呂大醫師是膝關節患者的福音——徐文立 撰（2026年7月3日）
呂大醫師是膝關節患者的福音
徐文立 撰
（2026年7月3日）
https://xuwenli2018.blogspot.
前天，終於安排到我們美國羅德島州布朗大學醫學院骨科複診。
我的骨科醫生盛讚一年前台灣呂大醫師的手術極為成功，以致無需再安排專門的康復訓練。
事實勝於雄辯——從2025.6.12手術恢復到2026.7.1的結果照片：完美（Perfect）——我現在的醫生脫口而出！
六年前，我習慣地走在自家的停車道上，一個正常的回身，我已經常有些疼痛的右腿的膝蓋像突然被一把「生物鎖」鎖住動彈不得！完了，我的膝蓋！下半輩子的生活質量會是怎樣？！不敢想像，雖然我有彤和孩子們無微不至的照料，那他們畢竟不能代替我走路、起居、生活啊！
開始了2-3年的膝蓋更疼痛的階段，以至用「拐」、用「助步器」，期間感染「新冠病毒」，二次轉「肺炎」；大傷了我的元氣……。因為我畢竟是82歲，在大陸又曾被判了28年政治徒刑，實際坐了二度16年「冤獄」的當年頭號政治犯……。
開始了二年左右的尋覓……千辛萬苦。
終於在網絡上找到了呂大醫師：他能夠神奇地用「微創手術」解決「筋膜內側皺襞」，去除膝蓋疼痛。
那是「西元1995年，關節名醫、大林慈濟醫院關節中心主任呂紹睿在為病人進行膝關節清洗手術時，發現有個從未見過的奇特病變就隱藏在膝關節深處，直覺地清除它之後，想不到原本要置換人工關節的膝蓋竟然好轉了。這驚鴻一瞥觸動了他內心的福爾摩斯魂，開始對『骨性膝關節炎』展開長達10年的探索與追捕。」
https://health.tvbs.com.tw/medical/322898
他發現：經年累月摩擦…「內側皺襞」粗糙如菜瓜布。
「『內側皺襞』是什麼呢？內側皺襞是當我們在母親子宮裡發育時，殘留在膝關節內的構造，外形像衣服的皺褶；每當膝蓋彎曲、伸直時，內側皺襞和關節軟骨便互相摩擦，產生『內側摩擦現象』」。
【自己的膝蓋自己救】專訪 呂紹睿｜週末生活通
仁醫仁術
https://www.youtube.com/watch?v=nQtatPVA30U
以我一貫的自信，認定：就是他了，呂大醫師！！！
2024年初，我開始用越洋電話找到呂大醫師所在醫院：大林慈濟醫院，如同天使一般的「國際接待處」的姿穎小姐，她出現了。她告訴我：呂大醫師的號，現在是全台灣最難掛的號；你要2025年初，才可以掛號，我會等待你。
2025年元旦後，台灣上班。我幾乎第一時間打進第一個掛號電話，姿穎小姐盡可能地安排我2025年6月2日初診。我也同時請姿穎轉告呂大醫師：我的基本情況和背景。
與此同時，我們又遇到此次台灣行的第二貴人：離慈濟醫院車程15分鐘的「禾楓覓月館（旅館）621台灣嘉義縣民雄鄉進興街89號」的夜班負責人小許。他和他的同事們讓我們用最少的支出，享受了在台灣三個月「溫暖如家」的生活（後文有簡單圖片介紹）。
2025年6月1日我們抵達台灣，次日初診。姿穎小姐迎候在大廳，迅速辦理完一切手續；很快就見到呂大醫師，不約而同：我們竟真像——
呂大醫師仔細診看、拍片確診：你來晚了，錯過了微創去除「內側皺襞」、治療膝蓋疼痛的時機，需要手術半置換。你自己決定。我答：我相信您，手術，半置換。
呂大醫師讓助理緊急安排，徐先生無法在台灣住太久的時間，助理答：恰好6月12日有一個「空檔」。那就12日。
呂大醫師親自「披掛上陣」，安慰我幾句，就手術了。
特別貼心的是麻醉師說：徐先生，您的事蹟我們連夜都拜讀了，很是敬佩，為您做手術是我們的榮幸，放心！我認為，您年齡偏大，不宜全麻，我會一直、片刻不離地守在這裡……。
40分鐘左右的手術異常順利。
我剛剛醒來，麻醉師就主動去見了我太太，讓她放心！
第二天一早，呂大醫師代領一、二十位醫護人員來查房，他大聲、一語雙關地說：徐先生，您的骨頭是真夠硬
的！
之後八天七夜慈濟醫院住院
周到熱情的醫護人員
附件1-呂大醫師自我的英文介紹
Publications and Multimedia Information
for
Knee Health Promotion Option (KHPO)
Shaw-Ruey Lyu, MD, PhD
Joint Center, Dalin Tzu-Chi General Hospital
2, Min-Shen Road, Dalin, Chiayi, Taiwan, srlyu@mac.com
Deep Dives into Knee Health Promotion Option (KHPO):
https://acrfp0809.pixnet.net/blog/post/187601581
YouTube:
1. New Hope for Knee Osteoarthritis (Knee OA), May 9, 2015 (https://www.youtube.com/watch?v=wO8pkPi5eS4&t=15s)
2. The Hidden Cause of Knee Degeneration, February 17, 2025 (https://www.youtube.com/watch?v=-VO6KWVx9jY)
3. Preventing and Treating Knee Degeneration, February 17, 2025 (https://www.youtube.com/watch?v=ovaT1fgKf04)
Journal Reports:
1. Knee pain: ‘The hidden lesions’ and novel treatments , June 8, 2022 (https://researchoutreach.org/articles/knee-pain-hidden-lesions-novel-treatments/)
2. Knee pain and osteoarthritis (Knee OA) treatment research, July 6, 2023 (https://www.openaccessgovernment.org/article/knee-pain-osteoarthritis-knee-oa-treatment-research/163045/)
3. Knee health promotion and cell therapy for knee osteoarthritis, October 24, 2023 (https://www.openaccessgovernment.org/article/knee-health-promotion-and-cell-therapy-for-knee-osteoarthritis/168901/)
4. A wonder therapy for knee osteoarthritis, December 18, 2023 (https://www.openaccessgovernment.org/article/a-wonder-therapy-for-knee-osteoarthritis/171379/)
5. Medial abrasion phenomenon as a cause of knee osteoarthritis
(https://www.openaccessgovernment.org/article/medical-abrasion-phenomenon-as-a-cause-of-knee-osteoarthritis/174731/)
6. Knee OA therapy offers pain relief to patients, March 22, 2024 (https://www.openaccessgovernment.org/knee-oa-therapy-offers-pain-relief-to-patients/175171/)
7. Returning to an active life with knee osteoarthritis, July 11, 2024 (https://www.openaccessgovernment.org/returning-to-an-active-life-with-knee-osteoarthritis/178213/)
8. Infections after avoidable knee replacement surgeries, September 20, 2024 (https://www.openaccessgovernment.org/infections-after-avoidable-knee-replacement-surgeries/182024/)
9. A one-two punch against knee osteoarthritis, December 17, 2024 (https://www.openaccessgovernment.org/a-one-two-punch-against-knee-osteoarthritis/186490/)
e-Book:
1. Knee health promotion option: A comprehensive management for knee osteoarthritis (https://www.openaccessgovernment.org/ebook/knee-health-promotion-option-a-comprehensive-management-for-knee-osteoarthritis/170988/)
2. Dr. Knee: A Surgeon’s Alternative to Knee Replacement (https://www.amazon.com/Dr-Knee-Surgeons-Alternative-Replacement/dp/1530021642)
Book Chapters:
1. Knee Health Promotion Option for Osteoarthritic Knee: Cartilage Regeneration is Possible (https://www.intechopen.com/chapters/30700)
2. High Tibial Osteotomy within the Knee Health Promotion Option for Knee Osteoarthritis (https://www.intechopen.com/chapters/1201452)
References:
1. Lyu S-R, Hsu C-C, Hung J-P, Chou L-C. Arthroscopic cartilage regeneration facilitating procedure can modify the clinical course of knee osteoarthritis. Journal of Orthopaedic Surgery. 2023;31(2). doi:10.1177/10225536231180331.
2. Lyu SR, Hsu CC, Hung JP, Chou LC, Chen YR, Lin CW. Arthroscopic cartilage regeneration facilitating procedure: A decompressing arthroplasty for knee osteoarthritis. Medicine (Baltimore). 2022 Sep 30;101(39):e30895. doi: 10.1097/MD.0000000000030895. PMID: 36181017; PMCID: PMC9524980.
3. Lyu S-R, Hsu C-C, Hung J-P. Medial abrasion syndrome: a neglected cause of persistent pain after knee arthroplasty. J Orthop Surg Res. 2021;16(1).
4. Tsung-Chiao Wu, Chuan-Hsin Yen, Shaw-Ruey Lyu, Shuo-Suei Hung. Modification in foot pressure and gait pattern after arthroscopic cartilage regeneration pacilitating procedure (ACRFP)l in patients with osteoarthritis of knee. Journal of Mechanics in Medicine and Biology Vol. 19, No. 2 (2019) 1940026.
5. S.R. Lyu, Knee health promotion option for knee osteoarthritis: a preliminary report of a concept of multidisciplinary management, Healthy Ageing Research, 4-34, 2015.
6. S.R. Lyu, D.S. Liu, C.E. Tseng, H.S. Wang and L.K. Chau, Role of medial abrasion phenomenon in the pathogenesis of knee osteoarthritis, Medical Hypotheses, 85(2), 207-211, 2015.
7. Shaw-Ruey Lyu, Ching-Chih Lee, Chia-Chen Hsu, Medial abrasion syndrome: a neglected cause of knee pain in middle and old age, Medicine, 94(16), e736, 2015.
8. D.S. Liu, Z.W. Zhuang, S.R. Lyu. Relationship between medial plica and medial femoral condyle—a three-dimensional dynamic finite element model. Clinical Biomechanics. Volume 28, Issues 9–10, November–December 2013, Pages 1000–1005.
9. Chih-Chang Yang, Cheng-Yu Lin, Hwai-Shi Wang, Shaw-Ruey Lyu, Matrix Metalloproteases and Tissue Inhibitors of Metalloproteinases in Medial Plica and Pannus-like Tissue Contribute to Knee Osteoarthritis Progression. PLoS ONE 8(11): e79662. doi:10.1371/journal.pone.0079662.
10. Shaw-Ruey Lyu, Chia-Chen Hsu and Chih-Wen Lin, Arthroscopic cartilage regeneration facilitating procedure for osteoarthritic knee. BMC Musculoskeletal Disorders 2012, 13:226, http://www.biomedcentral.com/1471-2474/13/226.
11. Wang, H. S., Kuo, P. Y., Yang, C. C., & Lyu, S. R. (2011). Matrix metalloprotease-3 expression in medial plica and pannus-like tissue in knees from patients with medial compartment osteoarthritis. Histopathology, 2011, 58(4), 593-600.
12. Lyu SR, Chiang JK, and Tseng CE, Medial plica in patients with knee osteoarthritis: a histomorphological study, Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA, 2010,18(6):769-76.
13. Shaw-Ruey Lyu, Arthroscopic medial release for medial compartment osteoarthritis of the knee, J Bone Joint Surg Br, September, 2008, Vol 90-B, issue 9, Pages 1186-1192.
14. Shaw-Ruey Lyu, Relationship of medial plica and medial femoral condyle during flexion. Clinical Biomechanics, 2007, Volume 22, Issue 9, Pages 1013-1016.
15. Shaw-Ruey Lyu, Jeh-En Tzeng, Chia-Yuan Kuo, Ai-Ru Jian, De-Shin Liu Mechanical strength of mediopatellar plica-The influence of its fiber content Clinical Biomechanics, Volume 21, Issue 8, October 2006, Pages 860-863.
16. Lyu SR, Hsu CC, Medial plicae and degeneration of the medial femoral condyle. Arthroscopy. 2006 Jan;22(1):17-26.
附件2-我布朗大學學生若梅舉家從新加坡來到台灣探視
附件3-禾楓覓月館（旅館）621台灣嘉義縣民雄鄉進興街89號
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