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About Orthopaedics & TraumatologyOrthopaedics & Traumatology is a specialty that deals with problems of bones, joints, soft tissues (muscle, tendon, ligament, nerve, blood vessel, intervertebral disc) of the upper limbs, lower limbs and spine. Our patients can be neonate to the elderly who have different pathologies of congenital, developmental, traumatic, degenerative, and neoplastic causes. Orthopaedic patients are usually treated by a combination of surgical and non-surgical approaches. Rehabilitation, in particular, is very important to orthopaedic patients in overcoming disability and preventing recurrence. The ultimate aim of an orthopaedic surgeon is to restore functions of the patient: better movement, better function, and hence better life.
Common Symptoms
- Pain: e.g. back or neck pain
- Swelling: e.g. swollen finger joints
- Stiffness: e.g. stiff shoulder
- Weakness: e.g. leg weakness
- Deformity: e.g. bowlegs
Common Diseases
Common Orthopaedic Injury - Fractures: e.g. wrist, ankle, clavicle
- Sprain
- Anterior cruciate ligament (ACL) tear
- Meniscus tear
- Rotator cuff tear
- Joint dislocation
- Frozen shoulder and capsulitis
- Osteoarthritis of knee
- Osteoarthritis of hip
- Osteophytes (bone spurs)
- Carpal tunnel syndrome
- Ganglion
- De Quervain syndrome (mommy thumb or mommy wrist)
- Trigger finger
- Tennis elbow
- Golfer’s elbow
- Clubfoot
- Flat foot
- Higharched foot
- Hallux valgus (bunion)
- Plantar fasciitis
- Intoeing
- Out-toeing
- Bowlegs
- Knock knees
- Leg length discrepancy
- Diabetic foot and Charcot foot
- Prolapsed intervertebral disc
- Cervical spinal stenosis
- Lumbar spinal stenosis
- Sciatica
- Benign tumour
- Primary bone cancer: osteosarcoma, chondrosarcoma etc.
- Secondary bone cancer (metastasis)
- Lower limb and gait abnormalities in children (please refer to common leg, ankle and foot problems)
- Developmental dysplasia of the hip (DDH)
- Bone fractures in children
- Scoliosis
- Torticollis
Investigation and Diagnosis
- Xray
- Ultrasound (USG) scan
- Computerized tomography (CT) scan
- Magnetic resonance imaging (MRI) scan
- Dualenergy X-ray absorptiometry (DXA)
- Bone biopsy (check for cancer)
- Foot and ankle assessment
Treatment
Non-Surgical Treatment
Treatment for orthopaedic patients could be non-surgical such as drug treatment and physiotherapy. Both are good for inflammation control at different body parts due to traumatic or degenerative causes. Injection treatment has been used for decades in Orthopaedics e.g. viscosupplement injection to joint and steroid injection to inflamed soft tissue. Physiotherapy also plays an important role in the rehabilitation of orthopaedic patients from right after injury to post-operative period.
Orthopaedic rehabilitation services we provide include but are not limited to:
- Manual therapy
- Electrotherapy
- Extracorporeal shockwave therapy
- Computerized muscle strength testing and training
- LPG M6 endermotherapy
- Exercise therapy
- Clinical Pilates
- Wholebody vibration therapy
- Returnto-sports rehabilitation
- Postoperative rehabilitation
- Prescription custom orthotics
- Treatment modality rental
- Domiciliary care services
Surgical Treatment
Traditional orthopaedic surgery usually involves open surgical procedures, but a large amount of surgical treatment can now be done with small wounds, minimal invasive technique particularly over the knee, shoulder, wrist, foot, and spine.
Orthopaedic surgical treatments we provide include but are not limited to:
ArthroscopyDuring an arthroscopic procedure, an arthroscope, which is a tube-like instrument that has a light and camera at one end, is inserted into the joint through a small incision to help the orthopaedic surgeon to visualize, diagnose and treat problems inside.
E.g.: Knee arthroscopy, shoulder arthroscopy, ankle arthroscopy, elbow arthroscopy, wrist arthroscopy
It can be understood as a welding process that fuses two or more bones together with the use of bone grafts or other implants to help them heal into one single solid bone.
E.g.: Spinal fusion, ankle fusion
It is a surgical procedure to stabilize a bone fracture. Broken bones are repositioned to its normal alignment and held together by implants such as nails, screws, wires, and plates.
E.g.: Fracture fixation
Partial or total replacement of an inflamed, degenerated, and damaged joint or intervertebral disc with an artificial implant.
E.g.: Knee replacement, hip replacement, intervertebral disc replacement
It is a surgical procedure that corrects any bone deformity by cutting, reshaping and repositioning the bone.
E.g.: Scarf osteotomy (hallux valgus correction), knee osteotomy, spinal osteotomy
A Surgical procedure to repair damaged soft tissues such as tendons and cartilages. If reconstruction is required, the orthopaedic surgeon may perform a grafting or use an artificial implant to replace the damaged tissue.
E.g.: Meniscus repair/artificial meniscus reconstruction, anterior cruciate ligament (ACL) reconstruction, rotator cuff repair
Surgical removal of bones or tissues that are pressing on the nerve to relieve pressure.
E.g.: Lumbar decompression surgery, cervical decompression surgery, carpal tunnel release surgery, cubital tunnel release surgery
In a wide-excision, the surgeon may need to perform amputation to remove all of the cancer. A limb-salvage surgery, on the other hand, provides a chance to keep the limb by removing only the malignant tumour and replaced the diseased bone with a graft or an implant.
Minimally Invasive Surgery
Spine surgery
- transforaminal nerve root injection
- discogram
- minimal invasive discectomy
- minimal invasive intervertebral fusion
Shoulder arthroscopy
- acromioplasty
- capsular release
- shoulder labral repair
- rotator cuff repair
Elbow arthroscopy
- scar release
- removal of loose body
Wrist arthroscopy
- ligament and TFCC repair
- ganglion excision
Hip arthroscopy
- hip labral repair
- osteoplasty
Knee arthroscopy
- ligament reconstruction and repair
- meniscus repair and partial meniscectomy
- cartilage repair
- retinecular release
- popliteal cyst excision
Ankle arthroscopy
- synovectomy
- removal of loose body and osteophyte
Fracture fixation
- intramedullary nail
Musculoskeletal tumour
- US or CT guided biopsy
Navigation and Robotic surgey
- hip replacement
- knee replacement
Service flyers
Virtus Orthopaedics & Traumatology specialists
Contact Us
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