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Orthopaedic Oncology & Reconstructive Units

ORTHOPAEDIC ONCOLOGY & RECONSTRUCTIVE UNIT

Introduction
 
Orthopaedic Oncology Reconstructive Unit is a major division in orthopaedic department specialties in Universiti Sains Malaysia and became a national referral since 1995. Our unit is designed to train future orthopaedic surgeon dedicated to the study of the musculoskeletal tumour mainly involving upper limb, lower limb or pelvic region.The residents play an integral role in education by contributing and organizing weekly conferences, anatomy labs, and informal resident teaching sessions. Apart from that, to provide optimal patient care, we work closely with many other health specialists, including plastic reconstruction team, anaesthetists and anaesthetic physicians' assistants, theatre staff, nursing staff, and radiologists.
 
Objective
  • To develop interest in solving clinical and basic science problems in the field of musculoskeletal tumour surgery
  • To develop patterns of lifelong learning about the field of musculoskeletal tumouras well as an interest in making contributions to this field of knowledge.
  • To spread information and updates to undergraduates, postgraduate students, USM staff, other medical practitioners and the public by organizing and carrying out activities in the field, which consists of seminar, discussions, forums, courses and workshops
  • To produce orthopaedic surgeons who are technically competent in managing musculoskeletal tumour as well as the overall well-being of their patients.
  • To have our residents become leaders in the orthopaedic oncology field in the future.
 
Vision and Mission
  • To provide high quality training in the field of orthopaedic oncology with an internationally recognised high standard of competence and knowledge.
  • To perform useful and high quality research, related to the field of orthopaedic oncology, which may aid in advancing knowledge and outcomes in the field, both locally and internationally.
  • To provide expertise and high quality care for all patients, with conditions associated with musculoskeletal tumour with a comprehensive approach.
 
Activities:
 
1.      Yearly Meetings and Workshops
  • International Pelvic Sarcoma Workshop
  • National Orthopaedic Oncology Review Course
  • Orthopaedic Oncology Introduction Course 
 
2.      Cyclic Lectures
 
Weekly:
  • Case presentations
  • Radiology and oncology conference
  • Preoperative orthopaedic oncology discussion
  • Grand ward round
 
Montly:
  • Pathology conference
  • Journal Club presentation
 
Quarterly:
  • Morbidity & Mortality
 
Periodic:
  • Question review
 
 

3.      Clinical Services:
We have an established plastic reconstruction team that involves in free tissue transfer, vascularised fibular graft and major free flap procedures for tumour reconstruction. Our oncologists are experienced with latest development of chemotherapy and radiation therapy, intraoperative brachytherapy in selected sarcoma cases.
 
  • Elective and emergency service for all musculoskeletal tumours
  • Orthopaedic oncology Outpatient Clinic
  • A wide range of outpatient procedures
 
Elective OT : twice a week with more than 200 major and 300 minor orthopaedic
                       oncology case per year
 
Clinic           : twice a week
 
Some of musculoskeletal tumour operation performed in our centre:
  • Soft tissue sarcoma resection
  • Bone tumour resection and reconstruction
o   Endoprosthesis
o   Allograft
o   Allograft prosthesis composites
o   Vascularised autograft/flap
  • Metastasis surgical reconstruction
  • Pelvic tumour resection and reconstruction
  • Chemoport insertion
  • Biopsy, excision of lump and bump
  • Other simple orthopaedic procedures
 
4.      Orthopaedic Oncology Fellowship Programme
 
Surgery :
Fellows are encouraged to participate actively in department activities. You can scrub and assist all surgeries with the permission of surgeon. We will arrange a session with the OT sister for you to familiarise with local discipline and procedures
 
Research:
Fellows are encouraged to do short research in orthopaedic oncology for the short stay. You can publish the result our Malaysia Orthopaedic Journal or your local journal. We will arrange for a detail review for fellow who will stay longer with us. Log book must be completed upon completion fellow training. Tis is compulsory for certification for your training programme.