It is very difficult for patients with bone nonunion to come all the way to Beijing in order to cure their illnesses, at the expense of their families, and the urgency of their feelings can be imagined. But some after many years, did a number of surgery fracture still does not heal, with the patient’s own words: “open surgery opened fear, Chinese medicine to eat hurt, plaster paste rotten, money spent, bone digging no work, no day, but not, can not die nor live well ……, I have encountered patients with femoral stem fracture osteoarthritis, after 10 years, did 4 times surgery. I have encountered a femur fracture bone not connected to the patient, experienced 10 years, have done 4 times surgery are failed examples. Bone nonunion always needs to be treated. There are many reasons for bone nonunion, and one important one is that doctors and hospitals don’t choose the right one, and there is something wrong with the treatment method. Many patients also understand this point, they choose doctors and hospitals, can be described as careful, like walking on thin ice. Nowadays, the media is very advanced, and there are many “miracle doctors” and “special effect” methods for treating osteoarthritis, but what is the reality? Choosing a doctor and hospital to treat bone fracture? As a doctor who has been engaged in the treatment of bone fractures for many years, I would like to talk about a little bit of opinion. First of all, we should look at the qualification of the hospital, and go to the regular hospital for treatment. When treating bone nonunion, especially when surgery is needed, you should go to a hospital of grade 2A or above. But it doesn’t have to be a big hospital like Xiehe or Jishuitan. Do not blindly superstitious capital, do not blindly superstitious big hospitals, many provincial and municipal hospitals level is quite good, can be completely in the local treatment, save money and effort. Some patients think that big hospitals have good equipment, big hospitals have new equipment, imported equipment, but the bone is not connected to the disease is easy to diagnose, it is clearly there, the treatment of bone is not particularly dependent on the equipment, do not need to do those costly tests, do not need those advanced equipment. The internal fixation nails and surgical instruments used in surgery are not only available in big hospitals in Beijing. In terms of equipment, all the hospitals in the country, the pattern is almost the same: hospitals order – – notify the supply company to deliver to the hospital – – doctors use – – the supply company to take away the equipment to other hospitals to use. Such a pattern is the same in large and small hospitals, that is to say, this set of surgical instruments tools today I use, tomorrow may be circulated to the Concordia, Jishuitan Hospital. And the cost of examination and treatment in large hospitals is usually much higher than that in secondary hospitals. By the way, to do surgery with internal fixation nails, plates and other surgical equipment, it does not have to be imported to be good. Nowadays, the quality of domestic brand-name manufacturers is also very good, and the price is generally only half of the imported products, which can leave a lot of money. Secondly, we need to find a doctor who is really experienced and strong. I am pleased to see that the people of the country to see the doctor more and more attention to selecting a doctor, selecting the doctor more and more careful. On the basis of going to the second class A or above hospitals for treatment, the key is to choose a good doctor. What is meant by a good doctor, in addition to medical ethics and medical style, is that the most important thing is the doctor’s clinical experience in treating osteoarthritis and hand skills. Generally speaking, the average level of doctors in big hospitals should be better, but there are inexperienced or mediocre doctors in big hospitals, what is the use of having a big hospital to catch up with such doctors? Osteogenesis imperfecta is an easy disease to diagnose, but the treatment requires a high level of experience and surgical skills. The so-called experience and skill means that before the treatment of bone dislocation, both doctors and patients need to sort out several questions: 1, is it bone dislocation? 2. Should the surgery be done? 3, what kind of surgery? 4. What kind of fixation method should be used? 5, how to implant bone? 6, whether to add some modern new technology and new methods. 7, Are there any other factors affecting the healing of the fracture? For example, diabetes. 8, this doctor’s medical skills I really understand? Is my request reasonable? 9, this patient’s condition and psychological requirements I have mastered all? Is my program reasonable? Each patient’s situation is different, the so-called thousands of people thousands of faces, commonality in the individuality, there is no fixed pattern, there is no one-size-fits-all, must be based on the different circumstances of each patient to take appropriate measures. Only doctors who have accumulated rich experience and surgical techniques after treating a large number of cases can better solve the above problems. To reach this level, one should have at least 10 years of experience and have treated more than 500 cases of bone nonunion. It is important to find a doctor who is really experienced in treating the problem and is strong in years. You can’t find a charlatan quack or a highly educated embroidered doctor. Third, how to know the level of this doctor? Modern media can be fully utilized. Doctors who are good at summarizing experience will submit their own experience to professional journals for peers to share. So the simplest and most practical way is to use the Internet search engine to search for a certain doctor and hospital, where he graduated, how much experience? How many years and how many treatments for bone dysplasia? What are the characteristics of the technology? What articles have been published in what journals and how many? What are the achievements of the doctor and what are the scientific awards and research projects? What kind of reputation and evaluation from patients? These reflect the real level of a doctor’s things will be exposed. For example, if a patient wants to know the experience of a certain doctor in treating osteoarthritis, he can type “XXX (doctor’s name), osteoarthritis” or “XXX (doctor’s name), orthopaedics” or “osteoarthritis, treatment” into the search bar of GOOGLE, Baidu, and so on, and will find his experience in this field. You can search for his condition in this area, and then you can carefully understand the information searched. Some patients may say, “You can’t trust anything on the internet”, which is a very good point! Online fake things are indeed too much, and then tell you a few to identify the true and false “must kill”, one is to look at these articles, the introduction of which magazines, newspapers and periodicals, if it is the Chinese level, Chinese level (such as Chinese orthopaedics, Chinese Surgery, China Orthopaedic Surgery Magazine) professional journals, these journals have a nationally renowned experts to review the article’s scientificity, authenticity, or published in the journal. scientificity and authenticity, or published in newspapers of the central and ministry organs, such as Health News, Science and Technology Daily, People’s Daily, Guangming Daily, and China Medical Forum News, the credibility is also high. The second is to personally go to the library can check the author of these materials, then you can finally be sure. I’ve met patients who came to me with information that they had found on me. Also remind patients, to determine whether those things are the doctor’s own work experience and results, some doctors now copy other people’s things in their own Web site information, this is plagiarism of other people’s results, but also fooled the patient. Fourthly, talk with the doctor face to face, talk through the treatment plan, understand his depth of knowledge of bone nonunion, treatment experience or not, how do you feel about the doctor. I believe that seeing a doctor is also about destiny. If you feel bad after talking to a doctor, then you should not seek treatment from him, which is good for you and the doctor. From the patient’s side, the anxiety and pain, can’t wait to get well tomorrow’s mood is very understandable, but the treatment of the disease should be scientific, objective, and calm mind; the doctor is doing is to scientifically treat the bone not connected to the creation of conditions for healing, can’t talk about big words, the so-called “chest of knowledge, words resounding” packing the doctor is very shallow, I suggest not to find! I would advise against it. Fifthly, from my experience, the internal fixation has not failed, and the gap is not too big, you can use conservative treatment, such as injection of bone growth factor, shock wave, ultrasound and other methods of treatment, but the internal fixation has failed or the bone defect is big, or the bone can be cured by surgical treatment. However, most of the patients with osteogenesis imperfecta have experienced surgery and are afraid of surgery, and they always want to take traditional Chinese medicine and paste ointment to make their bones grow well. ……. I’m not going to talk about what should be done, let’s think about it by ourselves. In short, the choice of hospitals and doctors individuals have their own personal views, see the wisdom. With the scientific method, guide yourself to choose hospitals and doctors, choose the treatment method, the cure of bone unlinked will have hope.