Head of Department YBhg. Dato͛ Dr Fazir bin Mohamad 
Phone 03-26156812   
Fax 03-26927281
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INTRODUCTION

Orthopedics by virtue is the study of the musculoskeletal system which includes the bones, joints, ligaments, tendons, muscles and nerves. The word 'ortho' means straight and pedic' means pais (children) in Greek. For centuries, the orthopedists have dealt with treatment of crippled children with crooked spines and other musculoskeletal deformities. Over time, the field has expanded to encompass a wide variety of musculoskeletal disorders in patients of all ages.

BACKGROUND

The Department of Orthopedics and Traumatology of Kuala Lumpur Hospital was previously part of the General Surgery Department until 1949. In 1958 the late Tan Sri Dr Abdul Majid Ismail, the first Malayan Orthopedic Specialist who officially led the establishment and self-administration of this department.

The department offers comprehensive professional services such as early treatment, conservative and surgery for patients with diseases / injuries / problems with the musculoskeletal system.

The development of orthopedic surgery in HKL (formerly known as HKL) took another new chapter when subspecialty was introduced under the leadership of Dato' Dr Muhd. Borhan Tan Abdullah since 1996 - 2005

Among the first subspecialties started were Paediatric Orthopedic Surgery, Spine Surgery, Arthroplasty Surgery and Sports Surgery.

Dr Zulkiflee Osman was the first orthopedic surgeon with subspecialty (Paediatric Orthopedic Surgery) to head the department from 2005 till 2010 before the baton was passed to the current chief Dato' Dr Fazir Mohamad (Spine Surgery).

It is noteworthy that up to date, the department is the only one in the country with established orthopedic subspecialties namely Spine Surgery, Arthroplasty, Arthroscopy and Sports Injury Unit, Hand Surgery, Pediatric Orthopedic Surgery, Orthopedic Oncology and Advance Trauma. Each of these units of expertise works together with each other.

The department also provides the services of General Orthopedic and Traumatology Specialist Clinics, Medicolegal Unit, Immobilization Unit (Plaster of Paris) along with other Clinical Support Services such as Diagnostic Imaging, Pharmacy, Physiotherapist and Occupational Therapists.

Currently, this department has six adult orthopedic wards (4 male wards and 2 female wards), three general operating rooms, one emergency operating room and one daily operating room.

VISION

Provision of professional and highest standard of quality care in Orthopaedic and Traumatology.

MISSION

1. To provide a comprehensive and efficient modern Orthopaedic and Traumatology services that is patient focused and cost effective aimed at optimal functional recovery of the patient while limiting disability

2. To further enhance training, research and development capabilities in the field of Orthopeadic and Traumatology.

3. To develop and maintain Orthopaedic Subspecialties at the department and other centers of excellence.

4. To maintain the status as the National Referral Center and into a Regional Referral Center.

OBJECTIVES AND FUNCTIONS OF DEPARTMENT

General Objectives

1. Introduce the Department of Orthopedic & Traumatology of Kuala Lumpur Hospital as a whole to new members.

2. Enhance awareness and understanding of the organization and functions of the department and further foster the practice of working as a team in the delivery of service quality.

3. Communicate the aspirations and goals of the department so that members can work and contribute towards those goals.

4. Improve understanding of the roles and responsibilities of members and subsequently engage effectively in the medical services system.

5. To provide knowledge on matters related to services and other things that a member needs to know.

Specific Objective

1. Provide high quality diagnostic, therapeutic and rehabilitation services to orthopedic and trauma patients.

2. Provide training services in the field of orthopedics and trauma to medical officers, paramedics and other staff.

3. Encourage and conduct research and development programs in terms of technology and manpower in the field of orthopedics and trauma.

4. As a national reference institution, providing consulting services, advice and patient treatment management for complicated cases.

CHARTER

1. All customers will be given friendly, sincere and considerate service.

2. All new cases will be given an appointment within 14 working days.

3. Patients will be given quality examination and treatment as well as meet the set standards.

4. Patients will be given a clear description of the procedure and treatment.

5. The patient will be examined by a doctor within 90 minutes from the time of registration if there is no other examination.

ORGANIZATION CHART OF ORTHOPAEDIC & TRAUMATOLOGY HKL

 

DEPARTMENTAL SERVICES

ORTHOPEDIC & TRAUMATOLOGY SPECIALIST CLINIC

The Orthopedic and Traumatology Clinic provides treatment services for new referral cases and immediate cases as needed. The clinic also provides repeat treatment services to patients who have been given an appointment date. The clinic operates in two different places. The main clinic is located at Jalan Dr Latiff, Wisma Kayu building and satellite clinic is at Specialist Complex and Ambulatory Care Centre (SCACC) at Jalan Pahang.

The Orthopedic and Traumatology Clinic service counter operates from 7.30 am to 5.00 pm. The examination of the patient by the doctor starts from 8.00 am until all patients have been examined.

Here are the treatment services provided

General Orthopedic & Traumatology Specialist Clinic

Orthopedic & Traumatology Specialist Clinic

A) Spine Clinic

i) This clinic offers services involving spinal cases / spinal cases such as cervical spine (including occiput), thoracic spine (anterior & posterior), and lumbosacral spine.

ii) Services offered are Degenerative & Trauma, Scoliosis Clinic and Spine Rehabilitation Clinic.

iii) Surgical treatment includes total disc replacement, lumbar spine interbody fusion, minimally invasive spine surgery, deformity correction, revision surgery, spinal injection therapy and so on.

B) Advanced Trauma Clinic

i) Treatment offered involves cases that require consultation, advice and intervention such as deformity correction after complex injury to the pelvic trauma, bone defect secondary to infection requiring limb lengthening & reconstruction (Ilizarov), complex intra articular trauma and so on.

C) Arthroscopy & Sports Injury Clinic

i) Services offered include injuries to joints especially due to sports or recreation involving lower limbs such as knees, ankles, hip joints while upper limbs such as shoulders and elbows, muscle and ligament injuries (broken / torn), injuries involving fractures bones due to sports, joint, muscle, ligament and tendon injuries due to road traffic accidents or workplace injuries.

ii) Surgical treatment of joints, ligaments, tendons and muscles is using arthroscopic or reconstructive techniques.

D) Sports Medicine Clinic

i) The services offered are non-surgical treatment for cases of injuries involving the musculoskeletal system, overuse injury and exercise related medical conditions.

ii) Diagnosis and treatment offered is using ultrasound (interventional diagnostic & therapeutic) for specific injuries. Other services include medicines, physiotherapy, support devices such as bracing / taping, injections and so on.

 E) Hand Upper Limb and Microsurgery Clinic

i) This clinic handles hand and upper limb problems including trauma, congenital, deformities, degenerative, reconstructive and tumor.

ii) Surgical treatment offered is through micro surgical techniques involving cases of trauma as well as reconstructive for cases involving injuries of blood vessels and nerves.

 F) Arthroplasty Clinic

i) The service involves the treatment of patients who need joint replacement surgery, especially the knee joint and hip joint.

ii) This unit also serves as a ‘Tertiary referral center’ for the treatment of patients who have acute and chronic complications after undergoing joint exchange surgery such as infection, prosthesis relaxation, ‘periprothesis fractures’ and so on.

 G) Oncology Orthopedic Clinic

i) Services provided include investigation, diagnosis, treatment, surgery and rehabilitation related to benign or malignant type tumor problems in the musculoskeletal system (bone / tissue) in adult patients as well as children.

 III. Clinical Support Unit services are also provided such as:

a. Diagnostic Imaging

b. Pharmacy

c. Physiotherapy

d. Occupational Therapy

A) Medical Training Center

1. Subspecialty Program Training Center

i) Arthroplasty

ii) Arthroscopy & Sports Trauma

iii) Hand Upper Limb & Microsurgery

iv) Spine

2. Oncology

i) Program Training Center (Postgraduate Course) Master of Surgery (Orthopedics)

ii) Housemenship Training Center.

iii) ILKKM Sungai Buluh Orthopedic Post-Care Practical Training Program Center for Assistant Medical Officers and Trained Nurses.

B) Courses Organized by the Department

i) Basic Life Support

ii) Occupational Safety and Health Course

iii) Central Paramedic Course HKL Cast and Traction

iv) Central Spine Course

v) Basic Knee Arthroscopy

vi) Basic Trauma Workshop

vii) Tendon Repair Course

C) Departmental Training

i) The department's weekly continuing education program every Thursday at Dewan Dato' Borhan. A variety of interesting topics are presented by physicians and chaired by consultants.

ii) Weekly radiology presentation on every Wednesday morning.

iii) Regular departmental meetings

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