-innovative procedure brings new hope to Guyanese patients

IN a remarkable demonstration of international medical co-operation, Dr. Wang Fei, an orthopedic surgeon and member of the 20th Chinese Medical Team to Guyana, has partnered with the Georgetown Public Hospital Corporation (GPHC) to perform an innovative procedure that has helped a local patient overcome nearly a year of debilitating pain.

The patient, a 44-year-old man identified by the pseudonym Jimmy Salas, suffered a severe comminuted open fracture of his ankle in a car accident ten months ago.
Despite undergoing an initial operation locally, the limited resources and surgical options available led to complications, including traumatic arthritis and partial dislocation of the ankle.
By the time Salas returned to GPHC for further treatment, his ankle had become severely deformed, and he was unable to walk due to excruciating pain.

During a preoperative review, Dr. Wang, who serves as a consultant in GPHC’s orthopedic department, worked alongside local orthopedic surgeon, Dr. Marillo, to revise the treatment plan.
Dr. Wang explained that while a simple ankle fusion surgery is a standard approach for such cases, it often neglects to restore the joint’s anatomical and mechanical integrity—leading to long-term pain and damage to surrounding joints.

“Restoring the anatomical and mechanical relationship of the ankle joint is the premise and key to the success of the surgery,” Dr. Wang emphasised.
Adopting a novel technique, the team used a Chinese-donated proximal humerus locking plate, typically used for shoulder surgeries, to stabilize the ankle, achieving precise realignment. Postoperative scans confirmed the success of the procedure, giving Salas hope of once again walking unaided.

Dr. Marillo, who assisted with the surgery, praised the Chinese surgeon’s innovative approach and deeper focus on joint mechanics. “We’d overlooked joint mechanics. His advanced techniques and philosophy are eye-opening. We’re grateful for China’s sustained support,” he said.

Looking ahead, Dr. Wang said GPHC’s orthopedic department plans to collaborate more closely with the hospital’s radiology unit to standardise pre- and post-operative imaging and assessments. This move aims to enhance surgical outcomes for more patients facing similar challenges.

The Chinese Medical Team in Guyana has for years played a vital role in strengthening the country’s healthcare system by introducing advanced treatment methods, sharing medical expertise, and training local professionals. Through this latest procedure, Dr. Wang and his colleagues have once again demonstrated how meaningful international partnerships can directly transform patients’ lives and build lasting capacity in Guyana’s healthcare sector.

For Salas, the surgery has not just restored his mobility but renewed his hope for a future free of pain—a testament to what is possible when shared knowledge and cross-border co-operation come together in the operating theatre.