At LifeSystems Chiropractic we strive to deliver excellence in quality health care in Singapore, by listening to, and discussing the concerns of each patient as an individual allows us to create a much needed, and trusted Doctor - Patient relationship, aimed at the well-being of our patients.
Our chiropractor, Dr Timothy...

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Isolated acetabular liner exchange is most often employed when dealing with progressive pelvic osteolysis in the presence of well-fixed and orientated implants. A liner exchange may also be required with isolated femoral component revision. Retention of the cup potentially simplifies the revision and minimizes damage to pelvic bone stock.
David Hedden,...

Revision total hip arthroplasty can be extremely challenging in the face of significant bone loss. Options for reconstruction vary from isolated liner exchange (with or without bone grafting) to the use of hemispherical cups with screws, bilobed cups, cages, or porous metal cups with or without augments. The existing bone...

Total knee arthroplasty (TKA) has clearly revolutionized the management of the arthritic knee patient and has a tremendous track record of success. One of the most devastating complications following a TKA remains the development of an infection. While estimates vary, the prevalence of peri-prosthetic infection is estimated at approximately 2%...

The reason total joint arthroplasty has gained wide-spread support is due to its successful long-term outcomes. This, along with its number one position in cost effectiveness, has propelled it to take a prominent role in health care.
Anything that drives up the cost (antibiotic cement) or potentially reduces the long-term outcome...

Routine thromboprophylaxis following elective hip and knee replacement surgery remains a controversial topic. No one disputes that patients undergoing these surgical procedures are at risk for deep vein thrombosis. The combination of stasis, endothelial wall injury and hypercoagulability are almost routine following this type of hip and knee surgery. It...

Since the original description of lateral epicondylitis by Runge in 18731, there has been controversy regarding the etiology, pathoanatomy and most appropriate methods of nonoperative and operative management. Although, commonly referred to as ‘tennis elbow' because of an initial association with lawn tennis, it can be caused by minor trauma...

Recently, the first oral direct thrombin inhibitor became available for the prevention of VTE in patients undergoing elective total hip or knee replacement surgery. Dabigatran etexilate (PradaxTM) is a prodrug of dabigatran, a highly specific inhibitor of both clot-bound and free thrombin that can be used in both the hospital...

Despite improvements in surgical technique, anesthesia and postoperative care, venous thromboembolism (VTE) remains a significant risk in hip and knee replacement surgery. Symptomatic VTE is seen, even with prophylaxis, in at least 1 to 2% of patients and the risk extends into the months following hospital discharge.
William D. Fisher, M.D.,...

Rationale for Routine Thromboprophylaxis in Major Orthopaedic Surgery
Because venous thromboembolism (VTE) is one of the most common complications following major orthopaedic surgery and is associated with both short- and long-term morbidity and occasional fatal outcome, routine prophylaxis has been the key to reducing the burden of this disease for more...

Lateral epicondylitis or "tennis elbow" is a common cause of pain in today's active population. Not isolated to athletes in racquet sports, it is often seen in manual labourers and those whose occupation involves repetitive wrist extension and alternating supination and pronation. Although a common injury, the optimal treatment for...

The ACL is probably the most commonly ruptured ligament in the knee. A full rupture is usually treated with surgical reconstruction followed by extensive rehabilitation. Here, respected orthopaedic surgeon Mr Richard Villar, discusses the procedure.

The Foot Doctor can provide treatment for a wide variety of foot diseases like bunion surgery, bunionectomy, ingrown toe nail as well as other foot related problems.