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  • Trigger Finger & Carpal Tunnel Syndrome Surgery, Microsurgery
    refer to surgery that requires magnification with an operating microscope on structures that are very delicate or small such that microsurgical techniques result in better visualization better precision and hence better outcome Under magnification of up to 40 times and using very fine instruments and sutures that are finer than the human hair nerves and blood vessels with sizes as small as 1mm or less can be repaired Microsurgical procedures in hand and orthopaedic surgery are now commonly done Currently microsurgery is commonly used in Singapore to reattach amputated fingers and limbs transfer tissues from different parts of the body including the toe to the hand in eye surgery ear surgery urology neurosurgery and plastic surgery Microsurgical techniques have enabled surgeons to do much more than was previously possible and opened up many possibilities The benefits of microsurgery have led to its popularity particular in Singapore Commonly Performed Microsurgery Procedures at BJIOS Orthopaedics Nerve repairs Repair of arteries and veins Surgery for crush and other traumatic injuries Reattachment of fingers hands and arms toes and legs Toe to thumb hand transplant Skin and muscle transfer to cover complex wounds Vascularised bone transfer to bridge large bone gaps Preparing for Microsurgery As microsurgery is a complex procedure with many factors affecting the outcome proper assessment of the patient is required before surgery Conditions that affect the blood vessels and circulation such as diabetes and smoking as well as the degree of damage of the tissues need to be properly assessed Blood tests x rays angiogram imaging to assess the patency of the blood vessels and other specialized tests may need to be done Patients with serious medical conditions may not be suitable to under complex microsurgical reconstruction surgery Post Surgery Care After a successful surgery the patient is usually given an

    Original URL path: http://www.bjios.sg/patients-resource/micro-surgery/ (2016-04-30)
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  • Amputation of the Hand
    the amputated part contains significant muscle tissues hand forearm or arm it is considered a Major amputation The importance of the presence of muscles is that muscles cannot withstand loss of blood supply for more than 4 6 hours After which muscle tissue will start to die making reattachment not possible This muscle survival can be prolonged by cooling the amputated hand with ice The higher the level of amputation in the arm the worse the function after eventual recovery The best outcome for a major amputation is for those at the level of the wrist Minor amputations are so called when it involves the fingers As they do not contain muscles the fingers can survive for a longer period of time Typically it can survive beyond 12 hours especially when cooled In the case of Mdm Khoo it is likely to be an extensive crush if the hand was severed by the lift door or an avulsion type if the hand was pulled off by the leash of the dog caught in the lift door In either case the damage would be expected to be severe It is considered a major amputation as the hand contains significant amount of muscle Diagrams show possible amputation mechanisms for Mdm Khoo s injuries How can one render First aid 1 Remove victim from danger if possible 2 Stop the bleeding Apply pressure on wound using a clean cloth or compression bandage Elevate the arm to stop bleeding 3 Preserve the amputated part Rinse part with clean water and put it into a clean plastic bag then into another plastic bag with ice Cooling prolongs survival of amputated part while double plastic bag prevents soaking severed part in water What are the Procedure risks In general doctors will try to reattach all major

    Original URL path: http://www.bjios.sg/amputation-of-the-hand/ (2016-04-30)
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  • Foot & Ankle Injury | Achilles tendinitis & Bunions Surgery
    Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Achilles Tendinitis BJIOS Orthopaedics Achilles Tendinitis The Achilles tendon is a tendon that runs down the back of the lower leg and connects the calf muscle to the heel bone This tendon allows you to extend your foot and point your toes and also raises the heel of the ground to facilitate walking Achilles tendinitis refers to

    Original URL path: http://www.bjios.sg/patients-resource/achilles-tendinitis/ (2016-04-30)
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  • Plantar Fasciitis (Heel Pain)
    Annual Conference of Gujarat Orthopaedic Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Plantar Fasciitis Heel Pain BJIOS Orthopaedics Plantar Fasciitis Heel Pain More commonly known as heel pain or heel spur syndrome Plantar fasciitis is an inflammation of the band of tissue the plantar fascia which extends from the heel to the toes It usually occurs with your first steps in the morning Plantar

    Original URL path: http://www.bjios.sg/patients-resource/plantar-fasciitis-heelpain/ (2016-04-30)
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  • Morton's Neuroma
    Know Asia Pacific Society for Foot and Ankle Surgery 3rd Scientific Meeting Lunch Talk with Dr Khong Kok Sun and Dr Peter Lee Yew Chung Myanmar Orthopaedic Society 47th Annual Scientific Meeting Grand Opening Lunch Talk with Dr Winston Chew and Dr Chong Keen Wai 34th Annual Conference of Gujarat Orthopaedic Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Morton s Neuroma BJIOS Orthopaedics Morton s Neuroma Morton s neuroma is a condition that affects one of the nerves on the foot usually between the third and fourth toes Exerting undue pressure on the nerve can lead to Morton s neuroma Although the physical structure of your foot having bunions hammertoes or flat foot increases your risk ill fitted shoes is the biggest risk factor High heeled shoes tight shoes or shoes with a narrow toe box causes toes to be forced into the toe box Prolonged compression leads to the thickening of tissue surrounding the nerve creating a fibrous swelling that results in more nerve compression and inflammation to the area Symptoms include pain radiating from the ball of your feet to the toes pain or numbness in the ball of your feet and

    Original URL path: http://www.bjios.sg/patients-resource/mortons-neuroma/ (2016-04-30)
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  • ​Ankle Ligament Injury
    and Dr Peter Lee Yew Chung Myanmar Orthopaedic Society 47th Annual Scientific Meeting Grand Opening Lunch Talk with Dr Winston Chew and Dr Chong Keen Wai 34th Annual Conference of Gujarat Orthopaedic Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Ankle Ligament Injury BJIOS Orthopaedics Ankle Ligament Injury Picture shows tightening of the ankle capsule and ligament with obliteration of the capsular gap before and

    Original URL path: http://www.bjios.sg/patients-resource/%e2%80%8bankle-ligament-injury/ (2016-04-30)
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  • Operating Theatre Nurse (Orthopaedic)
    Opening Lunch Talk with Dr Winston Chew and Dr Chong Keen Wai 34th Annual Conference of Gujarat Orthopaedic Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Operating Theatre Nurse Orthopaedic BJIOS Orthopaedics Operating Theatre Nurse Orthopaedic Responsibilities Provide safe perioperative nursing care to patients Perform anaesthetic scrub and circulating duties Perform any other duties as assigned by the management Requirements Candidate must possess at least

    Original URL path: http://www.bjios.sg/careers/operating_theatre_nurse_orthopaedic (2016-04-30)
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  • Clinic Staff Nurse
    Careers Media News and Events Osteoarthritic Knee What You Need To Know Asia Pacific Society for Foot and Ankle Surgery 3rd Scientific Meeting Lunch Talk with Dr Khong Kok Sun and Dr Peter Lee Yew Chung Myanmar Orthopaedic Society 47th Annual Scientific Meeting Grand Opening Lunch Talk with Dr Winston Chew and Dr Chong Keen Wai 34th Annual Conference of Gujarat Orthopaedic Association Injection Workshop with Novem Healthcare Doc Should I Be Concerned Patients Resource Clinic Staff Nurse BJIOS Orthopaedics Clinic Staff Nurse Responsibilities Handling registrations booking of appointments and cashiering Attending to all enquiries feedbacks and complaints if any Providing and educating patients and visitors on health grants and medical assistance information Filing of insurance and medisave claims Work with a variety of patients for orthopaedic care Prepare patient for and assist with examinations and treatments Manage day to day clinic operations Administering medications and treatments Provide financial counselling for patients who require surgery Requirements Candidate must possess at least a Diploma Advance Higher Graduate Diploma Bachelor s Degree Post Graduate Diploma professional Degree in Nursing or equivalent At least two years experience in the related field is required for this position Only Singaporeans or Singapore Permanent Residents need

    Original URL path: http://www.bjios.sg/careers/clinic_staff_nurse (2016-04-30)
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