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Kiang Wu Hospital
 
 
 
 

Lumbar Disc Replacement FAQs

The ‘intervertebral discs’ are
the shock absorbers between the
bones of the spine. Unfortunately,
they often degenerate – tearing,
bursting, or just wearing out. They can cause back or neck pain. The low back is known as the ‘lumbar’ region. The usual treatment is rest and painkillers, followed by core muscle (Pilates) exercises. If pain is a problem despite this treatment, one option is to have an operation. Fusion operation is the conventional approach. In a fusion, some or all of the disc is removed and replaced with bone, which joins to the bones above and below the disc together. It is the gold standard for comparing all other operations, including the new operation of lumbar disc replacement.

Biological Knee Replacement (BKR) FAQs

Biological Knee Replacement (BKR)
involves repairing a badly damaged
knee with natural tissues instead
of replacing the entire knee with a
metal and plastic Total Knee Replacement (TKR). In theory the BKR should not ‘wear out’, because it really consists of returning the knee to its uninjured state and giving it a second chance. Essentially repairing, reconstructing or replacing each structure that is broken in the knee. Exactly what is needed will vary between individuals. At best, it could give one a near-normal knee, and allow one to play sport.

Ankle Sprain FAQs

A sprain is a tear of a ligament.
Ligament tears can vary from very
minor - a few fibres stretched - to
complete tears of the entire
ligament. The most common type of sprain is a lateral ankle sprain, where the ligaments on the outer part of the ankle joint are sprained. The most important part of treatment for ankle sprains is physiotherapy supervised rehabilitation to restore strength and balance. Sometimes people with many years of ankle instability from an old injury that was never properly rehabilitated can recover with a good physiotherapy programme.

Femoro - Acetabular Impingement (FAI) FAQs

Femoro-Acetabular Impingement (FAI)
is a condition in which the two
bones which make up the hip joint
pinch against each other, or
‘impinge’, at the extremes of motion, causing damage to the joint. The hip joint is a ball and socket, if the head of the femur is not round, or sits in the wrong position in relation to the rest of the femur, or the socket is either too deep or facing in the wrong direction, problems ensue. Innovative treatments are well established for various severity of FAI, including hip arthroscopy, Birmingham Hip Resurfacing.

OA Knee FAQs

Osteoarthritis (OA), the most
common form of arthritis, is a
chronic, degenerative, joint
disease that affects mostly
middle-aged and older adults. It is characterised by the breakdown of joint cartilage and adjacent bone. Several risk factors are associated with osteoarthritis, including: heredity, obesity, injury, and overuse. Knee osteoarthritis is not curable, but manageable. There are several specific treatments for osteoarthritis and they are chosen based on: your age, overall health, and medical history, extent of the condition, your tolerance for specific medications, procedures, and therapies, expectation for the course of the condition, and your opinion or preference.

Patellofemoral Pain

Anterior Knee Pain – or pain at
the kneecap - is a very common
complaint. Most anterior knee pain
is from the joint between the
kneecap (patella) and the thigh bone (femur), known as the patellofemoral joint. This article looks at the assessment and treatment options of anterior knee pain.

'Slipped Disc' FAQs

‘Slipped disc’ is a colloquial
term for a burst (or prolapse or
herniation) of the intervertebral
disc. This is much like a jam
doughnut bursting and the jam coming out. From early adulthood, the annulus fibrosus becomes weaker. As a result, the intervertebral disc is more vulnerable to the pressure of the body’s weight. If the annulus fibrosus tears, the jelly like nucleus pulposus leaks out to become a herniated disc.

An “Instant Cure” for Obesity

Despite vigorous dieting and
exercise (or lack of it!), for
some, those extra kilos just
won’t go away. So is there an
instant cure for obesity? Well the simple answer is NO! Surgery is the closest thing there is to a cure, though not an instant one, for obesity. Surgical procedures for weight reduction can be broadly divided into two types. Occasionally, a combination of these procedures may be required.

ACL FAQs

ACL is a tough band of collagen
inside your knee joining your thigh
bone to your shin bone and is vital
to controls the complex gliding and
bending movement of the knee which allow people to do everything from walking slowly to ballet and gymnastics. ACL can be torn if you twist your knee too far or change direction too quickly. Unfortunately, a substantial proportion of acute ACL ruptures is missed. Double-Bundle ACL Reconstruction is employed which has superior rotational stability.

Investigations for Colorectal Cancers

Colorectal cancers (CRC) are among
the most common cancers in
developed countries. In Hong Kong,
1,981 people died from CRC in 2013
[1]. These deaths are unnecessary as we now know CRC are largely “preventable”! Most of the CRC in fact develop from adenomatous polyps. So early detection and removal of the polyps would have prevented the disease. The key question is how these polyps and early cancers can be detected and when should the tests be done.