Besides General Orthopaedic Services, we provide Subspecialty Services based on training, experience and clinical interest. The paradigm shift in managing orthopaedic conditions has resulted in sub-specialization to provide a more comprehensive and clinically relevant management to the specifics of the condition of concern. It is holistic yet patient and condition specific to ensure appropriate and timely treatment for a specific condition.

Trauma and Sports

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Traumatic injuries is a significant concern to many individuals. It can result from a road traffic accident, a fall, a sports injury or even from a trivial injury while walking or climbing stairs. The traumatic impact can damage not only the skin and deeper muscles, but it can also lead to a fracture of the underlying bone depending on the degree of impact.


Clinical Implications


A fracture of the weight bearing bone will render structural instability and inability to bear weight. When such traumatic injuries involve the joint, often it can result in ligament injuries (example: anterior cruciate ligament rupture in the knee) which can cause instability of the particular joint.

Most sports injuries involve a joint that has been overloaded which causes the ligaments to sprain or rupture. It can also result in other joint related injuries (example: traumatic meniscal tear/ traumatic osteochondral lesion). Traumatic injuries can also involve the soft tissue envelope resulting in skin or dermal injuries including abrasions and de-gloving injuries. Muscles and tendon can also get injured resulting in avulsions, sprain and even partial to complete tears.


Treatment Options


Most fractures involving the long bones will require a surgical stabilization to restore structural stability. The fixation may include the use of a metal plate, nail, screws or wires for anatomical reconstruction. This will have an added benefit of early mobilization and weight bearing. Nevertheless, fractures involving the small bones of the hand and foot may be treated conservatively although surgical management may be advised based on the extent of deformity and fracture location.

Similarly, complete traumatic knee ligament injuries in the young will benefit from surgery (ACL reconstruction), meanwhile certain ligament injuries can be treated conservatively with a functional brace. Customised splint and braces are an important element for protected joint mobilisation and early weight bearing after a traumatic bone fracture or ligament injury. Most non- traumatic causes of bone related problems may be related to systemic disorders like metabolic disease and autoimmune disorders. This often requires further medical investigations and specialised management.

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