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Clin Asst Prof Liow Ming Han Lincoln

Clin Asst Prof Liow Ming Han Lincoln

MBBS (S’pore), DWD (CAW), MRCSEd, MMed (Ortho), MFSTEd, FRCSEd (Orth), FAMS

Associate Consultant

Singapore General Hospital

Specialty: Orthopaedic Surgery

Sub-specialties: Adult Reconstruction Service

Conditions Treated by this Doctor:
Early Recovery After Surgery (ERAS) Joint Replacement Surgery, Hip and Knee Osteoarthritis, Hip Arthroplasty, Joint Replacement, Knee Arthroplasty, Minimally Invasive Surgery (MIS) Joint Replacement, Total Hip Replacement, Total Knee Replacement.

Clinical Appointments

  • Associate Consultant Orthopaedic Surgery Singapore General HospitalSingapore General Hospital

Academic Appointments

  • Clinical Assistant Professor, Duke-NUS Medical School
  • Clinical Physician Faculty Member, Singhealth Orthopaedic Surgery Residency Programme
  • Duke-NUS Research Mentor

Profile

Dr Lincoln Liow was awarded the Singapore Armed Forces Medicine Scholarship to pursue medicine. He is currently an Orthopaedic Surgeon at Singapore General Hospital and a Fellow of the Royal College of Surgeons (Orthopaedic Surgery). During senior residency, he was appointed as the Chairman of the Singapore Orthopaedic Association Trainee Committee. He was also selected to undergo an Orthopaedic Biomechanics Research Fellowship at Massachusetts General Hospital (MGH), Harvard Medical School (HMS), Boston, USA in 2015. He has certification from the United States Educational Commission of Foreign Medical Graduates and Federation of State Medical Boards. He has secured a clinical fellowship position in Complex Joint Reconstruction at the Hospital of Special Surgery, New York, USA. He is currently pursuing a Master’s in Clinical Investigation at NUS. 

Dr Liow is a keen clinician-academician and has published >80 peer reviewed articles. His work has been recognized at the international level, being nominated for the New Investigator Recognition Award (NIRA) during the 2016 Orthopaedic Research Society Annual Meeting, awarded the Jacques Duparc Award at the 2019 European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and Top 100 posters of American Association of Hip and Knee Surgeons (AAHKS) Annual Meeting 2020. He serves as an editorial board member on several top-ranked Orthopaedic journals and is an invited peer-review for the British Medical Journal and top-tier Orthopaedic Journals. As a clinical physician faculty, he is active in education of orthopaedic surgery residents. During COVID-19 pandemic, he has taken on leadership appointments in his department and at CCF@EXPO.

Education

  • Master of Clinical Investigation (Ongoing: 2020 – 2022)
  • Fellow of the Royal College of Surgeons (Edinburgh) (Orthopaedic Surgery)
  • United States Federation of State Medical Boards USMLE Step 3
  • United States Medical Licensing Examination (USMLE) Educational Commission for Foreign Medical Graduates (ECFMG Certification)
  • Principles and Practice of Clinical Research, Harvard Medical School
  • Master of Medicine (Orthopaedic Surgery) 
  • Member of the Royal College of Surgeons (Edinburgh)  
  • Designated Workplace Doctor (Compressed Air Works)
  • Bachelor of Medicine, Bachelor of Surgery 

Professional Appointments and Committee Memberships

​Current

  • American Association of Hip and Knee Surgeons, International Member
  • Academy of Medicine, Singapore, Fellow
  • The Royal College of Surgeons of Edinburgh, Fellow
  • Faculty of Surgical Trainers – The Royal College of Surgeons of Edinburgh, Member
  • Singapore Orthopaedic Association (SOA), Member
  • Orthopaedic Research Society, Member
  • AOTrauma, Member

Past appointments

  • Singapore Orthopaedic Trainee Committee (Sub-Committee Of SOA), Chairman, 2013-2015
  • Singapore Orthopaedic Trainee Committee (Sub-Committee Of SOA), Education Secretary, 2012-2013
  • Humanitarian & Outreach Committee (Sub-Committee Of SOA), Member, 2014-2015

Awards

  • Singapore Armed Forces Medicine Scholarship
  • Naval Underwater Medicine Officer Cadet Course Best Cadet
  • Singapore Armed Forces Overseas Medical (Operation Blue Sapphire Maritime I)
  • Tri-Service Warfighter Course Distinguished Graduate
  • Singapore Armed Forces 5-Year Good Service Medal
  • Singapore Armed Forces Letter of Commendation (Operation Swift Angler)
  • Orthopaedic Research Society (ORS) New Investigator Recognition Award (NIRA) Finalist
  • 2015 SingHealth Medical Student Talent Development Award- Project + Travel grant (Mentee: Dr Graham Goh)
  • 2015 National University of Singapore, Outstanding Undergraduate Researcher Prize (Mentee: Dr Graham Goh)
  • 2016 National University of Singapore, Outstanding Undergraduate Researcher Prize (Mentee: Dr Graham Goh)
  • American Association of Hip and Knee Surgeons Annual Meeting – Best Poster Award (Revision Hip Category: What Pre-Operative Risk Factors Are Associated with Poor Outcomes of Revision Surgery for Pseudotumours in Patients with Metal-on-Metal Hip Arthroplasty)
  • Singapore General Hospital 22nd Annual Scientific Meeting 2017 – Outstanding Research Award (Clinical Research) Finalist
  • European Federation of National Associations of Orthopaedics and Traumatology – Top 10 Poster Award: A Prospective Two-Year Outcome Study of Extreme Lateral Interbody Fusion (XLIF) And Hybrid XLIF Surgery for Adult Spinal Deformity
  • European Federation of National Associations of Orthopaedics and Traumatology – Top 10 Poster Award: Diabetes Does Not Influence Anterior Cervical Discectomy and Fusion Outcomes for Cervical Myelopathy at Two Years
  • Singapore Armed Forces Long Service & Good Conduct 10-Year Medal
  • European Federation of National Associations of Orthopaedics and Traumatology – Jacques Duparc Award: Bi-Cruciate Retaining Total Knee Arthroplasty Does Not Restore Native Knee In-Vivo Kinematics During Strenuous Activities
  • Khoo Scholar Award
  • Singapore Spine Society 3rd Annual Meeting 2020 “New Frontiers in Spine Surgery” - Best paper (2nd Prize Award)
  • European Federation of National Associations of Orthopaedics and Traumatology – Top 10 Poster Award: Indication Criteria For Total And Unicompartmental Knee Arthroplasty Based On Long-Term Patient-Reported Outcome Measures – A Pilot Study
  • European Federation of National Associations of Orthopaedics and Traumatology – Top 10 Poster Award: Lower Socioeconomic Status Is Associated With Longer Hospitalization, Delay To Surgery And Increased 90-Day Readmission Rates After Hip Fracture Surgery
  • European Federation of National Associations of Orthopaedics and Traumatology – Top 10 Poster Award: Pre-Operative Thyroid Dysfunction Predicts For Earlier Mortality In Elderly Fragility Hip Fractures
  • 2020 SingHealth Medical Student Talent Development Award – Project Grant (Mentee: John Zhang Jiong Yang)
  • 2020 Singhealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme – Research Support Programme Grant Award: Nurturing Clinician Scientist Scheme (NCSS) - 13/FY2020/P1/18-A33
  • American Association of Hip and Knee Surgeons (AAHKS) 2020 Top 100 Posters
  • AM-ETHOS Duke-NUS Medical Student Fellowship Award (AY2020-AY2021)
  • 2020 SingHealth Medical Student Talent Development Award – Travel Grant (Mentee: Khow Yong Zhi)

Research Interests

Dr Liow has been awarded the Nurturing Clinician Scientist Scheme grant in 2020 to study the use of artificial intelligence in Orthopaedic imaging. He is currently interested in immunopathology of osteoarthritis, medical device development for osteoarthritis treatment, use of augmented reality in orthopaedic surgery and arthroplasty related biomechanics.

He is constantly studying the clinical outcomes of primary and revision knee and hip arthroplasty to provide the best care for his patients

Publications

  1. Goh GS, LIOW MHL, Yue WM, Tan SB, Chen JL. Are Patient-Reported Outcomes of Minimally Invasive Transforaminal Lumbar Interbody Fusion Influenced by Preoperative Mental Health? Global Spine J. 2020 Mar 13:2192568220912712. doi: 10.1177/2192568220912712. Epub ahead of print. PMID: 32875869.
  2. Wang Z, Ai S, Tian F, LIOW MHL, Wang S, Zhao J, Tsai TY. Higher Body Mass Index Is Associated With Biochemical Changes in Knee Articular Cartilage After Marathon Running: A Quantitative T2-Relaxation MRI Study. Orthop J Sports Med. 2020 Aug 13;8(8):2325967120943874. doi: 10.1177/2325967120943874. PMID:
    32851106; PMCID: PMC7427140.
  3. Khow YZ, LIOW MHL, Lee M, Chen JY, Lo NN, Yeo SJ. Coronal Alignment of Fixed-Bearing Unicompartmental Knee Arthroplasty Femoral Component May Affect Long-Term Clinical Outcomes. J Arthroplasty. 2020 Aug 1:S0883-5403(20)30863-9. doi: 10.1016/j.arth.2020.07.070. Epub ahead of print. PMID: 32828619.
  4. Lee M, Cheng D, Chen J, LIOW L, Lo NN, Yeo SJ. No difference in functional outcomes, quality of life and survivorship between metal-backed and all-polyethylene tibial components in unicompartmental knee arthroplasty: a 10-year follow-up study. Knee Surg Sports Traumatol Arthrosc. 2020 Aug 20. doi: 10.1007/s00167-020-06247-3. Epub ahead of print. PMID: 32816104.
  5. Woo BJ, Chen JY, Lai YM, LIOW MHL, Lo NN, Yeo SJ. Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2020 Aug 3. doi: 10.1007/s00167-020-06200-4. Epub ahead of print. PMID: 32748234.
  6. Goh GS, LIOW MHL. Total knee arthroplasty in the next decade: is navigation necessary? Ann Transl Med. 2020 Jun;8(11):665. doi: 10.21037/atm.2020.03.183. PMID: 32617285; PMCID: PMC7327330.
  7. Goh GS, LIOW MHL, Tay YWA, Chen JY, Xu S, Pang HN, Tay DK, Chia SL, Lo NN, Yeo SJ. The long-term impact of preoperative psychological distress on functional outcomes, quality of life, and patient satisfaction after total knee arthroplasty. Bone Joint J. 2020 Jul;102-B(7):845-851. doi: 10.1302/0301-620X.102B7.BJJ-2019-1562.R2. PMID: 32600148.
  8. Moorthy V, Lai MC, LIOW MHL, Chen JY, Pang HN, Chia SL, Lo NN, Yeo SJ. Similar postoperative outcomes after total knee arthroplasty with measured resection and gap balancing techniques using a contemporary knee system: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2020 Jun 15. doi: 10.1007/s00167-020-06103-4. Epub ahead of print. PMID: 32556437.
  9. Goh GS, Zeng GJ, Chen JY, Lo NN, Yeo SJ, LIOW MHL. Ten-Year Results of Unicompartmental Knee Arthroplasty in Patients With Psychological Distress. J Arthroplasty. 2020 May 11:S0883-5403(20)30500-3. doi: 10.1016/j.arth.2020.05.011. Epub ahead of print. PMID: 32475784.
  10. Lai MC, Chen JY, LIOW MHL, Tay DKJ, Lo NN, Pang HN, Yeo SJ. Is constraint implant with metaphyseal sleeve a viable option for revision TKR with preoperative coronal plane instability and bone defect? J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(2):2309499020926313. doi: 10.1177/2309499020926313. PMID:
    32468930.
  11. Goh GS, LIOW MHL, Chen JY, Tay DK, Lo NN, Yeo SJ. Do Patients With Psychological Distress Have Poorer Patient-Reported Outcomes After Total Hip Arthroplasty? J Arthroplasty. 2020 Sep;35(9):2465-2471. doi:
    10.1016/j.arth.2020.04.077. Epub 2020 Apr 29. PMID: 32446627.
  12. Yeo MGH, Goh GS, Chen JY, Lo NN, Yeo SJ, LIOW MHL. Are Oxford Hip Score and Western Ontario and McMaster Universities Osteoarthritis Index Useful Predictors of Clinical Meaningful Improvement and Satisfaction After Total Hip Arthroplasty? J Arthroplasty. 2020 Sep;35(9):2458-2464. doi: 10.1016/j.arth.2020.04.034. Epub 2020 Apr 20. PMID: 32416955.
  13. Goh GS, LIOW MHL, Yeo W, Ling ZM, Guo CM, Yue WM, Tan SB, Chen JL. Predictors of Outcomes After Single-level Anterior Cervical Discectomy and Fusion for Cervical Spondylotic Myelopathy: A Multivariate Analysis. Clin Spine Surg. 2020 Apr 28. doi: 10.1097/BSD.0000000000000997. Epub ahead of print. PMID:
    32349058.
  14. LIOW MHL, Goh GS, Pang HN, Tay DK, Chia SL, Lo NN, Yeo SJ. Should patients aged 75 years or older undergo medial unicompartmental knee arthroplasty? A propensity score-matched study. Arch Orthop Trauma Surg. 2020 Jul;140(7):949-956. doi: 10.1007/s00402-020-03440-4. Epub 2020 Apr 18. PMID:
    32306091.
  15. Goh GS, Tay YWA, LIOW MHL, Gatot C, Ling ZM, Fong PL, Soh RCC, Guo CM, Yue WM, Tan SB, Chen JL. Elderly Patients Undergoing Minimally Invasive Transforaminal Lumbar Interbody Fusion May Have Similar Clinical Outcomes, Perioperative Complications, and Fusion Rates As Their Younger Counterparts. Clin Orthop Relat Res. 2020 Apr;478(4):822-832. doi: 10.1097/CORR.0000000000001054. PMID: 32197034; PMCID: PMC7282595.
  16. Goh GS, LIOW MHL, Chen JY, Tay DK, Lo NN, Yeo SJ. Can Octogenarians Undergoing Total Knee Arthroplasty Experience Similar Functional Outcomes, Quality of Life, and Satisfaction Rates as Their Younger Counterparts? A Propensity Score Matched Analysis of 1188 Patients. J Arthroplasty. 2020 Jul;35(7):1833-1839. doi: 10.1016/j.arth.2020.02.033. Epub 2020 Feb 19. PMID: 32169385.
  17. LIOW MHL, Goh GS, Chua JL, Ling ZM, Soh RCC, Guo CM, Tan SB, Chen JL. Sagittally Balanced Degenerative Spondylolisthesis Patients With Increased Sacral Slope and Greater Lumbar Lordosis Experience Less Back Pain After Short-Segment Lumbar Fusion Surgery. Clin Spine Surg. 2020 Jun;33(5):E231-E235. doi: 10.1097/BSD.0000000000000923. PMID: 31913174.
  18. Lim JW, LIOW MH, Tan AHC. Post-operative non-steroidal anti-inflammatory drugs do not affect clinical outcomes of rotator cuff repair. J Orthop. 2019 Jun 5;17:113-115. doi: 10.1016/j.jor.2019.06.009. PMID: 31879487; PMCID: PMC6919356.
  19. Goh GS, LIOW MHL, Ling ZM, Soh RCC, Guo CM, Yue WM, Tan SB, Chen JL. Severity of Preoperative Myelopathy Symptoms Affects Patient-reported Outcomes, Satisfaction, and Return to Work After Anterior Cervical Discectomy and Fusion for Degenerative Cervical Myelopathy. Spine (Phila Pa 1976). 2020 May
    15;45(10):649-656. doi: 10.1097/BRS.0000000000003354. PMID: 31809467.
  20. Xu S, LIOW MHL, Goh KMJ, Yeo W, Ling ZM, Soh CCR, Tan SB, Chen LTJ, Guo CM. Perioperative Factors Influencing Postoperative Satisfaction After Lateral Access Surgery for Degenerative Lumbar Spondylolisthesis. Int J Spine Surg. 2019 Oct 31;13(5):415-422. doi: 10.14444/6056. PMID: 31741830; PMCID: PMC6833959.
  21. Goh GS, LIOW MHL, Yeo W, Ling ZM, Yue WM, Guo CM, Tan SB, Chen JL. Patients With Poor Baseline Mental Health May Experience Significant Improvements in Pain and Disability After Minimally Invasive Transforaminal Lumbar Interbody Fusion: A 5-Year Follow-up Study. Clin Spine Surg. 2020 Jun;33(5):205-214. doi: 10.1097/BSD.0000000000000912. PMID: 31714282.
  22. Tsai TY, LIOW MHL, Li G, Arauz P, Peng Y, Klemt C, Kwon YM. Bi-Cruciate Retaining Total Knee Arthroplasty Does Not Restore Native Tibiofemoral Articular Contact Kinematics During Gait. J Orthop Res. 2019 Sep;37(9):1929-1937. doi: 10.1002/jor.24333. Epub 2019 May 13. PMID: 31062398.
  23. Jeremy Goh KM, LIOW MHL, Xu S, Yeo W, Ling ZM, Soh CCR, Tan SB, Guo CM. Reduction in foraminal height after lateral access surgery does not affect quality of life: A 2-year outcome study on lateral lumbar interbody fusion. J Orthop Surg (Hong Kong). 2019 Jan-Apr;27(1):2309499019829336. doi: 10.1177/2309499019829336. PMID: 30782071.
  24. Koh D, LIOW L, Cheah J, Koo K. Peroneus longus tendon rupture: A case report. World J Orthop. 2019 Jan 18;10(1):45-53. doi: 10.5312/wjo.v10.i1.45. PMID: 30705840; PMCID: PMC6354104.
  25. Goh GS, LIOW MHL, Yeo W, Ling ZM, Guo CM, Yue WM, Tan SB, Chen LTJ. Poor Baseline Mental Health Does Not Influence Improvement in Patient-reported Outcomes, Satisfaction, and Return to Work Two Years After Single-level Anterior Cervical Discectomy and Fusion. Spine (Phila Pa 1976). 2019 Jun 15;44(12):839-847. doi: 10.1097/BRS.0000000000002960. PMID: 30540718.
  26. Goh GS, LIOW MHL, Yeo W, Ling ZM, Yue WM, Guo CM, Tan SB. The Influence of Body Mass Index on Functional Outcomes, Satisfaction, and Return to Work After Single-level Minimally-invasive Transforaminal Lumbar Interbody Fusion: A Five-year Follow-up Study. Spine (Phila Pa 1976). 2019 Jun 1;44(11):809-817. doi:
    10.1097/BRS.0000000000002943. PMID: 30475348.
  27. Lim WSR, LIOW MHL, Rikhraj IS, Goh GS, Koo K. The effect of gender in hallux valgus surgery. A propensity score matched study. Foot Ankle Surg. 2019 Oct;25(5):670-673. doi: 10.1016/j.fas.2018.08.003. Epub 2018 Aug 13. PMID: 30321927.
  28. Chua JL, Goh GS, LIOW MHL, Tay DK, Lo NN, Yeo SJ. Modern TKA implants are equivalent to traditional TKA implants in functional and patellofemoral joint-related outcomes. Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1116-1123. doi: 10.1007/s00167-018-5161-6. Epub 2018 Sep 29. PMID: 30269170.
  29. LIOW MHL, Goh GS, Yeo W, Ling ZM, Yue WM, Guo CM, Tan SB. Time Taken to Return to Work Does Not Influence Outcomes of Minimally Invasive Transforaminal Lumbar Interbody Fusion: A 5-Year Follow-Up Study. Spine (Phila Pa 1976). 2019 Apr 1;44(7):503-509. doi: 10.1097/BRS.0000000000002863. PMID: 30247375.
  30. Tsai TY, LIOW MHL, Peng Y, Arauz P, Li G, Kwon YM. In-vivo elongation of anterior and posterior cruciate ligament in bi-cruciate retaining total knee arthroplasty. J Orthop Res. 2018 Dec;36(12):3239-3246. doi: 10.1002/jor.24132. Epub 2018 Sep 19. PMID: 30175858.
  31. Goh GS, LIOW MHL, Pang HN, Tay DK, Lo NN, Yeo SJ. Patients With Poor Baseline Mental Health Undergoing Unicompartmental Knee Arthroplasty Have Poorer Outcomes. J Arthroplasty. 2018 Aug;33(8):2428-2434. doi: 10.1016/j.arth.2018.02.074. Epub 2018 Feb 26. PMID: 29627256.
  32. LIOW MHL, Chin PL, Pang HN, Tay DK, Yeo SJ. THINK surgical TSolution-One<sup>®</sup> (Robodoc) total knee arthroplasty. SICOT J. 2017;3:63. doi: 10.1051/sicotj/2017052. Epub 2017 Oct 30. PMID: 29087292; PMCID: PMC5663203.
  33. Goh GS, LIOW MHL, Tay DK, Lo NN, Yeo SJ, Tan MH. Accelerometer-Based and Computer-Assisted Navigation in Total Knee Arthroplasty: A Reduction in Mechanical Axis Outliers Does Not Lead to Improvement in Functional Outcomes or Quality of Life When Compared to Conventional Total Knee Arthroplasty. J Arthroplasty. 2018 Feb;33(2):379-385. doi: 10.1016/j.arth.2017.09.005. Epub 2017 Sep 14. PMID: 29054725.
  34. Xia Z, LIOW MHL, Goh GS, Chong HC, Lo NN, Yeo SJ. Body mass index changes after unicompartmental knee arthroplasty do not adversely influence patient outcomes. Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1691-1697. doi: 10.1007/s00167-017-4703-7. Epub 2017 Sep 6. PMID: 28879594.
  35. LIOW MHL, Lee M, Goh GS, Chen LTJ, Yue WM, Guo CM, Tan SB. Poorer Fusion Outcomes in Diabetic Cervical Spondylotic Myelopathy Patients Undergoing Single-level Anterior Cervical Discectomy and Fusion Does Not Compromise Functional Outcomes and Quality of Life. Spine (Phila Pa 1976). 2018 Apr 1;43(7):477-483. doi: 10.1097/BRS.0000000000002395. PMID: 28858183.
  36. Lee M, Chen JY, LIOW MHL, Chong HC, Chang P, Lie D. Critical Shoulder Angle and Acromial Index Do Not Influence 24-Month Functional Outcome After Arthroscopic Rotator Cuff Repair. Am J Sports Med. 2017 Nov;45(13):2989-2994. doi: 10.1177/0363546517717947. Epub 2017 Aug 14. PMID: 28806093.
  37. Di Laura A, Hothi HS, Henckel J, Cerquiglini A, LIOW MHL, Kwon YM, Skinner JA, Hart AJ. Retrieval evidence of impingement at the third articulation in contemporary dual mobility cups for total hip arthroplasty. Int Orthop. 2017 Dec;41(12):2495-2501. doi: 10.1007/s00264-017-3523-1. Epub 2017 Jun 4. PMID: 28578471.
  38. Di Laura A, Hothi H, Henckel J, Swiatkowska I, LIOW MHL, Kwon YM, Skinner JA, Hart AJ. Retrieval analysis of metal and ceramic femoral heads on a single CoCr stem design. Bone Joint Res. 2017 May;6(5):345-350. doi:
    10.1302/2046-3758.65.BJR-2016-0325.R1. PMID: 28566326; PMCID: PMC5457640.
  39. Che J, Li C, Gao Z, Qi W, Ji B, Liu Y, LIOW MHL. Novel anatomical reconstruction of distal tibiofibular ligaments restores syndesmotic biomechanics. Knee Surg Sports Traumatol Arthrosc. 2017 Jun;25(6):1866-1872. doi: 10.1007/s00167-017-4485-y. Epub 2017 Mar 20. PMID: 28321479.
  40. Chambers AW, Lacy KW, LIOW MHL, Manalo JPM, Freiberg AA, Kwon YM. Multiple Hip Intra-Articular Steroid Injections Increase Risk of Periprosthetic Joint Infection Compared With Single Injections. J Arthroplasty. 2017 Jun;32(6):1980-1983. doi: 10.1016/j.arth.2017.01.030. Epub 2017 Jan 30. PMID: 28237216.
  41. Kwon YM, Khormaee S, LIOW MH, Tsai TY, Freiberg AA, Rubash HE. Asymptomatic Pseudotumors in Patients with Taper Corrosion of a Dual-Taper Modular Femoral Stem: MARS-MRI and Metal Ion Study. J Bone Joint Surg Am. 2016 Oct 19;98(20):1735-1740. doi: 10.2106/JBJS.15.01325. PMID: 27869625.
  42. Kwon YM, Tsai TY, Leone WA, LIOW MHL. Sensitivity and Specificity of Metal Ion Levels in Predicting "Pseudotumors" due to Taper Corrosion in Patients With Dual Taper Modular Total Hip Arthroplasty. J Arthroplasty. 2017 Mar;32(3):996-1000. doi: 10.1016/j.arth.2016.08.040. Epub 2016 Sep 28. PMID: 27776907.
  43. LIOW MHL, Kwon YM. Metal-on-metal total hip arthroplasty: risk factors for pseudotumours and clinical systematic evaluation. Int Orthop. 2017 May;41(5):885-892. doi: 10.1007/s00264-016-3305-1. Epub 2016 Oct 20. PMID: 27761629.
  44. LIOW MHL, Agrawal K, Anderson DW, Freiberg AA, Rubash HE, Kwon YM. Unsuspected Malignancies in Routine Femoral Head Histopathologic Examination During Primary Total Hip Arthroplasty: Cost-Effectiveness Analysis. J Arthroplasty. 2017 Mar;32(3):735-742. doi: 10.1016/j.arth.2016.08.017. Epub 2016
    Aug 24. PMID: 27697361.
  45. Goh GS, LIOW MHL, Bin Abd Razak HR, Tay DK, Lo NN, Yeo SJ. Patient-Reported Outcomes, Quality of Life, and Satisfaction Rates in Young Patients Aged 50 Years or Younger After Total Knee Arthroplasty. J Arthroplasty. 2017 Feb;32(2):419-425. doi: 10.1016/j.arth.2016.07.043. Epub 2016 Aug 10. PMID: 27593732.
  46. Kwon YM, Antoci V Jr, Eisemon E, Tsai TY, Yan Y, LIOW MH. "Top-Out" Removal of Well-Fixed Dual-Taper Femoral Stems: Surgical Technique and Radiographic Risk Factors. J Arthroplasty. 2016 Dec;31(12):2843-2849. doi: 10.1016/j.arth.2016.05.046. Epub 2016 Jun 17. PMID: 27444847.
  47. LIOW MH, Dimitriou D, Tsai TY, Kwon YM. Preoperative Risk Factors Associated With Poor Outcomes of Revision Surgery for "Pseudotumors" in Patients With Metal-on-Metal Hip Arthroplasty. J Arthroplasty. 2016 Dec;31(12):2835-2842. doi: 10.1016/j.arth.2016.05.034. Epub 2016 May 27. PMID: 27387480.
  48. Cha TD, Moore G, LIOW MH, Zhong W, Wu M, Wang S, Kang JD, Wood KB, Li G. In Vivo Characteristics of Nondegenerated Adjacent Segment Intervertebral Foramina in Patients With Degenerative Disc Disease During Flexion-Extension. Spine (Phila Pa 1976). 2017 Mar 15;42(6):359-365. doi: 10.1097/BRS.0000000000001758.
    PMID: 27379419; PMCID: PMC5203984.
  49. LIOW MH, Goh GS, Pang HN, Tay DK, Lo NN, Yeo SJ. Computer-assisted stereotaxic navigation improves the accuracy of mechanical alignment and component positioning in total knee arthroplasty. Arch Orthop Trauma Surg. 2016 Aug;136(8):1173-80. doi: 10.1007/s00402-016-2483-z. Epub 2016 Jun 27. PMID:
    27349233.
  50. Tsai TY, Dimitriou D, Hosseini A, LIOW MHL, Torriani M, Li G, Kwon YM. Assessment of accuracy and precision of 3D reconstruction of unicompartmental knee arthroplasty in upright position using biplanar radiography. Med Eng Phys. 2016 Jul;38(7):633-638. doi: 10.1016/j.medengphy.2016.04.002. Epub 2016 Apr 23. PMID: 27117422.
  51. Kwon YM, LIOW MH, Dimitriou D, Tsai TY, Freiberg AA, Rubash HE. What Is the Natural History of "Asymptomatic" Pseudotumours in Metal-on-Metal Hip Arthroplasty? Minimum 4-Year Metal Artifact Reduction Sequence Magnetic Resonance Imaging Longitudinal Study. J Arthroplasty. 2016 Sep;31(9 Suppl):121-6. doi: 10.1016/j.arth.2016.02.070. Epub 2016 Mar 17. PMID: 27094245.
  52. LIOW MH, Tsai TY, Dimitriou D, Li G, Kwon YM. Does 3-Dimensional In Vivo Component Rotation Affect Clinical Outcomes in Unicompartmental Knee Arthroplasty? J Arthroplasty. 2016 Oct;31(10):2167-72. doi:
    10.1016/j.arth.2016.03.003. Epub 2016 Mar 10. PMID: 27067168.
  53. Teo KA, Chong TF, LIOW MH, Tang KC. Medical Support for Aircraft Disaster Search and Recovery Operations at Sea: the RSN Experience. Prehosp Disaster Med. 2016 Jun;31(3):294-9. doi: 10.1017/S1049023X16000194. Epub 2016 Mar 28. PMID: 27018529.
  54. LIOW MHL, Goh GS, Wong MK, Chin PL, Tay DK, Yeo SJ. Robotic-assisted total knee arthroplasty may lead to improvement in quality-of-life measures: a 2-year follow-up of a prospective randomized trial. Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2942-2951. doi: 10.1007/s00167-016-4076-3. Epub 2016 Mar 26. PMID: 27017214.
  55. Kwon YM, Antoci V Jr, Leone WA, Tsai TY, Dimitriou D, LIOW MH. Utility of Serum Inflammatory and Synovial Fluid Counts in the Diagnosis of Infection in Taper Corrosion of Dual Taper Modular Stems. J Arthroplasty. 2016 Sep;31(9):1997-2003. doi: 10.1016/j.arth.2016.02.020. Epub 2016 Feb 17. PMID: 26994651.
  56. LIOW MH, Urish KL, Preffer FI, Nielson GP, Kwon YM. Metal Ion Levels Are Not Correlated With Histopathology of Adverse Local Tissue Reactions in Taper Corrosion of Total Hip Arthroplasty. J Arthroplasty. 2016 Aug;31(8):1797-802. doi: 10.1016/j.arth.2016.01.041. Epub 2016 Feb 4. PMID: 26923497.
  57. Dimitriou D, LIOW MH, Tsai TY, Leone WA, Li G, Kwon YM. Early Outcomes of Revision Surgery for Taper Corrosion of Dual Taper Total Hip Arthroplasty in 187 Patients. J Arthroplasty. 2016 Jul;31(7):1549-54. doi:
    10.1016/j.arth.2016.01.015. Epub 2016 Jan 21. PMID: 26895822.
  58. Kwon YM, Dimitriou D, LIOW MH, Tsai TY, Li G. Is Ultrasound As Useful As Metal Artifact Reduction Sequence Magnetic Resonance Imaging in Longitudinal Surveillance of Metal-on-Metal Hip Arthroplasty Patients? J Arthroplasty. 2016 Aug;31(8):1821-7. doi: 10.1016/j.arth.2016.01.033. Epub 2016 Jan 29. PMID:
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Research Trials

RESEARCH GRANTS
FY2020 Singhealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme Nurturing Clinician Scientist Scheme (NCSS) Research Support Grant – 13/FY2020/P1/18-A33
Quantum: S$225,000


RESEARCH AND CLINICAL TRIALS AS PRINCIPAL INVESTIGATOR (ONGOING)

CIRB Ref No. : 2020/2866
Protocol Title : A Propective Randomised, Controlled Clinical Trial to Compare the Functional Outcomes of Patients Undergoing Total Knee Replacement Using the Zimmer-Biomet Persona Total Knee System with Cruciate-Retaining or Medial Congruent Bearing

CIRB Ref No. : 2020/2750
Protocol Title : A Review of the Functional Outcomes and Quality of Life after Revision Total Hip Arthroplasty

CIRB Ref No. : 2020/2237
Protocol Title : A Review of the Functional Outcomes and Quality of Life after Revision Total Knee Arthroplasty

CIRB Ref No. : 2020/2316
Protocol Title : Cost-Effectiveness of Robot-Assisted Total Knee Arthroplasty: A Markov Decision Analysis

CIRB Ref No. : 2019/2878
Protocol Title : Enhancing appropriateness of surgical referral to improve accessibility and value in knee osteoarthritis: Development and validation of a deep-learning algorithm

RESEARCH AND CLINICAL TRIALS AS PRINCIPAL INVESTIGATOR (PENDING APPROVAL)

CIRB Ref No. : 2020/2863
Protocol Title : A Prospective Randomised Control Trial Comparing Patient Outcomes following Mako Robotic-arm Assisted Kinematically Aligned Total Knee Arthroplasty and Mako Robotic-arm Assisted Mechanically Aligned Total Knee Arthroplasty