At-a-Glance

When I completed my orthopaedic posting, I was drawn to the precision and relative predictability of orthopaedic surgery. What excites me most is the breadth of the specialty. I enjoy the biomechanics underlying the function of muscles and joints, the engineering principles involved in implant design, and the physics and geometry that influence fracture patterns. Orthopaedics brings together multiple disciplines in a uniquely fascinating way, and I consider it both a privilege and a joy to build a career in this field.

If they are experiencing hip or knee pain which persists beyond a week of rest, or if they are experiencing some limitation in mobility and function, then they should consider consulting an orthopaedic specialist.

I make a conscious effort to stay current with advances in orthopaedics by regularly reviewing publications in leading orthopaedic journals and attending conferences and professional meetings. I also participate in courses on emerging techniques and implant technologies to ensure that my knowledge and skills remain up to date.

I believe my role extends beyond that of an expert advisor. I see myself as a guide and collaborator, working alongside my patients to achieve the best possible outcomes. My approach is to provide clear, evidence-based recommendations and professional opinions, while also taking the time to understand each patient’s goals, values, and personal circumstances. Together, we can determine the treatment plan that best meets their individual needs.

I remember an elderly patient who had an infection of her knee prosthesis many years after her initial surgery. She underwent many surgeries before the infection could be cleared. It was an arduous journey though eventually she managed to walk independently. Even though the cause of infection was likely due to spread through the bloodstream from other organs, however it did make me become an extra careful surgeon who watches out for breach of sterility during the surgery process.

The most frequent misconception is that patients think they cannot walk after a knee or hip replacement. The truth is that patients generally can start walking within the same day or by the next morning after their knee or hip replacement. In the clinic, we have videos of our previous patients walking after their knee or hip replacements.

Another common misconception is that one cannot squat or kneel after a knee replacement. The truth is that the knee implants that we use allow up to 150 degrees of bending angle, so the implants do not prohibit deep bending of the knees.

Another concern is of implant loosening with physical activities. The implants are designed in such a way that they fit snugly with precisely-placed bone cuts, much like how Lego blocks fit. In addition, strong bone cement is applied between the bone surfaces and the implants, mating them together. This is why we can allow patients to resume physical activities like brisk walks and slow jogs after joint replacement surgery.

Time and effective communication. I think it is important to give time for a discussion about a surgery that involves placing a prosthesis in a major weight-bearing joint for the next 20-30 years of a person’s life. There should be sufficient time not just for me to deliver the information, but also time for that information to sink in, to allow time for the patient to reiterate the information from his/her own understanding. And also allow time for the patient to ask questions and to convey his/her concerns. This may sometimes take 2 to 3 consultations.

I think it is important to prioritise my health so I set aside at least 30min every day for exercise. This keeps me energised and keeps my mind fresh for the day.

I also enjoy engaging people from different walks of life and read about a wide range of topics so that I can better engage and connect with my patients.

AI-assisted generation of small proteins or peptide drugs which can slow down or halt the deterioration of cartilage, would be a gamechanger. However I suspect this may take a decade or so.

Moderate intensity activities and consistent strength training can help preserve our joints. Anyone with persistent pain and swelling of the joint beyond 2 weeks, should seek consultation with a doctor for further evaluation.