News & Information
Rapid Recovery after joint replacement
Our group has specialised in using Local Infiltration Analgesia to reduce pain and improve mobility after joint replacement surgery. Having adopted the technique in 2003, it has a number of modifications and improvements.
Trochanteric Pain and Gluteal Tears
Pain over the out aspect of the hip, on the boney prominence is relatively common. Historically the presumed diagnosis was “bursitis” and in fairness, a cortisone injection to that bursa often relieved the pain, and although it might need to be repeated once or twice, the treatment worked. Sometimes the pain keeps recurring. MRI scan should be undertaken.
Are there syndesmotic injuries that can be treated non operatively?
The ankle syndesmosis refers to how the tibia and fibula are held together at the ankle joint. Because of the shape of the joint, the two bone should “spring” apart when weight placed through the leg.
Tourniquet Use in Knee Replacement causes Muscle Weakness
A randomised controlled trial comparing knee replacement cases with or without tourniquet use has demonstrated that using the tight cuff around the thigh actually causes muscle weakness after the surgery.
Anterior Approach & International Trends
David Mitchell & Shaun English have attended the Combined British and Italian Hip Society Conference, Milan, November 2015.
Ankle Sprains
We don’t routinely use ultrasound to assess ankle injuries. A plain XR excludes ankle fractures & 5th metatarsal base fractures
Acute Calcific Tendonitis of Shoulder – Ouch!
Acute calcification of the shoulder hurts. Badly. Some people require strong narcotic medications for the pain in addition to simple analgesics like paracetamol and antiinflammatories.
Must Do / Could Do / Shouldn’t Do Clavicle Fractures
Clavicle fractures have had quite a discussion at the Australian Orthopaedic Association Annual General Meeting 2015 in Brisbane.