In general, most orthopaedic specialist can handle a straight forward joint replacement surgery. A complex joint replacement include cases where there is severe deformities, very limited motion or the primary surgery has gone wrong (due to aseptic loosening, poor alignmet or infection).
As modern medicine improves the lifespan for males and females, patients with previous surgeries and implants who need a joint replacement surgery become very challenging as conventional techniques cannot be used.
Dr Chin Pak Lin had been the key person in handling complex and revision joint replacement surgeries formerly at SGH.
Elbow joint arthritis is a disorder characterised by pain and stiffness. It can be caused by injury or overuse. The cartilage in the joint is worn out and extra bone spurs and loose bodies start to form. Treatment involves medication, physiotherapy, arthroscopic washout and joint replacement. Joint replacement involves removing the worn out joint surfaces and replacing them with metal and plastic components. After an elbow joint replacement, patient will experience greater range of motion and less pain, improving the overall function of the shoulder.
Tennis elbow (lateral epicondylitis) is caused by inflammation of the tendon origin on the outer aspect of the elbow. This condition may not be caused by playing tennis. Frequent repetitive movement and heavy lifting can also cause tennis elbow pain to occur. Treatment usually involves rest and physiotherapy. However, some patients may need further tennis elbow treatment like injection of PRP (platelet rich plasma) injection or surgical release.
Elbow arthroscopy (keyhole surgery) is a highly specialised procedure. One of the commonest indications for elbow arthroscopy is arthritis with loose bodies "jamming" the joint and causing a painful locking sensation. The procedure removes the loose bodies, extra bone spurs and tight capsule to achieve greater range of motion and substantial pain relief. The advantages of keyhole surgery includes less pain, faster recovery and better cosmetic result.