Displaying publications 1 - 20 of 112 in total

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  1. Hon WH, Kock SH
    J Orthop Surg (Hong Kong), 2001 Jun;9(1):35-38.
    PMID: 12468841
    To establish a profile of fractures related to sporting activities, to determine the extent to which these injuries resulted in morbidity, and to find suitable target areas for injury prevention, a one-year study was undertaken at Seremban Hospital, Negeri Sembilan, Malaysia, from July 15, 1998 to July 14, 1999. All patients presenting to the Department of Orthopaedic & Traumatology with fractures sustained during sporting activities were enrolled. Fractures related to sporting activities are increasing and an entity to be recognized despite the good function outcome of the treatment. Suitable target areas for injury prevention were found to be football (for males), netball (for females), the second decade of life and competitive sporting events.
  2. Ng ES, Saw A, Sengupta S, Nazarina AR, Path M
    J Orthop Surg (Hong Kong), 2002 Dec;10(2):120-8.
    PMID: 12493923
    To review cases of giant cell tumour of bone or osteoclastoma managed at the University Malaya Medical Center, University of Malaya, Kuala Lumpur, from January 1990 to December 1999.
  3. Singh C, Ibrahim S, Pang KS, Shanti S
    J Orthop Surg (Hong Kong), 2003 Jun;11(1):94-6.
    PMID: 12810979
    We report a case of a 13-year-old girl with an osteosarcoma of the right humerus, which had been diagnosed as an aneurysmal bone cyst at our institution. She underwent curettage and bone grafting of the lesion, which resulted in implantation metastasis of the tumour to the ilium. She died 15 months after presentation owing to pulmonary metastases. This report highlights the possibility of metastasis occurring by direct implantation to a graft donor site. We strongly recommend that a biopsy be performed in cases of presumed benign lesions before proceeding with the definitive surgery.
  4. Zairul-Nizam ZF, Gul YA
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):178-83.
    PMID: 14676344
    To survey Malaysian orthopaedic surgeons' attitudes to and use of venous thromboembolic disease prophylaxis.
  5. Sivananthan S, Arif M, Choon DS
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):148-53.
    PMID: 14676339
    To evaluate the clinical and radiological outcome in patients undergoing small stem Exeter total hip replacement.
  6. Saw A, Lau CP
    J Orthop Surg (Hong Kong), 2003 Dec;11(2):141-7.
    PMID: 14676338
    To evaluate outcome following supracondylar nailing for distal femur fractures.
  7. Loh YC, Lam WL, Stanley JK, Soames RW
    J Orthop Surg (Hong Kong), 2004 Jun;12(1):83-6.
    PMID: 15237127 DOI: 10.1177/230949900401200115
    Radial tunnel syndrome refers to pain on the lateral aspect of the forearm as a result of compression of the posterior interosseous nerve within a tunnel with specific anatomical boundaries. Diagnosis of the condition is difficult because of its close association with lateral epicondylitis, which warrants different methods of treatment. Based on a cadaveric study, a new clinical test, the Rule-of-Nine test, is proposed to improve the diagnostic accuracy in radial tunnel syndrome. The test involves constructing 9 equal squares on the anterior aspect of the forearm and noting those squares where tenderness can be elicited.
  8. Foead A, Penafort R, Saw A, Sengupta S
    J Orthop Surg (Hong Kong), 2004 Jun;12(1):76-82.
    PMID: 15237126
    To conduct a prospective randomised controlled study to compare the stability and risk of nerve injury between fractures treated by medial-lateral pin fixation and those treated by 2-lateral pin fixation.
  9. Halim AS, Yusof I
    J Orthop Surg (Hong Kong), 2004 Jun;12(1):110-3.
    PMID: 15237132
    Management of severe open tibial fracture with neurovascular injury is difficult and controversial. Primary amputation is an acceptable option as salvaging the injured, insensate, and ischaemic limb may result in chronic osteomyelitis and non-functional limb. We report a case of open tibial fracture associated with segmental bone and soft tissue loss, posterior tibial nerve and artery injuries, which was further complicated by chronic osteo-myelitis treated with composite vascularised osteocutaneous fibula and sural nerve graft. Functional outcome of the injured limb at one-year follow-up was satisfactory: the patient was capable of achieving full weightbearing and was able to appreciate crude touch, pain, proprioception, and temperature at the plantar aspect of the foot. There was no pressure sore or ulceration.
  10. Arif M, Sivananthan S, Choon DS
    J Orthop Surg (Hong Kong), 2004 Jun;12(1):25-30.
    PMID: 15237118
    To report the outcome of revised total hip arthroplasty procedures involving an anterior cortical window, extensive strut allografts, and an Exeter impaction graft.
  11. Leow AM, Halim AS, Wan Z
    J Orthop Surg (Hong Kong), 2005 Apr;13(1):58-63.
    PMID: 15872402
    To review the role of free tissue transfer in reconstructive surgery following resection of high-grade soft-tissue sarcomas of the lower limb.
  12. Naidu SV, Sengupta S
    J Orthop Surg (Hong Kong), 2005 Apr;13(1):3-7.
    PMID: 15872394
    To predict healing of the stump by assessing the microscopic vascular changes at the amputation site.
  13. Wazir NN, Moorthy V, Amalourde A, Lim HH
    J Orthop Surg (Hong Kong), 2005 Aug;13(2):203-6.
    PMID: 16131689 DOI: 10.1177/230949900501300220
    This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind.
  14. Asif S, Choon DS
    J Orthop Surg (Hong Kong), 2005 Dec;13(3):280-4.
    PMID: 16365492
    To evaluate the midterm results of 50 patients who underwent total knee replacement using Press Fit Condylar (PFC) Sigma system.
  15. Sulaiman AR, Nordin S, Faisham WI, Zulmi W, Halim AS
    J Orthop Surg (Hong Kong), 2006 Apr;14(1):64-6.
    PMID: 16598090
    Resection and reconstruction using a vascularised fibular graft is a viable alternative treatment for congenital pseudarthrosis of the tibia, although distal junctional nonunion and residual deformity are known complications that are difficult to treat. We illustrate 2 cases in which bony union was achieved following a technique using fibular grafting and intramedullary nailing, without additional bone grafting. This technique was feasible because of hypertrophy of the fibular graft.
  16. Wazir NN, Mukundala VV, Choon DS
    J Orthop Surg (Hong Kong), 2006 Apr;14(1):43-6.
    PMID: 16598086 DOI: 10.1177/230949900601400110
    PURPOSE: To evaluate the short-term clinical and functional outcomes of total hip arthroplasty performed for physiologically active elderly patients with Garden type-3 or -4 femoral neck fracture.
    METHODS: Records of 47 consecutive patients (40 female, 7 male) with type-3 or -4 femoral neck fracture (Garden classification) who underwent cemented total hip arthroplasty at our hospital during January 1999 to December 2002 were reviewed. Radiological and clinical (Harris functional hip score and Oxford hip score) assessments of 38 patients were measured with a mean follow-up period of 21 months (range, 4-48 months).
    RESULTS: The mean age of the 47 patients was 75 years (range, 62-89 years). Records of 9 patients were excluded because of death, lost to follow-up, and development of deep infection that necessitated implant removal and excision arthroplasty. The mean Harris hip score of the 38 patients was 83 (range, 59-97), whereas the mean Oxford hip score was 25.2 (range, 14-33). Pain in the hips was absent in 30 patients, 6 had slight pain occasionally, and 2 patients had mild-to-moderate hip discomfort. No signs of aseptic loosening or change in implant position were noted on radiographic assessment. Two cases of dislocation were reduced by closed reduction. Two patients had deep wound infection and were treated with debridement, implant removal, and conversion to girdle stone.
    CONCLUSION: This short-term study showed that total hip arthroplasty for femoral neck fracture had good postoperative results in functional hip and pain scores. More attention should be paid to coexisting medical illness (e.g. diabetes mellitus, hypertension, and ischaemic heart disease) and prevention of infection.
  17. Zairul-Nizam ZF, Badaruddin BS
    J Orthop Surg (Hong Kong), 2006 Aug;14(2):216-8.
    PMID: 16914793
    Infection following total knee arthroplasty can be devastating. Even with established treatment protocols, eradication of the infection may not be feasible. We report 2 patients who required above-knee amputation to eradicate recalcitrant infection.
  18. Kamarul T, Ahmad TS, Loh WY
    J Orthop Surg (Hong Kong), 2006 Aug;14(2):172-7.
    PMID: 16914783
    To measure the hand grip strength of Malaysians aged 18 to 65 years.
  19. Ng ES, Ng YO, Gupta R, Lim F, Mah E
    J Orthop Surg (Hong Kong), 2006 Aug;14(2):142-6.
    PMID: 16914777
    To compare the results of Achilles tendon repair using a standard open procedure or a minimally invasive technique using a double-ended needle, and to determine whether the latter technique reduces the incidence of sural nerve injury and soft-tissue complications.
  20. Yusof MI, Yusof AH, Abdullah MS, Hussin TM
    J Orthop Surg (Hong Kong), 2007 Apr;15(1):67-72.
    PMID: 17429121
    To measure the diameter of the odontoid process in a Malaysian population using computed tomographic (CT) scan and determine the feasibility of treating type-II odontoid fractures using 2 cortical screws.
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