1.Arthroscopic Resection of The Distal Clavicle With Concomitant Subacromial Decompression: A Case Series
HZ Chan ; CL Ooi ; MY Lim ; EKS Ong ; Zulkiflee O
Malaysian Orthopaedic Journal 2014;8(2):59-62
Shoulder impingement syndrome and acromioclavicular
joint osteoarthritis often occur simultaneously and
easily missed. Kay et al. reported excellent results with
combined arthroscopic subacromial decompression and
resection of the distal end of the clavicle in patients with
both disorders1
. Arthroscopic treatment of these disorders
produces more favourable results than open procedures.
We report two patients who were not responding to
conservative management and were treated with direct
arthroscopic distal clavicle excision and subacromial
decompression in single setting. Both patients gained good
postoperative outcome in terms of pain score, function and
strength improvement assessed objectively with visual
analogue score (VAS) and University of California Los
Angeles Score (UCLA).
Osteoarthritis
2.Concurrent Utero-Vaginal Prolapse with Cervical Angiomyofibroblastoma: A Rare Disease with Distinct Entity
Lee CL ; Ng BK ; Nurismah MI ; Chew KT ; Aruku N ; Lim PS
Journal of Surgical Academia 2015;5(2):58-61
We report the case of a rare, benign mesenchymal tumour arising from the cervix. A 53-year-old post-menopausal
woman presented with mass per vagina. Examination revealed stage 2 utero-vaginal prolapse and multiple elongated
polyps seen at the cervix. She underwent local excision. Histopathological examination findings and the
immunohistochemical studies were consistent with Angiomyofibroblastoma.
Uterine Prolapse
3.Implementation of a Proactive Nutrition Protocol Improves Enteral Nutrition in Mechanically Ventilated Patients Admitted to the Neuro-Intensive Care Unit.
Beatrice Cl LIM ; Chin Ted CHONG ; Sean LIM
Annals of the Academy of Medicine, Singapore 2016;45(9):416-420
Brain Injuries, Traumatic
;
therapy
;
Clinical Protocols
;
Enteral Nutrition
;
methods
;
statistics & numerical data
;
Female
;
Humans
;
Intensive Care Units
;
standards
;
Male
;
Middle Aged
;
Nutrition Policy
;
Nutrition Therapy
;
methods
;
standards
;
Respiration, Artificial
;
Retrospective Studies
;
Treatment Outcome
4.TB Spondylodiscitis With Bilateral Psoas Abscess In Young Female Medical Officer: A Case Report
Hasni MH ; Lim SW ; Lim CL ; Kanniah T ; Zuki Z
Malaysian Orthopaedic Journal 2018;12(Supplement A):159-
5.Predictive Factors of Major Lower Extremity Amputations in Diabetic Foot Infections: A Cross-sectional Study at District Hospital in Malaysia
Kow RY ; Low CL ; Ruben JK ; Zaharul-Azri MZ ; Lim BC
Malaysian Orthopaedic Journal 2019;13(3):45-52
Introduction: Diabetic foot infection, a complication which can lead to lower limb amputation, is a major source of morbidity and mortality in Malaysia. The objective of this study was to determine the predictive factors of major lower limb amputation among patients with diabetes mellitus in a cluster of three district hospitals in Pahang, Malaysia. Materials and Methods: This cross-sectional study involved 170 patients who had undergone surgical interventions for diabetic foot infections at three district hospitals from 1st of September 2014 to 31st December 2015. The predictors for major amputation of lower limb were determined using simple logistic regression (LR) and forward LR multiple logistic regression. Results: A total of 21 patients had undergone major amputations of lower limb (15 transtibial and 6 transfemoral). The following factors were associated with major amputation of lower limb; longer duration of disease, age ≥ 60 years, patients from Bentong Hospital, presence of hypertension, presence of fever, history of multiple limbsalvaging surgeries, monomicrobial culture, necrotising fasciitis, anemia and leukocytosis. Upon forward LR multiple logistic regression, only duration of disease, history of more than three previous limb-salvaging surgeries and total white blood cell count ≥15X109/L were found to be significant as predictive factors of major amputation of lower limb. Conclusion: Among the factors analysed in this study, a longer duration of disease, raised total white blood cell count and history of more than three limb-salvaging surgeries were identified as predictors for major amputation of lower limb in diabetic foot infections using stepwise logistic regression analysis.