Orthopaedic & Trauma Surgery: Meet The Best Orthopaedic Specialists in Kuala Lumpur

Gleneagles Hospital Kuala Lumpur specialises in comprehensive joint replacement surgery, helping patients with significant joint damage or degeneration. Procedures offered include:

• Total Knee Replacement Surgery
• Total Hip Replacement
• Shoulder Joint Reconstruction and Replacement

These surgeries are designed to alleviate chronic joint pain, restore function, and enhance mobility and overall quality of life.

The hospital's team of specialised orthopaedic and spine surgeons addresses a broad range of spinal conditions, including:

• Fractures and spinal trauma
• Spinal infections and tumours
• Deformities (such as scoliosis, kyphosis, and spondylolisthesis)
• Degenerative spinal diseases

Careful diagnostic assessments and precision-focused surgical techniques help patients achieve significant relief from spinal pain and improved spinal function.

Elbow injuries and disorders can result in pain, stiffness, and decreased functionality. Common conditions include:

• Dislocation
• Golfer's elbow
• Tennis elbow

Knee injuries or degenerative conditions can significantly impact mobility and daily life. Common knee conditions treated include:

• Anterior cruciate ligament (ACL) injury
• Anterior knee pain (runner's knee) / chondromalacia patellae (CMP)
• Medial collateral ligament (MCL) injury
• Meniscus tear / knocked knee chondromalacia patellae (CMP
• Knee arthritis
• Knee bursitis
• Osgood Schlatter disease
• Osteoarthritis (locked knee)
• Patella femoral syndrome (knee cap pain)
• Lateral collateral ligament (LCL) injury
• Patella tendonitis (jumper's knee)
• Posterior cruciate ligament (PCL) injury

Spinal conditions can cause significant pain, discomfort, and impair movement. These include:

• Degenerative spine condition
• Lumbar spinal stenosis
• Neck pain
• Nerve decompression
• Sciatica (pinched nerve)
• Scoliosis
• Slipped disc
• Spondylolisthesis (misaligned backbone)

Sports injuries often involve soft tissue damage, fractures, and joint instability. Common conditions include:

• Degenerative spine condition
• Lumbar spinal stenosis
• Neck pain
• Nerve decompression
• Sciatica (pinched nerve)
• Scoliosis
• Slipped disc
• Spondylolisthesis (misaligned backbone)

Paediatric orthopaedic conditions typically involve growth-related issues and congenital disorders. These conditions include:

• Bowing of the knee (genu varum
• Clubfoot -Dwarfism
• Greenstick fractures
• Growing pains
• In-toeing gait
• Limb length discrepancy
• Torticollis (wry neck)

Foot and ankle conditions can cause discomfort and limit mobility. These include:

• Achilles tendonitis
• Arthritis
• Cartilage damage
• Diabetic foot problem
• Dislocation
• Fractures
• Gout
• Plantar fasciitis (foot pain)
• Sprains
• Tendonitis

Hand and wrist conditions can range from repetitive strain injuries to fractures. These include:

• Carpal tunnel syndrome
• De Quervain’s tenosynovitis (painful wrist condition
• Ganglion cysts
• Hand arthritis
• Hand fractures
• Hand trauma
• Trigger finger
• Wrist ligament injury

Tumours affecting bones or soft tissues require specialised care, including:

• Benign tumour
• Metastasis
• Primary cancers of the bones (bone tumour)
• Primary cancers of the soft tissues

Shoulder conditions often involve rotator cuff injuries, instability, or arthritis. These include:

• Cuff tears
• Frozen shoulder
• Rotator cuff injury
• Shoulder dislocation (chronic)
• Shoulder instability
• Shoulder tendonitis

Hip conditions can cause pain and limited movement. These include:

• Hip arthritis
• Hip bursitis
• Hip dislocation (congenital)
• Hip fractures
• Lumbar pain
• Osteonecrosis
• Snapping hip syndrome

To evaluate the electrical activity and muscular response times to nerve stimulation, EMG diagnostic tests are recommended as they can help detect muscle and nerve disorders as well as those that affect their connectivity.

EMGs require the insertion of one or more electrode needles through the skin into muscle tissue in order to record electrical activity of the muscles.

Bone biopsy procedures involve extracting a small sample of bone tissue to check for abnormalities, such as cancer or infection.

Needle biopsies involve a small incision of the skin, and a needle is inserted into the bone to retrieve a sample. But fret not, as this biopsy is performed under local anesthesia.

Open biopsies, however, require a much larger incision of the skin, and a piece of bone is surgically removed instead. But relax, this procedure is performed under complete general anesthesia.

Advanced imaging methods allow for detailed assessment of the bones and soft tissues to identify fractures, degeneration, or other abnormalities.

Computerised Tomography (CT) Scan

A CT scan is a diagnostic imaging method that makes use of x-rays to digitally produce cross sectional images of one's bones, blood vessels, and soft tissues within the body.

Diagnostic Ultrasound

Diagnostic Ultrasound, also known as sonography, is a non-invasive technique which makes use of high-frequency sound waves to produce digital images of structures inside the body. High resolution imaging enables our specialists to detect any tendon tears, tiny calcifications, as well as foreign bodies.

Dual Energy X-ray Absorptiometry (DXA)

DXA procedure utilises x-rays to assess factors such as bone density when diagnosing osteoporosis. DXA is also capable of predicting an individual's level of fracture risk, which is useful for post-treatment monitoring.

Magnetic Resonance Imaging (MRI)

As a noninvasive imaging technique, MRI utilises magnetic fields and pulses of radio waves to produce pictures of bones as well as soft tissues. Because the MRI doesn't use x-rays, it currently has no known side effects. The MRI can also be used to effectively diagnose and assess a wide array of medical conditions that affect soft tissues.

Magnetic Resonance Arthrography (MRA)

Similar to the MRI, MRA produces much better images due to a contrast solution (gadolinium) being injected into the affected joint, which allows its structures and soft tissues to be highlighted, revealing tears and defects. The MRA is usually used to determine joint conditions and can efficiently detect any ligament, tendon as well as cartilage related diseases.

Positron Emission Tomography (PET) Scan

A PET scan is a medical imaging procedure that provides more detailed information on organ functions or systems in the body. PET Images provide the specialist with physiological information regarding the bone and is mainly used to detect issues such as abnormal bone growth associated with tumours or other abnormalities.

Knee surgery, particularly Total Knee Replacement (TKR), is a complex procedure, especially for those suffering from knee osteoarthritis. At Gleneagles Hospital Kuala Lumpur, we recognise the challenges and prioritise the patient's voice in our approach to outcomes. We meticulously evaluate each TKR surgery at 3-month and 6-month intervals, utilising the Knee Society Score (KSS) to measure and compare results against Minimal Clinically Important Difference (MCID) and Substantial Targets.

This precision-driven approach ensures that the impact of TKR transcends the surgical realm, resulting in significant improvements in both quality of life and mobility. This exemplifies our commitment to comprehensive and transformative orthopaedic care.

Patient’s Journey

Patient Reported Outcome Measures (PROMs) Survey

Through our Patient Reported Outcome Measures (PROMs) Survey, we carefully measure our patient’s perception of health and functional well-being post-TKR surgery. PROMs are standardized questionnaires completed by patients, providing insights into health perception and functional well-being. The hospital conducts these surveys before and after treatment to understand any changes in the patient’s condition and quality of life. Working closely with patients and clinicians, PROMs give us a full picture of our patients' health and identify opportunities for continuous improvement.

Minimal Clinically Important Difference (MCID)

When it comes to knee surgery, Gleneagles Hospital Kuala Lumpur uses a benchmark called Minimal Clinically Important Difference (MCID). Our aim is for patients to see a minimum score increase of 9 points at 3 months and 40 points at 6 months post-surgery.

One notable achievement is reaching a 100% rate in the MCID benchmark within 3 and 6 months post-surgery, underscoring substantial improvements in pain reduction, daily function, and overall quality of life.

KSS Reference:

2011 Knee Society Scoring System© (2011KSS)

The Knee Society (https://www.kneesociety.org/the-knee-society-score) 

MCID Reference:

Van der Wees, P.J., Wammes, J.J.G., Akkermans, R.P. et al. Patient-reported health outcomes after total hip and knee surgery in a Dutch University Hospital Setting: results of twenty years clinical registry. BMC Musculoskelet Disord 18, 97 (2017). https://doi.org/10.1186/s12891-017-1455-y

Lizaur-Utrilla, A., Gonzalez-Parreño, S., Martinez-Mendez, D. et al. Minimal clinically important differences and substantial clinical benefits for Knee Society Scores. Knee Surg Sports Traumatol Arthrosc 28, 1473–1478 (2020). https://doi.org/10.1007/s00167-019-05543-x

https://d-nb.info/1212656903/34

Anterior Cruciate Ligament Reconstruction (ACLR) is a surgical intervention aimed at replacing a damaged ligament, requiring a delicate blend of precision and excellence. At Gleneagles Hospital Kuala Lumpur, our commitment extends beyond technical proficiency to encompass stringent adherence to quality indicators.

Our 2023 performance statistics not only reflect exceptional results but also demonstrate our unwavering focus on patient safety. By surpassing international benchmarks in key areas such as prophylactic antibiotic administration, blood transfusion rates, complications, readmission prevention, and post-operative rehabilitation, we continuously strive to assure our patients of a level of care that goes above and beyond established standards.

Patient’s Journey

ACLR Surgery Outcomes: Insights from 2023 Data Analysis

ACLR International Benchmark Reference:

• Annals of Medicine and Surgery: Analysis of postoperative complications following elective arthroscopic surgeries of the knee- a retrospective cohort study.
• The Knee: Complications following anterior cruciate ligament reconstruction in the English NHS.
• Knee Surgery, Sports Traumatology, Arthroscopy: Inpatient admission following anterior cruciate ligament reconstruction is associated with higher postoperative complications.
• Knee Surgery, Sports Traumatology, Arthroscopy: Procedure length is independently associated with overnight hospital stay and 30-day readmission following anterior cruciate ligament reconstruction.
• Arthroscopy, Sports Medicine, and Rehabilitation: Operative Time Less Than 1.5 Hours, Male Sex, Dependent Functional Status, Presence of Dyspnea, and Reoperations Within 30 days Are Independent Risk Factors for Readmission After ACLR.