Orthopaedic Surgery

​The Adult Reconstruction and Joint Replacement Service provides diagnosis, treatment, and rehabilitation for individuals with degenerative and inflammatory bone disease, bone injuries or deformities.

Specializing in the total joint replacement of the hip & knee, our services include both new implants and the removal or replacement of first generation joint prostheses. The service also provides joint replacement of the shoulder, elbow and ankle joints.

Our orthopaedic surgeons are highly trained, experienced, and specialised in joint replacement surgeries. They are knowledgeable in the latest research, surgical techniques and implant technology.

In addition to performing routine hip and knee replacement surgery, more complex joint surgeries that our service provides include:

• Complex Hip and Knee replacement
• Revision Surgeries
• Previous Trauma
• Severe inflammatory arthritis
• Rheumatoid Arthritis
• Ankylosing Spondylitis
• Minimally invasive surgery for joint replacement
• Unicompartmental knee replacement
• Patellofemoral replacement
• Computer-assisted navigation surgery for joints
• Upper limb joint replacement
• Shoulder replacement
• Elbow replacement
• Hip resurfacing
• Alternative bearing and hip replacement in the young
• Deformity correction with osteotomies
• Ankle replacement

Our patients have access to geriatricians, rehabilitation physicians, rheumatologists, nurse clinicians, physiotherapists, and occupational therapists, all specializing in total joint care.

Further to patient care, we also have a strong research and educational emphasis to be at the forefront of medical techniques available to our patients. We have a funded fellowship program and appointed clinician scientists.

​Almost everyone would have at least one episode of pain in the foot or ankle at some point in their lives.

In our fast paced hectic society, we understand how important it is to manage this pain so you can return to your activities with as little downtime as possible.

We maintain excellent working relationships with podiatrists, orthotists and physiotherapists. This allows us to manage your problems holistically and enables treatments that range from the non invasive including exercises, insoles and shockwave therapy to surgical options with optimum post operative rehabilitation.

Here at TTSH our specialty trained surgeons treat all conditions involving the foot and ankle. They include these conditions but not restricted to:-

• Bunions
• Hammer and claw toes
• Flatfeet and High arched feet
• Arthritis of the foot and ankle
• Ankle ligament sprains and tears
• Ankle cartilage problems
• Heel pain and Tendo Achilles painDeformities of the foot and ankle
• Fractures and complex injuries of the foot and ankle
• Diabetic related conditions of the foot including Charcot neuroarthropathy

Trained in a myriad array of skills which include traditional open surgery to arthroscopy and minimally invasive surgery as well as use of the external and circular fixators, we strive to find the best solution for your problem.

We are a recognised center for teaching medical students and orthopaedic trainees and are involved in the NUS Yong Loo Lin School of Medicine, NTU Lee Kong Chian School of Medicine and NHG Orthopaedic Residency Program. Research is an important component of our service and we strive to further develop our practice and keep ourselves updated with the latest concepts and techniques.

We want to keep you walking.

As the first and only Limb Lengthening & Reconstruction Surgery (LLRS) unit in Singapore, we provide a unique service catering to a previously unmet need in the country. We treat patients who have significant limb length discrepancies and limb deformities, with the aim of correcting their deformities, restoring function, and ultimately, enabling their return to activity and work.

This is achieved via advanced surgical techniques that utilize Ilizarov principles, circular frames, and other fixation constructs. For severe deformities, we employ computer-assisted hexapod frame technology (based on robotics technology) for extremely precise limb lengthening and deformity correction, which provides the optimal outcome for our patients.

The LLRS service treat patients from a diverse age demographic with a broad spectrum of clinical problems, including:

• Limb length discrepancies that require limb lengthening
• Congenital limb deformities
• Degenerative limb deformities
• Neurological limb deformities
• Complex trauma with bone & soft tissue defects
• Fracture mal-union and non-union resulting in limb deformity
• Chronic bone and soft tissue infections
• Implant-related infections

As the nation's leading trauma centre, in conjunction with the large number of geriatric patients who come under our care, TTSH is uniquely positioned to pioneer an LLRS unit that will maximize benefits to patients. The LLRS team will also work closely with the renowned Department of Infectious Diseases in treating patients with chronic bone, soft tissue and implant-related infections. In addition, we are well-placed to treat patients from the adjoining National Neuroscience Institute who develop neurological deformities.

To provide holistic management of the myriad problems besetting our patients with complex deformities, the LLRS service functions as a multi-disciplinary team comprising experienced LLRS-trained orthopaedic surgeons, physiotherapists, occupational therapists, podiatrists, and nurses. We also work closely with surgeons from Hand & Reconstructive Microsurgery and Plastic Reconstructive & Aesthetic Surgery, tapping on their considerable expertise. In addition, the TTSH Foot Care & Limb Design Centre provides synergistic prosthetic and orthotic services for our patients.

Our mission is to provide optimal restoration of form and function to our patients through a multi-disciplinary team that utilizes the best care available.

It is well placed to receive and handle major trauma. It is the second largest hospital in Singapore with a bed capacity of 1200. We have traditionally, the highest trauma load in the country and are very experience with managing multiple trauma patients. We work closely with our colleagues in the trauma team. This comprise of specialists from General Surgery, Neurosurgery, Orthopaedic Surgery and Emergency Medicine.

Our expertise include:

• Osteosynthesis using the latest AO techniques
• Minimally Invasive Surgery (MIS): Minimally invasive plating and intramedullary nail fixation of fractures
• Pelvic, sacral and acetabular surgery
• Osteoporotic fracture fixation
• Post-traumatic deformity correction using circular and monolateral fixators
• Non union, bone defects and bone infection management

As a teaching hospital, orthopaedic trainees rotate through the department as part of their advanced surgical training program. We are the only hospital in Singapore to run the Advance Trauma and Life Support (ATLS) Course of the American College of Surgeons and Definitive Surgical Trauma Care Course (DSTC) Course in Trauma Surgery.

​Our team of specialty-trained orthopaedic surgeons has extensive experience and expertise in musculoskeletal tumours. We provide a careful yet aggressive approach to tumour diagnosis, imaging, and treatment in an environment where communication with our patients is key.

We are committed to providing you with the most comprehensive care and education with regards to bone and soft tissue tumours.

We understand that having a bone and soft tissue tumour is a stressful situation and we want to work together with you and your family to diagnose and treat your condition within the best of our abilities.
The team strives to accommodate the patient's needs and emotional concerns, while providing optimum tumour care.

We have a team of dedicated and experienced doctors who specialize in:

• Diagnosis and treatment of benign and malignant bone and soft tissue tumours
• Reconstruction of severe bone and soft tissue loss due to tumour/ degenerative/ surgical conditions including mega-prosthetic reconstruction, major flap surgery and use of microsurgical techniques
• Limb salvage surgery for malignant bone and soft-tissue sarcomas or life threatening infections like necrotizing fasciitis
• Palliative and prophylactic stabilization surgeries for end stage musculoskeletal tumours with existing or potential pathological fractures
• Complex pelvic resections and reconstruction surgeries including hemi-pelvectomy/ hemi-hemicorporectomy

We adopt a multi-disciplinary approach in close collaboration with pathologists, radiologists, medical and radiation oncologists in providing diagnosis, imaging and treatment in the form of chemotherapy and radiation therapy for bone and soft tissue tumours.

Early detection, accurate diagnosis and appropriate treatment are the key in any cancer conditions – an approach that is available at our hospital.

Download Musculoskeletal Tumour Service brochure (1.7 mb, PDF)

The Spine service is one of the largest spine units in Singapore, providing comprehensive care for patients with spine disorders. Our spine surgeons are committed to improving the quality of life of patients, by providing top-notch medical and surgical care, supported by cutting-edge technology and research.

We treat a wide variety of spine conditions, ranging from common conditions to complex cases such as:

• Cervical spondylosis and myelopathy
• Spinal stenosis
• Prolapsed intervertebral disc
• Adult spinal deformity (scoliosis)
• Spinal trauma and fractures
• Spinal cord injuries
• Spine tumours and cancer spread to the spine
• Spine infections

Our team of dedicated spine surgeons strongly believe in striving for excellence in patient care. As a high-volume spine unit, we are experienced in treating a myriad of spine conditions, backed by evidence based practices and setting the highest of surgical standards in the field of spine surgery.

We are well equipped with the latest, state-of-the-art innovation, such as computer navigation and robotic technology. Leading the forefront in advances in spine surgery, our Spine service ensures that the use of technology complements our wide skill set to ensure the best possible patient outcomes.

In addition to performing surgeries utilising advanced technology, we also offer minimally invasive spine surgery, and endoscopic (key-hole) spine surgery, where we perform operations through mini, and even key-hole incisions, allowing for a faster and enhanced post-operative recovery for our patients.

As a leading spine service, we continually strive for innovation and excellence in spine surgery, education, and research. Through this, we aim to provide our patients with the best possible care for their spine and beyond.

​Our Sports Medicine & Surgery team specialises in the management and treatment of all sports-related injuries that affect the function of the muscles, tendons, ligaments, and joints. Our patients include recreational and elite athletes as well as seniors who need help in returning to their daily activities and hobbies following injuries.

Our Sports Medicine & Surgery team is multidisciplinary. It comprises of Orthopaedic Sports Surgeons, Sports Physician, Sports Physiotherapists, Exercise Physiologist, Pain Specialists, Dieticians, Psychologists, and Podiatrists, ensuring a holistic approach towards patient care. Our goal is to help our patients return to their sports and daily activities safely.The Sports Medicine & Surgery Clinic (SMSC) is a one-stop centre that offers an integrated approach in sports injury treatment and injury prevention, performance enhancement and weight management. Our services include:

Sports Medicine

• Specialist consultations for all sports/exercise related injuries and musculoskeletal conditions
• Running related musculoskeletal problems and gait analysis
  
• Fitness assessment packages, including medical history assessment, running health checks, exercise guides
• Dancers’ screening, injury management and prevention program

Sports Surgery

• Specialist consultations for all sports/exercise related injuries and degenerative musculoskeletal conditions, including shoulder, elbow and knee injuries
• Arthroscopic ("key-hole") surgery for shoulder, elbow and knee joint injuries/conditions
• Arthroscopic ("key-hole") or open surgery for ligament injuries
• Cartilage stimulation or resurfacing procedures for cartilage injuries of the knees

Sports Physiotherapy

• Physiotherapy assessment, including movement screening, functional assessment and physical examinations for sports/exercise related injuries and musculoskeletal conditions
• Physiotherapy treatments, including manual therapy, corrective exercise programs, therapeutic exercises for sports/exercise related injuries and musculoskeletal conditions
• Pre- and post-surgery rehabilitation and recovery programmes
• Dance injury management and prevention programmes

Exercise Physiology

• Strength and conditioning for occupational, sports-specific or exercise-related activities
• Individualised or group-based training program for improvement of movement/exercise techniques, fitness and sports performance
• Fitness, performance, and injury prevention assessments
• Exercise training for weight management
• Exercise training for individuals with chronic disease

Exercise Testing and Assessments

• Kinematic gait analysis
• Functional movement screening
• Knee ligamentous laxity test
• Plantar pressure and balance assessment
• Isokinetic strength test
• Metabolic tests for weight loss and fitness
• Maximal (VO2 max) and submaximal exercise test

Other Corporate Services

• Sports medicine workshops, forums and talks
• Injury prevention and management workshops, forums and talks
• Exercise classes and programmes
• Dancers’ screening, injury management, prevention programmes
• Dance medicine workshops, forums and talks