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ABOUT HAND UNIT

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"Formed in the spirit of dynamic growth, education and intellectual pursuits."

The unit has been accepting hand and microsurgical patients since it was started, in the early 1990’s. It was one of the earliest subspecialities of Orthopaedic Surgery.

 

We were the first to start seeing minor injuries to the hand separately, in the 1980s, calling it the Minor Injury Clinic. The problems seen in the clinic became more and more complex. Many distinguihed visitors were invited to give their opinions on these cases.

 

This became the Hand and Microsurgery Clinic in 1993 and at the same time a separate on call team was formed to deal with Hand and Microsurgery emergencies. This was a first for the country, where other centres saw all patients, including those with hand and microsurgery problems, in the same clinic as all other orthopaedic patients.

The current team is led by Assoc. Prof. Dr. Jayaletchumi Gunasagaran together with Dr. Khoo Saw Sian. Prof. Dato’ Dr. Tunku Sara Tunku Ahmad Yahaya has retired and now acts as Honorary Professor and Visiting Specialist. Prof. Dr. Tunku Kamarul Zaman Tunku Zainol Abidin is at present seconded out.

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We cooperate with the other units in the orthopaedic department such as Oncology, Foot and Ankle, Paediatric Orthopaedics and others. We also work with teams from the other departments such as Plastic Surgery, Oral Maxillofacial, Cardiovascular Surgery, Rehabilitation Medicine and Rheumatology.

 

With development of NOCERAL, we plan to improve and standardise our Basic Microsurgery Course. We plan to recruit more staff and run more super specialised clinics. We also plan to supervise more Masters and PhD students (by research) and run more world class research projects, leading to more and better quality publication.

OUR STAFF

01

/  VISITING LECTURER/
CLINICAL FELLOW

02

Visiting Lecturer/Clinical Fellow​

  1. Dr. Tracey Claire Horton (United Kingdom) - 2005

  2. Dr. Sikandar Hayat (Pakistan) - 2004/ 2005

  3. Dr. Hermansyah (Indonesia) - 2005

  4. Dr. Simon Tan (United Kingdom) - 2006/ 2007

  5. Dr. Palani Ramasamy (Malaysia) - 2007

  6. Dr. Fuat Malkoc (Turkey) - 2007/ 2008

  7. Dr. Chuah Chee Kheng (Malaysia) - 2008

  8. Dr. Avthar Singh (Malaysia) - 2008

  9. Dr. Al Ameen Salim Mohammed (Sudan) - 2008/ 2009

  10. Dr. Rashdeen Fazwi Muhammad Nawawi (Malaysia) - 2009

  11. Dr. Anthea Rebecca Davy (United Kingdom) - 2009/ 2010

  12. Dr. Siamak Sarrafan (Iran) - 2011/2012 - 2013

  13. Dr. Ruban Sivanoli (Malaysia) - 2012

  14. Dr. Elhadi Abdelrahim Abdelrahman Mohammed (Sudan) - 2012

  15. Dr. Agus Roy Rusly Hariantana Hamid (Indonesia) - 2015

  16. Dr. Khalid Mahmoud Bitar Ajman (Syrian Arab Republic) - 2015/ 2016

  17. Dr. Ahmed Suparno Bahar Moni (Bangladesh) - 2016/ 2017

  18. Dr. Muhammad Ridwan Mirza Asfian (Malaysia) - 2016/ 2017

  19. Dr. Yuanita Safitri Dianti (Indonesia) - 2018

  20. Dr. Jon Yul Chun Chua (Malaysia) - 2018/ 2019

  21. Dr. Abdulmuhsen Nazal Ibraheem Alshammari (Saudi Arabia) - 2019

  22. Dr. Dewi Fibrini (Indonesia) - 2020

  23. Dr. Seti Aji Hadinoto (Indonesia) - 2022

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Microsurgery Training

  1. Dr Firdaus Hariri (Malaysia) - 2014

/  OUR STAFF

ACADEMIC STAFF

  1. Prof. Dato’ Dr. Tunku Sara Tunku Ahmad Yahaya MBBS (Lon), FRCS (Glasg), Eur Dip Hand Surg

  2. Prof. Dr. Tunku Kamarul Zaman Tunku Zainol Abidin Dip. Sc (Tissue Bank) (NUS, Sing), MD (UKM), MOrthSurg (UM), PhD (Liv, UK)

  3. Assoc. Prof. Dr. Jayaletchumi Gunasagaran MBBS, MS Orth (UM)

  4. Dr. Khoo Saw Sian MBChB, MS Ortho (UM)

  5. Dr. Aw Wai Onn MBBS, MS Ortho (UM)

 

MICROSURGERY INSTRUCTOR / MEDICAL LABORATORY TECHNOLOGIST

  1. Balqis Mappiare BSc (USM), MMedEd (UM)

 

RESEARCH ASSOCIATE

  1. Nor Izzati Ab Razak BSc (UTM), MMedSc (UM)

OUR SERVICES

/  PATIENT CARE

01

  • We run a hand and microsurgery clinic. We have Brachial Plexus Injury clinic on every last Thursday of the month and post-op wound care clinic on every Thursday morning. We also run combined clinic with other specialities; Tetraplegic clinic for hand, Vascular Access clinic, where specialists, trainees, occupational therapist and physiotherapist interact to produce best results. We also plan to extend combined clinics to other subspecialties.

  • We treat an average of 500 patients with hand problems in our clinic monthly. We receive referrals not only around Klang Valley but from the whole of Malaysia, even South East Asia and internationally.

  • We perform elective hand surgery, day surgery, minor surgery and emergency surgery. We operate on average of 15 major cases, 20 daycare cases, 40 minor cases and 50 of emergency hand cases a month. We also provide AV fistula creation for renal dialysis patients.

/  FACILITIES

02

  • Our unit has a well equipped operation theatre with complete microsurgery set, magnification loupes, microscope, image intensifier and wrist arthroscope.

  • A well equipped hand rehabilitation unit with experienced staff, both occupational and physiotherapists.

/  RESEARCH

03

  • Actively involved in basic science, clinical and cadaveric research.

 

PUBLICATIONS:

2024

2023

2022

2021

2020

2019

2018

2017

2016

2015

2014

2013

 

Achievement: The most active longest running clinical hand unit in the country providing up-to-date comprehensive service.

04

/  TEACHING & TRAINING

  • As part of the orthopaedic department we are actually involved in teaching medical and dental students. We are also involved in post basic nursing diploma teaching.

  • Training of local and international Masters of Orthopaedic Surgery students.

  • As a centre of training for hand and microsurgery subspecialty fellowships, nationally and internationally.

/  COURSES

05

  • We run continuous basic microsurgery courses for doctors including masters students to provide basic knowledge and skills in microsurgery with “hands-on” anastomosis on models and animals.

  • We collaborate closely with Malaysian Society for Surgery of the Hand and Malaysian Orthopaedic Association.

  • We run training in other facets of hand surgery when necessary.

/  SPECIAL INTEREST

06

  • We are experts in the treatment of acute and hand trauma which is very common in the country.

  • Brachial plexus surgery – We are a centre actively involved in complete reconstruction of brachial plexus at all stages and ages.

  • We are treating a significant amount of congenital hand problems.

  • We treat and reconstruct degenerative and inflammatory hand disease, congenital hand problems and all other facets of hand surgery.

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