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Advanced Musculoskeletal Trauma Surgery

Specialist Care for Complex Bone, Joint and Musculoskeletal Injuries

Musculoskeletal injuries can range from straightforward fractures to complex trauma involving the bones, joints and surrounding soft tissues.

At Sunway Medical Centre Velocity, our Advanced Musculoskeletal Trauma Surgery service provides specialist assessment and treatment for acute injuries, complex fractures and musculoskeletal trauma that may require advanced orthopaedic care.

Treatment is tailored according to the type and severity of the injury, the patient’s overall health and functional needs, with the aim of supporting healing, restoring mobility and helping patients return safely to daily activities.

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What Is Musculoskeletal Trauma?

Musculoskeletal trauma refers to injuries affecting the body’s bones, joints, muscles, ligaments, tendons and supporting structures.

These injuries may occur following:

  • Falls

  • Road traffic accidents

  • Sports injuries

  • Workplace injuries

  • Direct impact or trauma

  • High-energy accidents

  • Repeated injury to a previously affected area

Some musculoskeletal injuries can be treated without surgery, while complex fractures and joint injuries may require surgical treatment.

Conditions We Treat

Our orthopaedic trauma service evaluates and manages a wide range of musculoskeletal injuries.

Complex Fractures

Fractures involving multiple bone fragments, joints or surrounding structures may require specialist treatment to restore stability, alignment and function.

Upper Limb Injuries

Injuries affecting the shoulder, arm, elbow, forearm, wrist and hand.

Lower Limb Injuries

Injuries affecting the hip, thigh, knee, lower leg, ankle and foot.

Joint Injuries and Fracture-Dislocations

Trauma may affect both the bone and the alignment or stability of the joint.

Pelvic and Acetabular Fractures

Complex injuries involving the pelvis or acetabulum, or hip socket, may require specialised assessment and surgical planning.

Open Fractures

An open fracture occurs when a broken bone is associated with an open wound. Prompt medical assessment is important because of the risk of infection and surrounding soft-tissue injury.

Multiple Musculoskeletal Injuries

Major trauma may cause injuries to several bones or joints at the same time and may require coordinated multidisciplinary care.

Fractures That Do Not Heal Properly

Some fractures may heal slowly, fail to unite or heal in an abnormal position.

This may include:

Non-union
A fracture that does not heal as expected.

Malunion
A fracture that heals in an incorrect position or alignment.

Post-Traumatic Joint Problems

Previous injuries may lead to persistent pain, stiffness, instability or reduced movement.

Advanced Musculoskeletal Trauma Treatment

Treatment depends on the location, type and severity of the injury.

Your orthopaedic trauma specialist may recommend:

Fracture Fixation

Surgical fixation may be used to stabilise broken bones using appropriate implants such as plates, screws, rods or other fixation systems.

Complex Fracture Reconstruction

More complicated injuries may require reconstruction to restore bone alignment, joint stability and limb function.

Minimally Invasive Fracture Surgery

Where appropriate, minimally invasive techniques may be considered to stabilise selected fractures while reducing disruption to surrounding soft tissues.

Revision Trauma Surgery

Patients who continue to experience problems following previous fracture treatment may require further assessment and, where appropriate, corrective or revision surgery.

Treatment for Non-Union or Malunion

Specialist treatment may be considered when a fracture has not healed properly or has healed in an incorrect position.

Joint and Soft-Tissue Reconstruction

Some injuries may affect not only the bone but also cartilage, ligaments, tendons and other structures surrounding the joint.

Rehabilitation After Musculoskeletal Trauma

Recovery may continue beyond the initial treatment or surgery.

Physiotherapy and rehabilitation may help patients improve:

  • Strength

  • Joint movement

  • Balance

  • Mobility

  • Walking ability

  • Confidence when returning to daily activities

The rehabilitation plan is tailored according to the injury, treatment received and individual recovery needs.

When Should You See an Orthopaedic Trauma Specialist?

Seek medical assessment if you experience:

  • Severe pain after an injury

  • Difficulty standing, walking or using the affected limb

  • Visible deformity

  • Significant swelling or bruising

  • Persistent pain following a fracture

  • Numbness or weakness after an injury

  • An open wound associated with a suspected fracture

  • A fracture that is not healing as expected

  • Persistent stiffness or reduced movement after previous treatment

Serious injuries following a road traffic accident, significant fall or major trauma should be assessed promptly.

Your Treatment Journey

1. Specialist Assessment

Your doctor will assess your injury, symptoms, medical history and functional needs.

2. Diagnostic Imaging

Depending on the injury, investigations may include:

  • X-ray

  • CT scan

  • MRI

  • Other imaging when clinically indicated

3. Personalised Treatment Planning

Not every fracture requires surgery.

Your specialist will discuss whether non-surgical treatment, surgery or a combination of treatment and rehabilitation is most appropriate for your condition.

4. Surgery, When Required

If surgery is required, the procedure will be planned according to the fracture pattern, structures involved and your individual clinical condition.

5. Rehabilitation and Recovery

A rehabilitation plan may be recommended to support movement, strength and return to daily function.

Multidisciplinary Care for Complex Trauma

Complex musculoskeletal injuries may involve more than one area of the body and sometimes require input from different specialties.

Depending on the patient’s condition, the care team may include:

  • Orthopaedic Surgery

  • Emergency Medicine

  • Radiology

  • Anaesthesiology

  • Rehabilitation Medicine

  • Physiotherapy

  • Other medical or surgical specialties when required

This multidisciplinary approach supports both the immediate treatment of the injury and the patient’s longer-term recovery.

Frequently Asked Questions

What does a musculoskeletal trauma surgeon treat?

A musculoskeletal trauma surgeon specialises in injuries involving the bones, joints and surrounding musculoskeletal structures. These may include complex fractures, fracture-dislocations, pelvic injuries and fractures that have not healed correctly.

Does every fracture require surgery?

No. Many fractures can be managed without surgery.

Treatment depends on factors such as the type and location of the fracture, bone alignment, stability, surrounding tissue injury and the patient’s overall condition.

When might a fracture require surgery?

Surgery may be considered when a fracture is unstable, displaced, involves a joint, is associated with an open wound or is unlikely to heal properly without surgical stabilisation.

What is the difference between an orthopaedic surgeon and an orthopaedic trauma surgeon?

Orthopaedic surgery covers conditions affecting the bones, joints and musculoskeletal system.

Orthopaedic trauma surgery focuses more specifically on injuries such as fractures, complex musculoskeletal trauma and complications following previous fractures.

What happens if a fracture does not heal?

A fracture that does not heal as expected is known as a non-union.

Your doctor may investigate possible contributing factors and determine whether additional treatment or surgery is required.

Can an old fracture still be treated?

Yes.

Patients with persistent pain, deformity, reduced movement, malunion, non-union or other complications following a previous fracture can be assessed to determine whether further treatment may be appropriate.

Speak to an Orthopaedic Trauma Specialist

Whether you are recovering from a recent injury, managing a complex fracture or experiencing ongoing problems following a previous fracture, specialist assessment can help determine the most appropriate next step.

Book an appointment with our Orthopaedic, Trauma and Advanced Musculoskeletal Trauma specialist at Sunway Medical Centre Velocity.

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