Dr Tze Chwen Lim 子淳医生

09/11/2025

06/11/2025

关于骨科伤口处理的简单总结

1. 骨科也管伤口吗？

· 管！ 尤其是那些伤到骨头、筋、韧带的重伤（比如车祸、摔伤），骨科医生是专家。

2. 处理伤口的关键几步（通用法则）：

· 清创（最最重要）： 把伤口里的脏东西、死肉彻底清理干净，防止感染。
· 固定： 如果骨头断了，必须先把它固定住（用石膏、钢板等），伤口才能长好。
· 覆盖： 用缝合、植皮等方法把伤口保护起来。
· 抗感染： 根据需要用药防止感染。

3. 为什么需要耐心？

· 愈合时间差别很大：
· 小伤口：几天就好。
· 伤了筋骨：需要几周甚至几个月。
· 恢复速度取决于：年龄、营养、有没有其他病（比如糖尿病）、伤口位置等。

核心思想：
骨科处理伤口是个“技术活”，不光要治表面的伤，更要治好皮下的骨头和软组织。只要方法正确、耐心坚持，大部分伤口都能顺利愈合。

💛💛💛💛💛💛💛💛💛🧡🧡🧡🧡🧡🧡🧡🧡🧡
Simple Summary of Orthopedic Wound Care：～

1. Do Orthopedic Doctors Handle Wounds?

· Yes! They specialize in serious wounds that involve bones, tendons, or ligaments, like those from car accidents or falls.

2. The Key Steps to Handle a Wound (The Basic Rules):

· Cleaning (Debridement - Most Important): Thoroughly remove dirt, debris, and dead tissue from the wound to prevent infection.
· Stabilization: If a bone is broken, it must be fixed first (with a cast, plate, etc.) for the wound to heal properly.
· Covering: Protect the wound by closing it with stitches, a skin graft, or a bandage.
· Preventing Infection: Use medications like antibiotics if needed to fight infection.

3. Why You Need Patience:

· Healing Time Varies a Lot:
· Small wound: A few days.
· Injury involving bone or soft tissue: Can take weeks or even months.
· Healing speed depends on: your age, nutrition, other health problems (like diabetes), and the wound's location.

The Main Idea:
Orthopedic wound care is specialized.It's not just about the skin; it's about fixing what's underneath (bones, tendons). With the right treatment and patience, most wounds can heal well.

30/10/2025

After decompression,can see the dural is more space and movable.

Then we can proceed for discectomy.

Direct visualise the dural.

Risk of injury of nerve could be prevented.

减压后可见硬脊膜空间增大且活动度改善。

随后可进行椎间盘切除术。

直接直视下观察硬脊膜。

可有效规避神经损伤风险。

#微创手术

21/10/2025

What patient say after endoscopic surgery for disc pr*****ed?
3 days after operation...

开刀后，病人怎样说呢？
微创手术
椎间盘突出，切除手术

小小的伤口
快快的复原

20/10/2025

Happy Diwali to those who are celebrating. 🥳🥳
And
Happy Holiday.

18/10/2025

Endoscopic spine surgery Cadaveric Workshop by Malaysia Spine Association and Malaysia Endoscopic Spine Surgery.

It was Fruitful event.
Meet up with Prof Park from Korea,Dr Lim Heng Hing, Dato Dr Oh, Dr Lim Sze Wei, Dr Aaron.
Learning from Expert will short cut my journey to succeed.

Thank you Academy For Silent Mentor.

16/10/2025

Thank you Malaysia Spine Society (MSS) and Malaysia Society of Endoscopic Spine Surgery (MSESS) for organizing the Endoscopic Spine Surgery Cadaveric Workshop at the Academy for Silent Mentor, Kuala Lumpur, on 12 & 13 October.

Great to meet up everyone there. 😀

Day 1 lecturer.

07/10/2025

Many people ask me...
How long to take for them to start walking after hip replacement surgery.

很多人问：
做完换髋关节手术了，多久能走路？

this is day 4 video after operation by patient.

这是第四天开刀。

Post operation rehabilitation.
康复训练中

03/10/2025

Big disc pr*****ed and compressed on nerve which causing right lower limb weakness and foot drop. Patient experincing severe pain till unable to lye flat. MRI showed severe disc prolapse causing spinal cord compression. Emergency operation carry out to relieve the pain.

这就是传说中的椎间盘
白白带点红
病人的背很痛，右脚没力走路了。
手术成功把突出的椎间盘拿出了。

01/10/2025

Total hip replacement was perform successfully for a patient come from .
Thank you for your trust.

成功为来兰卡威病人换髋关节手术。
今天出院了🫡
谢谢你的相信

25/09/2025

Avascular necrosis of hip
Operated left side

Today right side going for right side.

This condition always affect both side of hip

换关节手术

#股骨头缺血性坏死

髋关节痛