OUR 24 HRS TTSH SPECIALIST MAY • 2009

ARTHROSCOPY SERVICES AT TTSH

APPOINTMENT HOTLINE
Arthroscopy literally means visualizing the joint (arthros: joint, scope: to see).
ARTHROSCOPY
SERVICES AT TTSH Call 9666 6698+ In essence, artroscopy involves introduction of a thin telescope into the joint through small openings in the skin
called portals, and directly visualizing the interior of the joint on a screen.

for your direct access privileges: In hand surgery arthroscopy, particularly that of the wrist has become a valuable and useful tool for the surgeon
over past two decades. It allows diagnosis of pathologies within the joint and also allows the surgeon to carry out
• Specialist Appointments some therapeutic procedures (also referred to as minimally invasive surgery), without the need for a large open
• Direct Ward Admissions procedure, enhancing patient comfort and shortening the recovery time.
• Physiotherapy
• Occupational Therapy This procedure is commonly used in ligament injuries of the wrist and establishing the diagnosis in chronic
wrist pain.
• Dietetics & Nutrition
• Podiatry Recently, with development of smaller scopes arthroscopy has also been extended to smaller joints in the thumb
9666 6698 • Speech Therapy and fingers.
ORTHOPAEDIC SURGERY • Smoking Cessation Programme
CLINIC
• Weight Management
Programme

Other options at your fingertips:

Tel 6357 8000 8am - 9pm (Mon - Fri)
8am - 3pm (Sat)
Fax 6357 7011 / 7001* 24 Hours Daily
GET TO KNOW OUR Email gp@ttsh.com.sg* 24 Hours Daily
TFCC tear seen though the Arthroscopic repair of TFCC. Arthroscopic repair of TFCC. Completed repair of TFCC.
HAND & MICRO Voice Mail* 24 Hours Daily arthroscope.
SURGERY SPECIALISTS
+ Please note that the above appointment number applies for
About Dr Amitabha Lahiri
Dr Amitabha Lahiri passed his post-graduate
TTSH patients only.
For NNI appointments, please call 9637 9718.
surgical examination (FRCS Edinburgh) in 1998. Contact Us
He was trained in hand and microsurgery as a fellow
* All enquiries through email, fax and messaging services will be at the Department of Hand and Reconstructive Direct Appointment
replied the next working day. ARTHROSCOPY SERVICES AT TTSH Microsurgery, National University Hospital Hotline
Singapore, following which he joined the hand surgery service at the

ENDOSCOPIC CARPAL TUNNEL RELEASE SURGERY

Department of Orthopaedic Surgery Tan Tock Seng Hospital as a
registrar in 2004, and completed his Advanced Specialist Training in
9666 6698
Hand Surgery in 2008. His areas of interest are microsurgery in hand Fax: 6357 7011
reconstruction and wrist biomechanics. He has published research papers
on peripheral nerve surgery and developed new models for microsurgical
Email: gp@ttsh.com.sg
GET TO KNOW OUR HAND & MICRO
9666 6698 SURGERY SPECIALISTS
training.

DIRECT APPOINTMENT
HOTLINE
HP-BDU-ED-MAY-09-1.5K OUR WARD CHARGES
159/04/2009
 Figure 1a

ENDOSCOPIC CARPAL TUNNEL GET TO KNOW OUR TEAM OF EVENING CLINICS

RELEASE SURGERY HAND & MICRO SURGERY
ENDOSCOPIC CARPAL
SPECIALISTS In our effort to meet the needs of patients who are unable
to come during the day, several TTSH Departments TUNNEL RELEASE
Background We are pleased to present our team of Hand & Micro
have extended their clinic operating hours to run from SURGERY
6pm - 9pm, by appointment only.
Carpal tunnel syndrome refers to the entrapment Surgery specialists who will be able to assist you
neuropathy affecting the median nerve at the with your Hand & Micro Surgery medical enquiries.
DEPARTMENT AVAILABILITY OF LOCATION
carpal tunnel. For any other feedback, our friendly officer for GP NIGHT SESSION
Relations, Mr Wang Xun Wu would be most happy Eye Monday to Friday TTSH Eye Centre,
Figure 1 Figure 2
to assist. Level 1
Patients present with pain and numbness in the
He is contactable at 6357 2536 or General Surgery Tuesday Clinic B1B, Level B1
median nerve distribution, with or without weakness
of the thenar muscles. gp@ttsh.com.sg Urology Tuesday Clinic B1B, Level B1
Orthopaedic Tuesday Clinic B1B, Level B1
Name: Dr Winston Chew Yoon Chong Surgery
Clinical Examination Designation: Senior Consultant & Head ENT Monday, Wednesday
and Thursday
ENT Clinic, Level 1
Credentials: MBBS (S’pore), M.Med (Surg) (S’pore)
Examination reveals sensory changes affecting the
radial three and a half digits, with or without thenar
FRCS (Edin), FRCS (Glasg), FAMS (Ortho) Physiotherapy Monday, Wednesday
and Thursday
B1, Level B1
9666 6698
ORTHOPAEDIC SURGERY
muscle weakness and atrophy. Name: A/Prof Teoh Lam Chuan CLINIC
Nerve conduction studies to support the diagnosis Designation: Senior Consultant
may be performed. Credentials: MBBS, FRCS (Glasg), FAMS, M.Med (Surg)

Figure 3
Treatment Options Name: Dr Yong Fok Chuan
Conservative treatment, comprising of splinting, Designation: Senior Consultant
Credentials: MBBS, FRCS (Glasg), FAMS
activity modification and Vitamin B complex may be
offered in the early, initial stages.
However, in the recalcitrant, intermediate to advanced Name: Dr Tan Puay Ling
stages, that are not responsive to conservative Designation: Consultant GOOD TO GREAT
Credentials: MBBS, MRCS(Edin), M.Med (Surg), FAMS
management, surgery should be offered before PARTNERSHIP
Note: Prices quoted are inclusive of 7% GST and have been rounded up to the nearest dollar.
irreversible nerve damage occurs. (Figure 1) Prices are subjected to change without prior notice.

Name: Dr Amitabha Lahiri

Endoscopic vs Open Carpal Tunnel Designation: Associate Consultant

Release
Credentials: MBBS, FRCS (Edin)
Figure 4
Traditionally, open carpal tunnel release involved
a 3 to 4 cm incision in the palm. With the advent of Contact Us
endoscopic carpal tunnel release (See figure 2), only About Dr Tan Puay Ling Direct Appointment
Dr Tan Puay Ling graduated from the National University of Singapore in 1998. She completed her advanced
a 1cm incision at the proximal wrist crease is required.
(See figure 3 & 4). This allowed earlier return to work
specialist training in Hand Surgery in 2006 and subsequently went on to complete a fellowship in Microsurgery Hotline
in the internationally renowned Chang Gung Memorial Hospital in Linkou, Taiwan. Dr Tan’s areas of interest
and normal activities, as well as providing a better include microsurgery, limb salvage and reconstruction as well as paediatric hand surgery. She is currently a 9666 6698
aesthetic appearance to the patient. visiting consultant in the Department of Orthopaedic Surgery, KKWCH. Dr Tan has also written numerous
research papers in international journals and presented at various local and international scientific meetings. She is also actively Fax: 6357 7011 9666 6698
DIRECT APPOINTMENT
involved in the teaching and mentoring of students in the undergraduate medical training programme. Email: gp@ttsh.com.sg HOTLINE