Abstract:Artificial joint replacement has a history of nearly 100 years, and is the most effective method to treat end-stage diseases of hip and knee caused by various reasons. Since the 18th National Congress of the CPC, with the development of China's economic construc- tion, the increase of health insurance base, and the progress in surgical technique, the number of artificial joint replacement surgeries per- formed in China has increased exponentially in the past 10 years, and the trend of growth will continue as China's aging population intensi- fies. Compared with European and American countries, the development changes with each passing day in China although the artificial joint replacement starts later in this country. Various new techniques, new methods and advanced perioperative management concepts are spreading and applying widely in China. With development in the inheritance and innovation, the artificial joint replacement surgery system based on our national conditions is gradually formed. The Joint Surgery of Orthopedic Medicine Department of General Hospital of PLA is one of the first units to carry out artificial joint replacement in China, takes in the leading position in terms of the number of joint replace- ment operations and operating difficulty. This article reviewed research and development regarding to prosthetic design, complex joint re- placement, management of perioperative complications, and intelligent orthopaedic by tracing the research and clinical practice in the past 10 years in the Joint Surgery of General Hospital of PLA progress as the main line, and highlighted the great achievements of orthopedic medical staff in setting heart to serve the army and the people.