaying will be much lighter.
Once the soul is unblocked by the limbs, the energy released is infinite. In 2013, Wang Nan, who had cured his feet, offered to be an assistant to Qin Sihe, and Qin Sihe happily agreed. In the past seven years, Wang Nan inputted more than 30,000 surgical data accumulated by Qin Sihe since he was in medical treatment one by one to the computer to build a retrieval and statistical database; he carried his schoolbag alone and walked through 8 provinces to follow up the surgical patients in Qin Sihe in a real life environment, leaving behind the image data. He took the college degree and bachelor's degree from the Chinese Department of Beijing Normal University, followed Qin Sihe to consult in many places, and also set up exhibitions for him at the China Physical Disability Medical Exhibition Hall. Finally, with the encouragement of Qin Sihe, he passed the postgraduate entrance examination, studied his favorite cultural and museum major, and left Qin Sihe.
During that cross-provincial follow-up, Wang Nan further realized the greatness of Qin Sihe's work: a girl living by the side of the Yangtze River , she used to face one of her feet forward and the other backward, and her legs were not equally long, and she never raised her head when she walked; now she has cured her legs and feet, carried her schoolbag, dressed beautifully and went to school along the riverside. Along the way, the green mountains on both sides of the shore became wider and wider. A young man in Nanning was cured, found a job, and had a girlfriend. He was depressed when he was hospitalized, and he drank with Wang Nanhuan to a long time, and ambitiously planned when he would get married, when he would buy a house, and when he would start a business. Wang Nan has been in touch with them all the time. The girl is now graduating from college and working in the laboratory department of a local hospital; the young man became a small boss, and the "bragging" he used to be realized as scheduled.
"Director Qin rebuilt his body and life for thousands of disabled people." Wang Nan said.
"I will go wherever the patient is"
On the morning of August 25, about half of the outpatient clinic was treated by patients with sequelae of polio. Qin Sihe said that sugar pills only avoided new cases, and there are more than 2 million patients with sequelae of numbness in my country.
In 1977, Qin Sihe, who was working in the surgery department of Miaoshan Commune Hospital in Laiwu County, was sent to Jinan Central Hospital for further study. There were many rural numb patients at that time. Zeng Guoying, director of the orthopedics department of the hospital, was able to use surgery to treat the sequelae of polio, which aroused his interest in learning. Through searching the information, he found that there were very few doctors in China who specialize in surgical treatment of numbness and were determined to devote their energy to the cause of benefiting disabled people.
In May 1978, Qin Sihe successfully treated two teenagers' horseshoe valgus feet deformity at Miaoshan Hospital, which caused a sensation in Laiwu County. Since then, many patients with lower limb deformities and disabled people across the country have come to him for medical treatment. In 1981, he took the lead in establishing an orthopedic surgery team at Miaoshan Hospital. 3 doctors and 20 beds, this is the first orthopedic department established by a township hospital in my country.
Qinsihe found that among the patients who came to seek medical treatment in various places, Heilongjiang Province is the most, which may be related to the high cold and low sunshine there. In 1985, the Jiamusi Municipal Government came to Shandong to hire him twice, and Qin Sihe moved his family to Jiamusi to establish the Heilongjiang Provincial Polio Sequelae Correction Center, busy between Baishan and Hei River, and shoulder the task of correcting disabled patients in high-altitude areas.
From 1988 to 1993, the state implemented the "three rehabilitation of disabled people" such as correction of sequelae of polio, which was the busiest time in his life. Since 1990, he has served as the director of the Correction of Sequelae of Polio in Beijing and Heilongjiang Province. In the six years of "three rehabilitation", he has presided over more than 10,000 corrective surgeries for sequelae of polio, and at most 29 cases in one day.
In early 1993, Qin Sihe was transferred to Beijing and worked in Guanzhuang Hospital in Chaoyang District (Chaoyang District Orthopedic Surgery Hospital) and Beijing Chuiyangliu Hospital ; from 2012 to the present, he was invited to the Affiliated Rehabilitation Hospital of the National Rehabilitation Aids Research Center to establish the largest orthopedic surgery department in China for the treatment of limb disability . He has invited him to consult for surgery in Beijing and many provinces across the country, as well as hospitals in Russia, India and other countries.
"I go wherever the patient is. The patient is my teacher." Qin Sihe said.In the foreword of the 40-year medical work and the publication of the English book "Lower Limb Orthopedic Surgery: Deformation and Functional Reconstruction", he wrote a sentence: "Dedicated to patients and families who have been promoting this discipline and doctors' growing heart for more than 40 years with expectations, blood, pain and gratitude."
The heart of love has made "the first person in China's orthopedic Surgery"
From Miaoshan to Beijing, he became the leader in Chinese orthopedic surgery who presided over the most limb disability orthopedic surgeries and was able to handle the most complex deformities. Qin Sihe's magic weapon is to be studious, rigorous, think hard, and summarizing.
Jiao Shaofeng, director of the Department of Orthopedics 1 of the Rehabilitation Hospital Affiliated to the National Rehabilitation Aids Research Center and a student of Qin Sihe, said that until now, Qin Sihe has no Saturdays and Sundays. Before every major holiday, he arranged for students to review documents and urged everyone to write articles.
Patients with limb deformity do not have the same gait; Qin Sihe personally encountered more than 220 diseases that can lead to limb deformity. Just talking about numbness, the virus can invade any muscle in the human body, and the paralysis and disability degree of each patient are different. In Miaoshan, when patients flocked from all over the country, the young Qinsi River received treatment, surgery during the day and studied at night. When he encountered someone he didn't understand, he wrote a letter to the famous doctors such as Wu Shouyi and whom he came into contact with during further studies. He was afraid that the teachers would ignore him, a township doctor, so he also sent a bag of peanuts produced in his hometown from time to time. In 1980, he visited the Orthopedics Research Institute of the Chinese Academy of Traditional Chinese Medicine; in 1981, he went to several hospitals in Shanghai and Guangzhou at his own expense to visit and learn orthopedics and lower limb extension surgery.
In the China Limb Disability Medical Exhibition Hall, the reporter saw that since the orthopedic surgery was launched, Qin Sihe has neatly retained all surgical records and imaging materials. Among them, the cover of a 1982 album reads "Sketchbook" and was made by Qin Sihe. He folded the translucent sulfuric acid paper into small bags, pasted it on the sketchbook, put the photos of each patient's pre-, post-operative and re-examination in chronological order, and then inserted a small note with the patient's name, age, gait, disease type, cause, etc. A corner of the photo contains a date, and age is written on the patient's legs with a marker, which you can tell at a glance. Later, I used ready-made albums, and some of them also had image inspection photos. The surgical record was also true. Once, the force was too strong and a layer of tissue was cut open and sewed up again. Qin Sihe also recorded it. Every once in a while, Qin Sihe binds the records into a book, writes the number and time period on the cover and back, and counts the patient's gender, age, disease type, surgery, effect, etc. on the title page, neatly and meticulously.
Qin Sihe paid attention to clinical academic research, thought and summarized, and personally followed up more than 7,000 patients with limb disabilities, which is unique in the industry. In the album, some patients' photos spans seven or eight years, or even longer. There are also many photos of Qin Sihe and the patients. Sometimes Qin Sihe appeared in the other party’s house in suit and tie, and he took the opportunity to go out to find the patient; some were photographed in hotels and halls, and the patient came to find him. He said that the patient's appearance in real life cannot be replaced by a discharge photo. It is difficult to deeply understand the needs of patients, causes of diseases, and postoperative development and changes without actual conditions; he also uses this to reflect on whether his surgical goals and methods are appropriate.
Apart from having sex with patients, Qinsihe has almost no entertainment. He summarized while treating the disease. At the age of 32, Qin Sihe began to publish papers in " Chinese Journal of Pediatric Surgery " and other "Chinese" series of magazines; at the age of 34, the project "Surgery Treatment Research on the Sequelae of Polio Flail Legs" won the second prize of Shandong Province Science and Technology Progress.
In 1988, the 37-year-old Qin Sihe was awarded the title of "Young and Middle-aged Science and Technology Expert with Outstanding Contributions" by the Ministry of Personnel, and he was given the opportunity to study abroad. But this year, the "three rehabilitation" began, and the patient's letter of seeking medical treatment flew over like snowflakes. "The patient needs me like this, how can I go?" He gave up studying abroad. For the sake of the patient, he did not pursue his dream of taking the postgraduate entrance examination when he was young.
"Not only the best, not only the books, not only foreign, everything starts from the actual needs of the patients." He demanded himself and the team.He led the team to create the largest and most complete database of surgical cases in China with limb deformities and disabilities. The treatment scope spans more than 10 disciplines including bone, vascular , nerve, endocrine, skin, etc., and covers more than 220 diseases. He also pioneered the "world's first" in many academic research and diagnosis and treatment models: for the first time, he proposed the "flail leg after polio" and the first "Qin's orthopedic surgery method for the tilt deformity". He first created and interpreted the "orthopedic natural reconstruction concept", used more than 280 surgical methods, of which more than 50 innovative and improved surgical methods were used, with the excellent rate of surgery reaching more than 94%. All surgical patients did not experience a large complication of vascular, nerve damage and bone and joint infection, and the proportion of wound infection was less than 1/3000.
In 2020, the English version of the book "Lower Limb Deformities: Deformity Correction and Function Reconstruction" compiled by Qin Sihe's team was published by Springer and distributed globally, causing great response in the Western medical community. According to Springer, by December 2021, the number of electronic books downloads and purchases of the book alone exceeded 7,500 times.
Year year, the database accumulated by Qin Sihe with hard work contains the "password" for the distribution and cracking of limb disabilities in our country and even larger areas. As of December 31, 2021, among the 36,664 cases of various limb deformities and disabilities he treated surgically, 21,294 were male and 15,370 were female. The age is 1-82 years old, the average age is 23.52±17.18 years old, and the proportion of cases aged 6-30 years old is 80.42%. There were 34,795 cases of lower limb surgery, accounting for 94.90%. The geographical distribution covers all provinces, autonomous regions and municipalities across the country and 13 countries abroad except Macau. The etiology and diseases include 227 neurologic, genetic, metabolic, traumatic sequelae, congenital, blood vessels, lymph , skin, endocrine, iatrogenic, etc. The most 6 are sequelae of polio , cerebral palsy, traumatic sequelae, spina bifida sequelae, congenital horseshoe valgus foot and developmental hip dislocation.
colleagues said that the statistical results of 36,664 patients with limb deformity in Qinsihe orthopedic surgery reflect the causes, diseases, population characteristics, and surgical methods of limb deformity that can be treated through orthopedic surgery. These data are a treasure house of Chinese orthopedic surgery and limb disability medicine. They provide epidemiological basis for the prevention and treatment of various limb deformity and disability, and are of great reference significance for the development of limb reconstruction surgery in other units and even other countries.
Qin Sihe said that the database of limb disability surgery cases he established is the greatest wealth contributed to the medical community, and in a few decades, it will be able to prove its far-reaching academic and historical significance.
Let Chinese medical culture benefit the world
In the most eye-catching place on the wall of the ward hall on the fourth floor of Guokang Hospital, there are 28 words written: "Doctors and patients are in the same place, time and space are integrated, has the same existence and whether they are mutually reborn , stress control, combination of movement and stillness, regeneration and repair, and natural reconstruction." This is the principle of body morphology and function reconstruction proposed by Qin Sihe.
"The ward is a school. Correcting the limbs requires strengthening the spirit. We must treat patients in all aspects, give full play to the enthusiasm of patients, and overcome the disease together." Qin Sihe said that this is the meaning of "the same as doctors and patients". The wonderful use of
lies in one's heart. In the eyes of foreign colleagues, the most powerful thing about Qin Sihe is that he can always use the simplest method to solve the most complex deformities. Not only the surgical methods and work procedures, his treatment plan is simple and wonderful, with a jump in thinking, and a group of surgeries are often used to solve multiple deformities at the same time; the surgical operation is also artistic, its rapid and beautiful, and sometimes on-site innovation, making it elusive for outsiders to find that "there are many mysteries unknown to the West."
In Qin Sihe's view, this is the result of long-term accumulation and transformation of many teachers, and it is also the creation of Chinese doctors on the land of China: absorbing the philosophical and artistic wisdom accumulated by Chinese history and culture, absorbing Ilizarov technology, Darwin evolution theory, American Dror Paley lower limb angular rotation center analysis method (CORA), etc., integrating Eastern philosophy, constantly exploring China's disability disease spectrum, disability, and disorder pattern, and introducing natural philosophy concepts such as space-time, evolution, development, scene, and system regulation into clinical thinking and treatment process in orthopedic science.
Now, Qin Sihe's top priority is to prepare for the "Sixth World External Fixation and Reconstruction of Limbs (ILLRS) Conference, which will be held in Beijing in the next year. In September 2012, Qin Sihe went to Brazil to attend the ILLRS Conference and signed on behalf of China, and China became an official member of the ILLRS. In September 2017, at the third ILLRS conference, Qin Sihe was the chairman of the bidding committee, and China successfully won the hosting rights of the 6th ILLRS conference.
In October 2022, the fifth ILLRS Conference was held in Cancun, Mexico. Qin Sihe overcame many difficulties and went to the venue to report to countries around the world to prepare for the sixth ILLRS Conference. He took over the "Beijing ILLRS Conference Torch" from the Chairman of the Fifth ILLRS Conference. On behalf of the China Organizing Committee, China has the confidence and ability to host the sixth ILLRS Conference, and welcomes representatives from all over the world to actively participate. Qin Sihe predicts that the September 2024 conference will attract representatives from more than 80 countries to attend the conference, which will become a historic event in the Chinese medical community and a turning point in the development of orthopedic surgery.
Qinsi River travels to more than 40 countries around the world, and patients from 13 countries abroad underwent his surgery. With the increase of international exchanges, China's orthopedic surgery has more and more fans internationally.
Qinsihe River plan, after the 2024 ILLRS Conference, a medical team will be formed to treat and train international doctors for the treatment of physically disabled people in countries along the "Belt and Road", and contribute Chinese solutions and Chinese medical skills to the cause of human health. (Reporter Yang Xueying and Wang Shixiang of Dazhong Daily Client)
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