Orthopaedic & Trauma Surgery | Gleneagles Hospital

Orthopaedic & Trauma Surgery

Orthopaedic and trauma surgery is a medical specialty that involves the care for developmental, traumatic, and degenerative disorders of the musculoskeletal system (joints, bones, ligaments, tendons, cartilage, and muscles), including the spine.

The team of orthopaedic surgeons at the Gleneagles Hospitals would be able to assess and recommend appropriate treatment options (surgical and non-surgical).

Orthopaedic conditions
Spine
  • - Degenerative disc disease
  • - Lumbar spinal stenosis
  • - Sciatica (pinched nerve)
  • - Scoliosis
  • - Spondylosis
  • - Spondylolisthesis
  • - Herniated disc
  • - Bulging disc
  • - Slipped disc
  • - Radiculopathy (pinched nerve)
Upper limb
  • - Carpal tunnel syndrome
  • - Cubital tunnel syndrome
  • - Trigger finger
  • - De Quervain’s tenosynovitis
  • - Ganglion cysts
  • - Arthritis
  • - Tendonitis
  • - Medial epicondylitis (Golfer's elbow)
  • - Lateral epicondylitis (Tennis elbow)
Lower limb
  • - Anterior cruciate ligament (ACL) injury
  • - Posterior cruciate ligament (PCL) injury
  • - Meniscal injury
  • - Bursitis
  • - Tendonitis
  • - Arthritis
  • - Osteoporosis
  • - Avascular necrosis
Foot and ankle
  • - Achilles’ tendonitis
  • - Plantar fasciitis (foot pain)
  • - Arthritis
Orthopaedic oncology
  • - Benign bone tumours (non-cancerous)
    • - Osteoma
    • - Osteochondroma
    • - Chondroblastoma
  • - Malignant bone tumours (cancerous)
    • - Osteosarcoma
    • - Ewing’s sarcoma
    • - Multiple myeloma
    • - Chondrosarcoma
  • - Metastatic bone disease (cancer from other parts of the body spreads to the bone)
Trauma
  • - Closed fractures (broken bone that does not puncture the skin)
  • - Open fractures (broken bone that punctures the skin)
  • - Stress fractures (small crack in the bone due to repetitive active or overuse)
  • - Dislocation (a joint forced apart and out)
  • - Overuse injuries
Paediatrics
  • - Clubfoot (Congenital Talipes Equinovarus)
  • - Flat feet (Pes Planus or Planovalgus)
  • - Perthes disease
  • - Muscular dystrophy
  • - Limb length discrepancy
  • - Deformities
  • - Gait disorders (walking disorders)
  • - Developmental dysplasia of the hip
  • - Hip dislocation
  • - Scoliosis
  • - Spondylolysis
  • - Muscle, bone, and joint infections
  • - Brachial plexus injury
Causes of orthopaedic conditions

The causes of orthopaedic conditions vary depending on the problem. Wear and tear in the joints is a common cause of disease as people age.

Many orthopaedic conditions are caused by overuse, repetitive actions, and trauma.

Symptoms of orthopaedic conditions

Signs and symptoms vary according to the condition and may include:

  • Joint pain
  • Muscle pain
  • Bone pain
  • Stiffness
  • Limited range of motion
  • Numbness
  • Weakness
  • Swelling
  • Deformity
  • Instability
  • Functional disability

Untreated orthopaedic conditions can lead to complications. Contact your doctor to make an appointment if you have any of the symptoms mentioned above and are unable to perform your daily tasks due to the symptoms.

Diagnosis for orthopaedics conditions

Diagnosis is made based on various investigations. Your doctor would first question your general health and symptoms before conducting a thorough physical examination.

The most commonly used tests are X-ray, CT scan, and MRI. Additional tests such as biopsy may be required for certain conditions to help ascertain the diagnosis.

  1. Imaging tests
    1. X-rays

      The most effective approach for diagnosing orthopaedic conditions. X-rays can be used to diagnose fractures of bones, dislocation of joints and evaluate bone density/ architecture.

    2. Computed Tomography (CT) Scan

      A CT scan creates detailed images of your body using X-rays and computer technology. A CT scan may be requested if your doctor suspects a fracture or tumour that is not visible on an X-ray or if there was severe trauma to the spinal cord or pelvis.

    3. Magnetic Resonance Imaging (MRI)

      MRI utilises powerful magnetic fields and radio waves to produce detailed cross-sectional images of your body. It produces excellent soft-tissue contrast, enabling the differentiation of various soft tissues, such as ligaments, tendons, muscles, and cartilage.

    4. Dual Energy X-ray Absorptiometry (DEXA)

      This procedure utilises x-rays to measure bone density. It is usually used to diagnose or assess the risk of osteoporosis, a condition that weakens bones and increases their susceptibility to fracture.

    5. Positron Emission Tomography (PET) Scan

      A PET scan is a whole-body scan that aids in determining the extent of cancer spread to other parts of the body.

  2. Blood Tests

    Your doctor may also request various blood tests. Certain conditions such as rheumatoid arthritis can be determined by the presence of rheumatoid factor (RF) in your blood.

  3. Electromyography (EMG)

    EMG evaluates and analyses the electrical activity in nerves and muscles to detect abnormalities. During this procedure, small needles are placed through the skin and into the muscle. The test is entirely painless despite the involvement of small needles.

  4. Biopsy

    A small tissue sample may be removed from the affected area of your body and sent to the laboratory to be examined. There are many types of biopsies, including needle and excision biopsies.

Orthopaedic procedures

Different orthopaedic conditions have distinct treatments and procedures. Therefore, it is essential to have skilled medical professionals attend to you to ensure you receive the best treatment.

Common procedures include:

Arthroscopy

Arthroscopy is a keyhole surgical procedure used to examine or repair joints. In this keyhole surgery, small incisions are made in your body and a tiny camera is inserted. The images are presented on a screen and a device is used to correct the condition.

  1. a) Anterior cruciate ligament (ACL) reconstruction surgery

    ACL reconstruction is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury.

    In this procedure, a ligament is constructed using a tendon to replace the ACL. The torn ligament can either be removed from the knee or preserved before reconstruction.

  2. b) Subacromial decompression

    An arthroscopic procedure done to release the tight coracoacromial ligament and to remove bone tissue in the subacromial space.

Carpal Tunnel Release

A procedure that involves releasing the carpal ligament to alleviate pressure on the median nerve. This minor procedure can be performed as day surgery under local anaesthesia.

Trigger Finger Release

A trigger finger is a condition where one or more of the tendons in the hand are affected and unable to band the affected thumb or finger.

Two surgical options are:

  1. a. Open trigger finger release
  2. b. Percutaneous trigger finger release surgery

Both the surgeries only require local anaesthesia, and you would be able to return home the same day.

Tendon transfer

A tendon from one of your healthy fingers would be detached and reattached to the affected thumb or finger.

Arthroplasty

Arthroplasty is a surgical procedure done to restore the functionality of a joint by resurfacing bones and replacing it using an artificial joint called prosthesis. This procedure is commonly done for osteoarthritis, a degenerative joint disease.

Arthroplasty may be recommended when medical treatments are insufficient to alleviate joint discomfort and/or disability.

The most common sites for joint surgery:

  • Hip - Hip arthroplasty/total hip replacement
  • Knee - Knee arthroplasty/total knee replacement
Scoliosis correction surgery

A spine osteotomy is a procedure to correct spinal deformities and restabilise the spine.

The procedures include:

  • - Posterior spinal fusion
  • - Anterior spinal fusion
  • - Growth modulation techniques – vertebral body tethering
Lumbar Discectomy

A discectomy is performed to treat herniated or slipped discs in the spine. It involves the removal of the part of the disc which is exerting pressure on the nerve. This can be done as an open surgery or minimally invasive.

Decompression Laminectomy

A procedure that relieves pressure on the spinal cord or nerve roots caused by spinal stenosis. Spinal stenosis is the narrowing of the spinal canal resulting in pressure in the spinal cord. This causes pain, weakness, or numbness in your back, legs, arms, and neck.

This surgical procedure removes tissue and bone exerting pressure on the spine. It is also used to treat spinal injuries, herniated discs, and spinal tumours.

Fracture Repairs

Depending on the type, location and severity of the fracture, a range of techniques are used to ensure that the bones are healing and stable to retain function. This may include immobilisation and the insertion of pins, plates, wires, and screws.

Orthopaedic Surgeons at Gleneagles Hospitals

The caring and multidisciplinary team of healthcare professionals are available for consultation and to provide the best care. Make a move towards improving your health and quality of life. Get in touch with us to book an appointment today. We assure you the best possible care tailored to your specific needs.

Our hospitals are equipped with the latest technologies, orthopaedic surgery advancements and comprehensive facilities including fully equipped rehabilitation centres for all forms of orthopaedic conditions. Gleneagles Hospital is committed to delivering world-class services that focuses on patient safety.

Our Specialists

Dr. Abd Razak Muhamad
Specialty
Orthopaedic & Trauma Surgery

Sub Specialty
Paediatric Orthopaedics
Location
Gleneagles Hospital Kuala Lumpur
Dr. Abdul Jamal Mohd Thalha
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Anam Kour
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Chan Kien Loong
Specialty
Orthopaedic & Trauma Surgery

Sub Specialty
Hand & Microsurgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Chan Kin Yuen
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Mr. Chan Kok Yu
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Charanjeet Singh
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Chidambaram Sambandam
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Chin Chee Howe
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Chuah Uei Chyi
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Dharmalingam Muthiah
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Edmund Ong Thiam Lock
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Izan Ibrahim
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Mr. Jagdish Krishnan
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Mr. K. Parameshwaran
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Khoo Eng Hooi
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Lim Heng Hing
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Loi Kai Weng
Specialty
Orthopaedic & Trauma Surgery

Sub Specialty
Joint Replacement & Sports Reconstructive Surgery
Location
Gleneagles Hospital Medini Johor
Dr. Low Tze Choong
Specialty
Orthopaedic & Trauma Surgery

Sub Specialty
Foot & Ankle Surgery
Location
Gleneagles Hospital Kuala Lumpur
Mr. M. Shunmugam
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Manamohan a/l Chandrarajan
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Medini Johor
Dr. Masjudin bin Tumin
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Medini Johor
Mr. Mohana Rao
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Nahulan Thevarajah
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Mr. Ong Kim Poh
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Ozlan Izma Muhamed Kamil
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Samsudin Osman Cassim
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Saw Khay Yong
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Shue Chern Long
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Suhaeb Abdulrazzaq Mahmod
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Medini Johor
Dr. Tan Chen Wee
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Dr. Tay Yong Guan
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Thomas Vanniasingham
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
Dr. Tom Vanniasingham
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kota Kinabalu
Datin Dr. Vasanthie Balakrishnan
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Col. (R) Dr. Vejayan Rajoo
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Penang
Dr. Wam Boon Leng
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Medini Johor
Dato' Sri Dr. Zulkharnain Ismail
Specialty
Orthopaedic & Trauma Surgery
Location
Gleneagles Hospital Kuala Lumpur
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