Assoc Prof Liow Ming Han Lincoln

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

Consultant

Profile

Dr Lincoln Liow is a Consultant Orthopaedic surgeon (Adult Reconstruction) in Singapore General Hospital. He is a high volume arthroplasty surgeon who performs >500 joint replacements per year. He specializes in Enhanced Recovery After Surgery (ERAS) for hip / knee replacements, robotic-assisted hip / knee replacement and partial knee replacement surgery. He has a special interest in complex joint reconstruction.

Dr Lincoln Liow was awarded the Singapore Armed Forces Medicine Scholarship to pursue medicine. He is 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 has certification from the United States Educational Commission of Foreign Medical Graduates and Federation of State Medical Boards. He completed two United States based overseas fellowships at Massachusetts General Hospital, Harvard Medical School and the Hospital of Special Surgery (Ranked No.1 in USA for 13 years in a row. Ranked as Best Specialised Hospital for Orthopaedics in the world by Newsweek) where he was trained in complex joint reconstruction.

Dr Liow is an academic arthroplasty surgeon and has published >130 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 and winning the Best Poster award for Adult Reconstruction at the Academy of American Orthopaedic Surgeons Annual Meeting 2023. He serves as an editorial board member on the Journal of Arthroplasty. He shares his knowledge on hip and knee replacement surgery as an invited speaker at international conference and webinars.

Education

UCSF Global Life Sciences/Healthcare Entrepreneurship Course
MIT Sloan Artificial Intelligence in Health Care, MIT Sloan School of Management
Master of Clinical Investigation
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

Health Science Research Unit, Singapore General Hospital – EXCO Member
Ageing Peak Workgroup, Singapore General Hospital – Member
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

JCI Ten Outstanding Young Persons 2022 (Medical Innovation)
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 and Research Trials

Tan BH, Liu EH, Lim RT, Liow LM, Goy RW. Ease of intubation with the
GlideScope or Airway Scope by novice operators in simulated easy and difficult
airways--a manikin study. Anaesthesia. 2009 Feb;64(2):187-90. doi:
10.1111/j.1365-2044.2008.05753.x. PMID: 19143697.
Liow MH, Chong SJ, Kang WL. A tale of three divers: recompression therapy for
divers with severe Type II decompression sickness with neurological deficits.
Singapore Med J. 2009 May;50(5):e173-5. PMID: 19495502.
Liow MH, Xia Z, Wong MK, Tay KJ, Yeo SJ, Chin PL. Robot-assisted total knee
arthroplasty accurately restores the joint line and mechanical axis. A
prospective randomised study. J Arthroplasty. 2014 Dec;29(12):2373-7. doi:
10.1016/j.arth.2013.12.010. Epub 2013 Dec 14. PMID: 24439796.
Liow MH, Ho BH, Kim SJ, Soh CR, Tang KC. MRI findings in cervical spinal cord
type II neurological decompression sickness: a case report. Undersea Hyperb Med.
2014 Nov-Dec;41(6):599-603. PMID: 25562951.
Liow MH, Chin PL, Tay KJ, Chia SL, Lo NN, Yeo SJ. Early experiences with
robot-assisted total knee arthroplasty using the DigiMatch™ ROBODOC® surgical
system. Singapore Med J. 2014 Oct;55(10):529-34. doi: 10.11622/smedj.2014136.
PMID: 25631894; PMCID: PMC4293963.
Goh GS, Liow MH, Tay DK, Lo NN, Yeo SJ. Four-Year Follow Up Outcome Study of
Patellofemoral Arthroplasty at a Single Institution. J Arthroplasty. 2015
Jun;30(6):959-63. doi: 10.1016/j.arth.2015.01.020. Epub 2015 Jan 19. PMID:
25660614.
Liow MH, Goh GS, Tay DK, Chia SL, Lo NN, Yeo SJ. Obesity and the absence of
trochlear dysplasia increase the risk of revision in patellofemoral
arthroplasty. Knee. 2016 Mar;23(2):331-7. doi: 10.1016/j.knee.2015.05.009. Epub
2015 Jun 19. PMID: 26094823.
Goh GS, Liow MH, Lim WS, Tay DK, Yeo SJ, Tan MH. Accelerometer-Based
Navigation Is as Accurate as Optical Computer Navigation in Restoring the Joint
Line and Mechanical Axis After Total Knee Arthroplasty: A Prospective Matched
Study. J Arthroplasty. 2016 Jan;31(1):92-7. doi: 10.1016/j.arth.2015.06.048.
Epub 2015 Jul 2. PMID: 26220102.
Goh GS, Liow MH, Mitra AK. Outcome following total knee arthroplasty in obese
versus non-obese Asian patients. J Orthop Surg (Hong Kong). 2015
Dec;23(3):294-7. doi: 10.1177/230949901502300306. PMID: 26715703.
Tsai TY, Dimitriou D, Liow MH, Rubash HE, Li G, Kwon YM. Three-Dimensional
Imaging Analysis of Unicompartmental Knee Arthroplasty Evaluated in Standing
Position: Component Alignment and In Vivo Articular Contact. J Arthroplasty.
2016 May;31(5):1096-101. doi: 10.1016/j.arth.2015.11.027. Epub 2015 Nov 30.
PMID: 26730450.
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:
26895821.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Cha TD, Moore G, Liow MHL, 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Liow MHL, Chin PL, Pang HN, Tay DK, Yeo SJ. THINK surgical TSolution-
One® (Robodoc) total knee arthroplasty. SICOT J. 2017;3:63. doi:
10.1051/sicotj/2017052. Epub 2017 Oct 30. PMID: 29087292; PMCID: PMC5663203.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 Dec;33(10):E525-E532. doi: 10.1097/BSD.0000000000000997. PMID:
32349058.
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.
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.
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Zhang S, Tay DKJ, Pang HN, Lo NN, Yeo SJ, Liow MHL. Preoperative mental distress is associated with poorer physical improvements after revision total hip arthroplasty. J Orthop. 2022 Oct 21;35:18-23. doi: 10.1016/j.jor.2022.10.007. PMID: 36345326; PMCID: PMC9636491.
Wong KC, Tan ES, Liow MHL, Tan MH, Howe TS, Koh SB. Lower socioeconomic status is associated with increased co-morbidity burden and independently associated with time to surgery, length of hospitalisation, and readmission rates of hip fracture patients. Arch Osteoporos. 2022 Nov 9;17(1):139. doi: 10.1007/s11657-022-01182-x. PMID: 36350414.
Moorthy V, Chen JY, Liow MHL, Pang HN, Tay DK, Chia SL, Lo NN, Yeo SJ. The effect of topical tranexamic acid on functional outcomes and quality of life in patients undergoing unicompartmental knee arthroplasty. Arch Orthop Trauma Surg. 2022 Dec 1. doi: 10.1007/s00402-022-04711-y. Epub ahead of print. PMID: 36454307.
Liu EX, Kuhataparuks P, Liow ML, Pang HN, Tay DKJ, Chia SL, Lo NN, Yeo SJ, Chen JY. Clinical Frailty Scale is a better predictor for adverse post-operative complications and functional outcomes than Modified Frailty Index and Charlson Comorbidity Index after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2023 Feb 16. doi: 10.1007/s00167-023-07316-z. Epub ahead of print. PMID: 36795126.
Zhang JJY, Chen JY, Tay DKJ, Pang HN, Yeo SJ, Liow MHL. Cost-Effectiveness of Robot-Assisted Total Knee Arthroplasty: A Markov Decision Analysis. J Arthroplasty. 2023 Feb 18:S0883-5403(23)00130-4. doi: 10.1016/j.arth.2023.02.022. Epub ahead of print. PMID: 36805115.
Zou D, Tan J, Zheng N, Ling Z, Yu W, Liow MHL, Chen Y, Tsai TY. Larger Medial Contact Area and More Anterior Contact Position in Medial-Pivot than Posterior-Stabilized Total Knee Arthroplasty during In-Vivo Lunge Activity. Bioengineering (Basel). 2023 Feb 23;10(3):290. doi: 10.3390/bioengineering10030290. PMID: 36978681; PMCID: PMC10045283.
Sim CHS, Chen JDY, Pang HN, Yeo SJ, Lo NN, Liow MHL. Novel morphogenic knee implant delivers comparable mid-term outcomes as compared to conventional non-morphogenic implants. Arch Orthop Trauma Surg. 2023 Dec;143(12):7159-7167. doi: 10.1007/s00402-023-04990-z. Epub 2023 Aug 11. PMID: 37566132.
Xu S, Liow MHL, Liu XE, Pang HN, Chia SL, Tay KJD, Yeo SJ, Chen JY. Enhanced recovery after day surgery total knee arthroplasty, the new standard of care: An Asian perspective. Knee. 2023 Oct;44:158-164. doi: 10.1016/j.knee.2023.08.003. Epub 2023 Sep 4. PMID: 37672906.
Zhang JJY, Chen JY, Tay DK, Pang HN, Yeo SJ, Liow MH. Corrigendum to 'Cost-Effectiveness of Robot-Assisted Total Knee Arthroplasty: A Markov Decision Analysis' [Volume 38, Issue 8, August 2023, Pages 1434-1437]. J Arthroplasty. 2024 Feb;39(2):568. doi: 10.1016/j.arth.2023.10.001. Epub 2023 Nov 18. Erratum for: J Arthroplasty. 2023 Aug;38(8):1434-1437. doi: 10.1016/j.arth.2023.02.022. PMID: 37981530.
Tan YCJ, Chen JYQ, Tay DKJ, Lo NN, Yeo SJ, Liow MHL. Patient Acceptable Symptom State Thresholds for the Knee Society Score, Oxford Knee Score, and 36-Item Short Form Survey Ten Years Following Unicompartmental Knee Arthroplasty. J Arthroplasty. 2024 Jun;39(6):1480-1486. doi: 10.1016/j.arth.2023.12.013. Epub 2023 Dec 9. PMID: 38081552.
Xu S, Liow MHL, Eric Liu X, Pang HN, Chia SL, Tay KJD, Yeo SJ, Chen JY. Enhanced recovery after surgery (ERAS) protocol reduces need for patient selection for day surgery total knee arthroplasty. J Orthop. 2023 Nov 22;49:18-23. doi: 10.1016/j.jor.2023.11.042. PMID: 38090600; PMCID: PMC10711009.
Foo WYX, Chen JY, Pang HN, Tay DKJ, Yeo SJ, Liow MHL. Severe genu varus deformity does not affect enhanced recovery after surgery total knee arthroplasty outcomes. Arch Orthop Trauma Surg. 2024 May;144(5):2249-2256. doi: 10.1007/s00402-024-05280-y. Epub 2024 Mar 29. PMID: 38551783.
Lee HJ, Xu S, Liow MHL, Pang HN, Tay DK, Yeo SJ, Lo NN, Chen JY. Unicompartmental knee arthroplasty in obese patients, poorer survivorship at 15 years. J Orthop. 2024 Apr 2;53:156-162. doi: 10.1016/j.jor.2024.04.001. PMID: 38601892; PMCID: PMC11002850.
Sim CHS, Woo BJ, Liow MHL, Pang HN, Yeo SJ, Tay D, Liu X, Lim JBT, Chen JDY. Postponement of total knee arthroplasties due to pandemic causes significant deterioration on patients' preoperative knee and quality of life scores. J Orthop. 2024 Apr 15;55:114-117. doi: 10.1016/j.jor.2024.04.008. PMID: 38681830; PMCID: PMC11046234.
Pua YH, Koh SS, Terluin B, Woon EL, Chew ES, Yeo SJ, Chen JY, Liow LMH, Clark R, Thumboo J. Effect of Context Specificity on Response to the Shortened WOMAC Function Scale in Patients Undergoing Total Knee Arthroplasty. Arch Phys Med Rehabil. 2024 Sep;105(9):1725-1732. doi: 10.1016/j.apmr.2024.05.005. Epub 2024 May 7. PMID: 38723858.
Ng EC, Xu S, Liu XE, Lim JBT, Liow MHL, Pang HN, Tay DKJ, Yeo SJ, Chen JY. Enhanced recovery after surgery day surgery for MAKO® robotic-arm assisted TKA; better outcome for patients, improved efficiency for hospitals. J Orthop. 2024 May 11;56:77-81. doi: 10.1016/j.jor.2024.05.013. PMID: 38800590; PMCID: PMC11127184.
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Lee HJ, Xu S, Liu EX, Lim JBT, Liow MHL, Pang HN, Tay DK, Yeo SJ, Chen JY. Successful 24-hour discharge for total knee arthroplasty: importance of timing of surgery and physiotherapy in enhanced recovery after surgery protocol. Singapore Med J. 2024 Oct 22. doi: 10.4103/singaporemedj.SMJ-2023-280. Epub ahead of print. PMID: 39434384.
Lo LWT, Xu S, Pang HN, Tay D, Yeo SJ, Liow MHL, Gek Hsiang L, Chen YJ. Outcomes of total knee replacement versus unicompartmental knee arthroplasty in an enhanced recovery after surgery protocol. J Orthop. 2024 Sep 6;60:134-137. doi: 10.1016/j.jor.2024.09.007. PMID: 39435134; PMCID: PMC11490907.
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Clarithromycin induced depression during Helicobacter Pylori (H. Pylori) eradication therapy. Liow MH, Tan KY. Singapore Medical J. 2010 (Suppl)

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