Publications

Publications and research

An avid researcher, Dr HC Chang has published over 20 peer-reviewed papers, a majority on Orthopaedic Sports Medicine in prestigious Sports Medicine journals such as the American Journal of Sports Medicine and the Arthroscopy Journal. Dr HC Chang has contributed a book chapter on “Allograft Anterior Cruciate Ligament Reconstruction” in the 4th edition of Insall and Scott Surgery of the knee, a “bible” for knee surgeons. He also co-authored a new surgical technique in double-bundle anterior cruciate ligament reconstruction. He has been invited to speak on many issues related to sports medicine, at local and international meetings. Dr HC Chang also serves on the Editorial Board of the Singapore Medical Journal.

Sports Medicine

The Growth and Development of Orthopaedic Sports Medicine in Singapore PCC Chang, HC Chang, KC Ang, K Satku Annals, Academy of Medicine, Singapore Sept 2002, Vol 31(5):573-578 Return to Sports After Anterior Cruciate Ligament Reconstruction – A Review of Patients with Minimum 5-year Follow-up. DY Lee, SA Karim, HC Chang Ann Acad Med Singapore. 2008 Apr;37(4):273-6.

Shoulder Arthroscopic Rotator Cuff Repair

Evaluation of BioCorkscrew and Bioknotless RC suture anchor rotator cuff repair fixation: an in vitro biomechanical study. JT Ammon, J Nyland, HC Chang, R Burden, DN Caborn Knee Surg Sports Traumatol Arthrosc. 2007 Nov;15(11):1375-81.

Shoulder Arthroscopic Treatment of Impingement Syndrome

Arthroscopic subacromial decompression for stage-II impingement. KK Lim, HC Chang, JL Tan, BK Chan J Orthop Surg (Hong Kong). 2007 Aug;15(2):197-200.

Double Bundle ACL Reconstruction

Anatomic double bundle ACL reconstruction: a literature review. C Crawford, J Nyland, S Landes, R Jackson, HC Chang, A Nawab, DN Caborn Knee Surg Sports Traumatol Arthrosc. 2007 Aug;15(8):946-64; discussion 945. Anatomical Double-Bundle Anterior Cruciate Ligament Reconstruction: Maximizing Benefits While Minimizing Complexity: A Balanced Potential Approach. J Nyland, S Landes, C Crawford, HC Chang, A Nawab, DN Caborn Techniques in Knee Surgery. 6(3):191-203, September 2007. Single femoral socket double-bundle anterior cruciate ligament reconstruction using tibialis anterior tendon: description of a new technique. DNM Caborn, HC Chang Arthroscopy Oct 2005, 21(10):1273.

Allograft ACL Reconstruction

Book chapter – Allograft Anterior Cruciate Ligament Reconstruction Chang Haw Chong & David NM Caborn Insall and Scott Surgery of the Knee, 4th edition, Chapter 41 Published by Churchill Livingston Hardbound, ISBN: 0-443-06671-X, 2048 pages, publication date: 2006

ACL Reconstruction

Biomechanical Comparison of the Bioabsorbable RetroScrew System, BioScrew XtraLok with Stress Equalization Tensioner and 35-mm Delta Screws for Tibialis Anterior Graft-Tibial Tunnel Fixation in Porcine Tibiae HC Chang, J Nyland, A Nawab, R Burden, DNM Caborn Am J Sports Med. Jul 2005, 33(7):1057-64

Case Reports

Bilateral spontaneous rupture of the quadriceps tendon as an initial presentation of alkaptonuria-a case report. SY Chua, HC Chang 2006 Oct;13(5):408-10. Epub 2006 Aug 9 Paget-Schroetter Syndrome: A Case Report and Review of the Literature. CH Wong, HC Chang, CO Low The Internet Journal of Orthopedic Surgery 2004. Volume 2 Number 1 Metastasis of an Adenocarcinoma of the Stomach to the 4th Metacarpal Bone HC Chang, KH Lew, CO Low Hand Surgery Dec 2001, Vol 6(2):239-242 A Case of Bizarre Parosteal Osteochondromatous Proliferation of the Hand JL Soon, HC Chang, CS Sim, LC Teoh, CO Low Singapore Medical Journal January 2003, Vol 44(1):27-30

Others

Necrotising Fasciitis – Clinical Presentation, Microbiology and Determinants of Mortality CH Wong, HC Chang, Shanker, JL Tan, CO Low Journal of Bone and Joint Surgery (American Edition) August 2003, Vol 85:1454-60 Extremity Osteosarcoma – A Southeast Asian Experience HC Chang, RWH Pho, VP Kumar, AK Kour, K Satku Annals, Academy of Medicine, Singapore Sept 2002, Vol 31(5):598-606 Haematuria Clinic – A Primary Audit and Considerations for a One-Stop Assessment Centre PK Tan, HC Chang, YY Sitoh Singapore Medical Journal Vol 39 Issue 11, Nov 1998, 501-503 The Relationship of the Lateral Cord of the Brachial Plexus to the Coracoid Process during Arthroscopic Coracoid Surgery – A Dynamic Cadaveric Study HC Chang, WJ Pan, YS Teo, Sarina Abdul Karim American Journal of Sports Medicine, 2008 Jun 16.[Epub ahead of print] Recurrent Patellar Dislocation: Reappraising our Approach to Surgery. AK Lim, HC Chang, JH Hui Ann Acad Med Singapore. 2008 Apr;37(4):320-4.

Meniscus Repair

A cyclic testing comparison of FasT-Fix and RapidLoc devices in human cadaveric meniscus. J Nyland, HC Chang, Y Kocabey, A Nawab, J Brand, DN Caborn Arch Orthop Trauma Surg. 2007 Dec 20; [Epub ahead of print] A biomechanical comparison of the FasT-Fix meniscal repair suture system and the RapidLoc device in cadaver meniscus. Y Kocabey, HC Chang, JC Brand Jr, A Nawab, J Nyland, DN Caborn. Arthroscopy. 2006 Apr;22(4):406-13. Biomechanical evaluation of meniscal repair systems: a comparison of the Meniscal Viper Repair System, the vertical mattress FasT-Fix Device, and vertical mattress ethibond sutures. HC Chang, J Nyland, DNM Caborn, R Burden Am J Sports Med. Dec 2005, 33(12):1846-52. Effect of lesion location on fixation strength of the meniscal viper repair system: an in vitro study using porcine menisci. HC Chang, DN Caborn, J Nyland, R Burden Arthroscopy. 2006 Apr;22(4):394-9. A simple method of meniscus repair using the arthroscopic outside-in technique. KC Chong, BK Chan, HC Chang Arthroscopy. 2006 Jul;22(7):794.e1-5.

Meniscus Transplantation

Self-reported patient outcomes at a minimum of 5 years after allograft anterior cruciate ligament reconstruction with or without medial meniscus transplantation: an age-, sex-, and activity level-matched comparison in patients aged approximately 50 years. D Rueff, J Nyland, Y Kocabey, HC Chang, D Caborn Arthroscopy. 2006 Nov;22(11):1225-32. Clinical Evaluation of Arthroscopic-assisted Allograft Meniscal Transplantation. HC Chang, KL the, KL Leong, SL Mak, SA Karim Ann Acad Med Singapore. 2008 Apr;37(4):266-7.

Trauma

Knee dislocations-a retrospective study comparing operative versus closed immobilization treatment outcomes. CH Wong, JL Tan, HC Chang, LW Khin, CO Low Knee Surg Sports Traumatol Arthrosc. Mar 2004 Fragment-specific fracture fixation and double-column plating of unstable distal radial fractures using AO mini-fragment implants and Kirschner wires. HC Chang, SY Poh, SC Seah, DT Chua, BK Chan, CO Low Injury. 2007 Nov;38(11):1259-67. Epub 2007 Jul 12 Lateral Condylar Fractures of the Humerus in Children HC Chang, LH Tan, KS Lam The Journal of the ASEAN Orthopaedic Association Vol 13 No. 1, July 2000, 37-41 Rubber Foreign Bodies in Puncture Wounds of the Foot in Patients wearing Rubber-soled Shoes HC Chang, William Verhoeven, WM Chay Foot and Ankle International May 2001, Vol 22(5):409-14 Conservative Treatment of Redisplaced Colles’ Fractures in Elderly Patients Older than 60 Years Old – Anatomical and Functional Outcome HC Chang, SC Tay, BK Chan, CO Low Hand Surgery Dec 2001, Vol 6(2):137-14 Cancellous screw fixation for femoral neck fractures: one hundred and sixteen patients. KB Lee, TS Howe, HC Chang Annals, Academy of Medicine, Singapore Mar 2004, 33(2):248-51 Effect of Cryoprotectant Incubation Time on Handling Properties of Allogeneic Tendons Prepared for Knee Ligament Reconstruction. Henson J, Nyland J, Chang HC, Caborn DN. J Biomater Appl. 2008 Nov 5. Biomechanical and tissue handling property comparison of decellularized and cryopreserved tibialis anterior tendons following extreme incubation and rehydration. Nyland J, Larsen N, Burden R, Chang HC, Caborn DN. Knee Surg Sports Traumatol Arthrosc. 2008 Sep 13.

2009
  • Organizing Chairman and Course Director for Double Bundle Anterior Cruciate Ligament Reconstruction Cadaveric Workshop – ISAKOS Approved Workshop Changi Clinical Skills Laboratory 16 and 17 January 2009
  • Course Instructor and Live Surgery Demonstration Double Bundle ACL Reconstruction at Cho Ray Hospital Ho Chi Minh City, Vietnam 19th October 2009
  • Course Instructor and Live Surgery Demonstration for Arthroscopic Bankart Repair at University Medical Centre Ho Chi Minh City, Vietnam 20th October 2009
2008
  • Moderator for Podium Presentation XV Knee (ACL) 1st Bienniel Asia Arthroscopy Congress 2008 (Severance Hospital) Seoul, Korea 20 September 2008
2007
  • Organizing Chairman and Course Director for Changi General Hospital Musculoskeletal Injection Cadaveric Workshop for General Practitioners Changi Clinical Skills Laboratory 18, 25 August 2007 and 22 September 2007
  • Lecture on “Meniscal Transplantation” Changi Sports Medicine Centre CME 8 February 2007
  • Lecture on “All About Tennis Elbow” Changi Sports Medicine Centre CME 10 May 2007
  • Lecture on “Septic Arthritis and Osteomyelitis” AST/BST Lecture for Sports Medicine Training Programme 22 May 2007
  • Lecture on “Management of Common Knee Injuries in Recreational Athletes” MEN 2007 Suntec Singapore International Convention and Exhibition Centre 9 June 2007
  • Lecture on “Improving Clinical Outcome Through Research” Republic Polytechnic 21 June 2007
  • Lecture on “Updates of Sports Medicine – Surgical Intervention” Physician Symposium with Sports Medicine Association of Ho Chih Ming City HCM City, Vietnam 14 July 2007
  • Lecture on “Common Knee Injuries in the Field – Surgical Treatment” Consumer Symposium with Sports Medicine Association of Ho Chih Ming City HCM City, Vietnam 15 July 2007
  • Lecture on “Advances in Treatment of Patellar Instability” 41st Singapore-Malaysia Congress of Medicine Academy of Medicine Singapore and Academy of Medicine Malaysia Raffles City Convention Centre 22 July 2007
  • Lecture on “Lateral Patellar Instability – Updates” ASEAN Orthopaedic Association with Vietnam Orthopaedic Association Meeting HCM City, Vietnam 5-8 December 2007
2006
  • Committee Member for Singapore Orthopaedic Association’s Cadaveric Workshop for Cartilage 2006 in conjunction with International Cartilage Research Society (ICRS) Organizing Chairman and Course Director for Changi General Hospital/ISAKOS Basic Shoulder Arthroscopy Cadaveric Workshop 2006 Changi Clinical Skills Laboratory 1 – 2 September 2006
  • Lecture on “Meniscal Transplant: Indication, Technique and Results” Cartilage Symposium in the 29th Annual Scientific Meeting of the Singapore Orthopaedic Association Grand Copthorne Singapore 9 November 2006
  • Lecture on “Minimally Invasive Surgeries for the Knee” Specialist Symposium Mandalay, Myanmar 5 August 2006
  • Lecture on “Minimally Invasive Surgeries for the Shoulder” Specialist Symposium with Myanmar Medical Association Yangon, Myanmar 6 August 2006
  • Lecture on “Anterior Cruciate Ligament – Injuries, Treatment and Prevention” Invited Guest Speaker at Geyland United Football Club Annual Football Conference 11 February 2006
  • Lecture on “Knee Bracing for Anterior Cruciate Ligament Injuries” in the Changi Sports Medicine Centre CME Programme 27 February 2006
  • Lecture on “Instabilities of the Knee – Surgery and Rehabilitation” in the Changi General Hospital’s Rehabilitation Department CME Programme 23 March 2006
  • Lecture on “Multi-bundle Anterior Cruciate Ligament Reconstruction” Invited Speaker for the Orthopaedic Surgery Symposium of the International College of Surgeons, Singapore Congress 2006 2 April 2006
  • Lecture on “Double Bundle ACL Reconstruction” in the Changi Sports Medicine Centre CME Programme 10 April 2006
2005
  • Organizing Chairman and Course Director for Changi General Hospital Cadaveric Workshop on Double Bundle ACL Reconstruction Changi Clinical Skills Laboratory 8 January 2005
  • Lecture on “Double Bundle ACL Reconstructions – Where are the Footprints” during Changi General Hospital’s “Double Bundle ACL Reconstruction Symposium and Cadaveric Workshop” on 8 January 2005
  • Invited Guest Lecturer on “Current Concepts and Update on Suture Anchors” by Department of Orthopaedic Surgery, National University Hospital, 31 January 2005
  • Lecture on “Medial Collateral Ligament Injuries – Current Concepts and Treatment” in the Changi Sports Medicine Centre CME Programme, 16 February 2005
2003
  • Lecture on “Medial Collateral Ligament Injuries – Current Concepts and Treatment” in the Changi Sports Medicine Centre CME Programme, 16 February 2005
  • Organizing Committee of the 1st Autologous Chondrocyte Implantation workshop Changi Clinical Skills Laboratory 29 March 2003
2002
  • Speaker on “Common Sports Injuries – What Everyone Should Know” for Changi General Hospital’s Public Forum on 28 September 2002
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