Division of Orthopaedic Trauma
- Excellence in clinical services for musculoskeletal trauma and adult deformity correction
- Educate and Equip our medical students and Orthopaedic residents with up-to-date knowledge and training in Orthopaedic Trauma
- Establish an international presence in Orthopaedic Trauma research and exploration of emerging technologies
The Division of Orthopaedic Trauma was established within the department in 2003. The trauma service plays a key role in providing excellence in clinical service, continual education and frontier trauma research. We aim to provide an internationally recognized standard of care to our patients. Not only are we serving the general public of Hong Kong West Cluster; but we are also an established level 1 trauma centre, managing trauma diversions as well as the tertiary referrals for complicated trauma cases and adult deformity correction within Hong Kong. As such, the caseload and variation within our daily practice is immense and serves as an excellent learning opportunity for residents and oversea fellows. Quality assurance and improvement in the daily trauma services is a continual and ongoing process with weekly audits and grand rounds. Constant and regular assessment of patient clinical outcomes, clinical studies ensure future development and advancement.
- Geriatric Orthopaedic Trauma
Hong Kong is blessed with population longevity with the average lifespan being the longest in the world. With that, the geriatric population is immense. Yearly, our division handles around 400 hip fracture cases. The Division of Orthopaedic Trauma at Queen Mary Hospital introduced the Critical Clinical Pathway for Geriatric Hip fractures in 2007 with the collaboration of anaesthetics, internal medicine and allied health personnel. We aim to maintain international standards with operations within 48 hours done by dedicated trauma surgeons as well as bone health and future fracture prevention. This issue and mindset extends to all geriatric osteoporotic fractures including proximal humerus, distal radius, distal humerus, distal femur and peri-prosthetic/peri-implant fractures.
- Minimal Invasive Surgery
Minimally invasive surgery is now part of the standard management in our daily service whenever applicable. The preservation of soft tissue viability, careful handling of traumatized area and the utmost attention to the biology of bone healing have led us to achieve excellent results in fracture management reaching international standards. Our experience in minimally invasive surgery has been published in numerus international journals. The integration of modern technology and technological innovations remain one of our strongholds with the partnership with The University of Hong Kong. Computer navigation, patient specific instrumentation and robotic surgery is only few of the tools that are established. The use of augmented reality in surgery and 3D printing has become increasingly popular.
- Adult Deformity Correction
Our center is a tertiary referral hospital for complex trauma cases. Many of these challenging cases include post-traumatic infections and malunion and resulting adult deformities. With the adjunct of our 3D printing and modelling services, efficient and accurate workflow for corrective osteotomies with patient specific instrumentation with or without navigation surgery has become mainstay and effortless. The ever-growing caseload for complex deformity has developed our center as a recognized leader in this field.
- 3D Printing Services
The Tam Shiu Anatomical Modelling Laboratory was established in 2018, offering services across specialties and Hong Kong to utilize. We provide segmentation and modelling for complex pathoanatomical structural diseases. With three different polymer 3D printers, we can supply healthcare providers with various models for all purposes including surgical planning, teaching and innovation suited to their needs. We can also provide specialist consultation and surgical planning for Orthopaedic cases and for design of patient specific instrumentation and implants. Contact us for further information or via our online request platform.
3D Printing Services Online Request Contact information:
Dr Christian Fang: firstname.lastname@example.org
Representative Publications in Scientific Journals
- Leung F, Chow SP: A randomised prospective trial comparing Low Contact Dynamic Compression Plate and Point Contact Fixator in forearm fractures Journal of Bone and Joint Surgery, American vol., Dec 2003; 85: 2343-2348
- Leung F, Tu YK, Chew W, Chow SP: Comparison of External and Percutaneous Pin Fixation with Plate Fixation of Intra-articular Distal Radius Fractures: A Randomized Study Journal of Bone and Joint Surgery, American vol., Jan 2008; 90:16-22
- Leung F, Zhu L, Ho H, Lu W, Chow SP: Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate – a biomechanical study in a cadaveric model The Journal of Hand Surgery (British), vol 28B, 3, June 2003: 263-6.
- Leung F, Chow SP: Locking compression plate in the treatment of forearm fractures: a prospective study Journal of Orthopaedic Surgery 2006:14(3):291-4
- Leung F, Ozkan M, Chow SP: Conservative treatment of intra-articular fractures of the distal radius – factors affecting functional outcome. Hand Surg, Dec 2000, 5, No. 2, 145-153
- Leung F, Xiang Z: Locking Compression Plate fixation for periprosthetic femoral fracture Chinese Journal of Reparative and Reconstructive Surgery, 2, (16), March, 2002
- Leung F, Kwok HY, Pun TS, Chow SP: The use of Ilizarov external fixation in distal tibia fractures Injury 2004 Vol 35/3, 278-283
- Leung F: Editorial – Surgery for elderly wrist fractures: For better form or better function? Journal of Orthopaedic Surgery 2005:13(3):221-222
- Leung F, Paata G, Fung B, Chow SP: Arthroscopic assessment of soft tissue injuries in comminuted intra-articular fractures of the distal radius The Chinese Journal of Orthopaedic Trauma, March 2006, vol. 8 (3), 203-207
- Leung F: Editorial – What is the goal of surgical treatment of elderly distal radius fractures? The Chinese Journal of Orthopaedic Trauma, March 2006, vol. 8 (3), 201-202
- Lau TW, Leung F, Chan CF, Chow SP: Wound complication of minimally invasive plate osteosynthesis in distal tibial fracture Int Orthop. 2007 Jun 16; Epub ahead of print
- Lau TW, Leung F, Chan CF, Chow SP: Minimally invasive plate osteosynthesis in the treatment of proximal humeral fracture Int Orthop. 2007; 31: 657-664
- Wong MK, Leung F, Chow SP: Treatment of distal femoral fractures in the elderly using a less-invasive plating technique Int Orthop. 2005 Apr;29(2):117-20.
- Chow SP, Leung F: Trauma Care system in Hong Kong Injury Sep 2003;34(9):684-5
- Haroon R, Leung F, Lu W, Fung B, Chow SP: Biomechanical Evaluation of Plate Osteosynthesis for AO type C2 Fracture of the distal radius – a cadaver study Hand Surgery , Dec 2003, vol 8, no. 2
- Zhu L, Ho H, Lu W, Leung F, Chow SP: A cadaveric model for biomechanical study of fixation methods for AO type C2 fractures of distal radius: design and testing with dorsal plating fixation. Hand Surgery Dec 2002;7(2):279-83
- Zhu L, Ho H, Lu W, Leung F, Chow SP: A cadaveric model for biomechanical study in fixation methods for distal radius fracture of AO type C3. The Chinese Journal of Orthopaedic Trauma, Dec 2002, vol 4, no. 4
- Lu W, Zhu LJ, Ni G, Leung F, Chow SP: Five fixation methods for unstable intra-articular fractures of the distal radius: an in vitro biomechanical study using cadaveric model The Chinese Journal of Orthopaedic Trauma, March 2006, vol.8 (3), 208-211
Publication in Book Chapters
- AO Manual of Fracture Management: Internal fixators (LISS and LCP),Stuttgart, Thieme Verlag. Proximal Humeral fractures 6.1.7; Distal tibial fractures 10.2.4
- AO Manual of Fracture Management: Minimally invasive plate osteosynthesis (MIPO), Stuttgart, Thieme Verlag. Implants (Chapter 4); Reduction techniques (Chapter 7); Humerus, Proximal 11.2; Femur; Distal 15.2; Tibia and Fibula, Proximal 16.3