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Nurse Practitioner Education Evening – Lower Limb Orthopaedics

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On Wednesday 14 September 2016, Orthopaedics SA welcomed more than twenty-five nurse practitioners (including Candidates) and senior nursing staff to an OSA Education evening on Lower Limb Orthopaedics.

Dr George Dracopoulos, Dr Justin Webb and Dr Daniel Mandziak provided enlightening and insightful presentations on their experiences with Lower Limb Orthopaedic procedures and practices, including:
• Ankle Sprain – Serious or Not?
• Metatarsalgia – Nervous or not?
• Knee injuries – Cartilage and ligament injuries
• Hip osteoarthritis
• Direct Anterior Hip Replacement

The event aimed to provide Nurse Practitioners with key learning outcomes imperative to the assessment and management of Lower limb treatment, including:
1. Condition assessment and diagnosis
2. Immediate treatment
3. When to refer and when to delay
4. How to manage the condition in the meantime
5. How to manage the condition following treatment
6. Return to normal activity.

The presentations included didactic style presentations using slides, research, short videos & case studies with ample opportunity for questions and answers.
This Nurse Practitioner event has been the third in a series of events in the last 12 months and is testament to our Surgeons commitment at Orthopaedics SA in providing excellent care from the initial assessment to post-operation.

A sincere thank you to ACHA for their support of this event and their commitment to educating Nurse Practitioners in South Australia.

If you would like to register for future Nurse Practitioner events, please contact Sarah Davies, Marketing Manager, Orthopaedics SA on (08) 8267 8220 or email .


General Practitioner Education Evening – Lower Limb Orthopaedics ‘Joint Replacement’ with Dr Darren Waters, Dr Jonathan Cabot and Dr Mark Inglis.

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Last week, Orthopaedics SA welcomed more than thirty general practitioners to an OSA Education evening on ‘lower limb’ orthopaedics focussing on ‘joint replacements of the knee and hip’. The event was an opportunity to hear from our Orthopaedic surgeons, Dr Darren Waters, Dr Jonathan Cabot and Dr Mark Inglis, who shared their experiences over their long and vast career in Orthopaedics.

Dr Waters, a ‘founding father’ of Orthopaedics SA presented on his experiences with the diagnosis, treatment and surgical procedures relating to knee replacement. Particularly, the focus on ‘finding solutions to sagittal stability in the knee’. Dr Waters provided an insightful presentation on the clinical outcomes of the varying types of joint replacements based on his research and findings from the joint registry.

Dr Cabot and Dr Inglis provided a presentation on hip replacements focussed on the direct anterior approach. Together the two surgeons have completed over seventy-five direct anterior approach hip replacements in the last year.

According to Dr Inglis, one very important question you should be asking your surgeon regarding anterior hip replacement is ‘how many of these surgeries have you undertaken and what were the outcomes?’ OSA are now offering direct anterior hip replacements for private patients in South Australia. Dr Cabot has credited their ‘successful patient outcomes’ to the mentor program implemented along with the reverse visitations.

The event aimed to provide General Practitioners with key learning outcomes imperative to the success of joint replacements:
1. Identify when a patient may require a hip replacement.
2. Explain the differences between various surgical approaches in THR including benefits and limitations of each technique.
3. Describe patient dissatisfaction causes – post knee replacement.
4. Identify which patients will do best with surgery & when to refer them to a specialist.

A sincere thank you to Medacta for their support of this event. A particular thank you to Hither and Yon wines for supporting the evening.

If you would like to register for future General Practitioner events, please contact Sarah Davies, Marketing Manager, Orthopaedics SA on (08) 8267 8220 or email sdavies@orthosa.com.au.


General Practitioner Education Evening – Paediatric Orthopaedics

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Last month, Orthopaedics SA welcomed more than thirty general practitioners and paediatric specialists to an OSA Education evening focussing on Paediatric Orthopaedics. The event was an opportunity to hear from our Orthopaedic specialists, Associate Professor Peter Cundy, Dr Nicole Williams and Dr David Hermann.

The highly regarded, Associate Professor Peter Cundy who currently heads the Department of Orthopaedics at the Women’s and Children’s Hospital, shared his knowledge on diagnosis and treatment of Paediatric Conditions, particularly:
• Growth Plate Considerations & Fractures
• Forearm Fractures
• Synthetic and Plaster of Paris for Paediatric Forearm Fractures
• SCFE – Slipped Capital Femoral Epiphysis
• Scoliosis – Diagnosis and Treatment

The presentation investigated a number of Case studies that Associate Professor Cundy had personally been involved in over the last decade.
A particular case examined the impact of the increase in BMI of young patients resultant issues with SCFE. Put simply, Associate Professor Cundy referred to SCFE surgery as ‘like the scoop of ice cream has fallen from the cone and we have to join it back together using a chocolate stick’.

Associate Professor Cundy was supported on the evening by two Paediatric Orthopaedic Surgeons, Dr Nicole Williams and Dr David Hermann.
Dr Nicole Williams provided a presentation on the importance of early diagnosis of hip dysplasia in children. Her passion for the research was evident.

Dr Williams highlighted the research with a notable ‘increase in the late diagnosis of DDH in small children in South Australia’.
According to Dr Williams, there has been a number of contributing factors but perhaps surprisingly, one of contributing factors is the incorrect swaddling of infants. Dr Williams provided the registrants with the appropriate ways to test and diagnose DDH, including the education of new mothers.

The event aimed to provide General Practitioners with key learning outcomes imperative to the diagnosis and treatment of Paediatric conditions:
1. Condition assessment and diagnosis of paediatric conditions
2. Immediate treatment, when to refer and when to delay
4. How to manage the condition in the meantime
5. How to manage the condition following treatment

The event was also an opportunity to hear from Dr David Hermann and his experiences diagnosing and treating paediatric and teenage sports injuries.

Dr Hermann covered a range of common orthopaedic injuries (other than fractures). His presentation examined the following: Shoulder Instability, SLAP and Rotator Cuff, Lateral Clavicle fractures, ACL Rupture, other Ligaments, Patellofemoral Instability, Meniscal Tear and Ankle Sprains.

The event also included an informative and interactive workshop on plastering and casting of the forearm.

A sincere thank you to ACHA for their support of this event and their commitment to educating General Practitioners in South Australia. A particular thank you to Hither and Yon wines for once again supporting the evening with their wines.

If you would like to register for future General Practitioner events, please contact Sarah Davies, Marketing Manager, Orthopaedics SA on (08) 8267 8220 or email sdavies@orthosa.com.au.

 


Nurse Practitioner Education Evening – Upper Limb Emergency Practice

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On Wednesday 16 March 2016, Orthopaedics SA welcomed more than twenty-five nurse practitioners (including Candidates) and senior nursing staff to an OSA Education evening on Upper Limb Emergency Practices.

The event was an opportunity for the attendees to learn from some of the most experienced and skilled Orthopaedic Surgeons in South Australia. Dr Meng Ling, Dr Darren Waters, Dr James McLean and Dr Aman Sood, provided enlightening and insightful presentations on their experiences with Upper Limb Orthopaedic procedures and practices, including:

  • Common Hand And Wrist Injuries
  • Rotator Cuff Function/Dysfunction
  • Examination Of The Shoulder And Common Shoulder Injuries
  • Emergency management of traumatic elbow fracture assessment

The event received excellent feedback from all attendees.

They provided us with personal insight and related to patients and experiences that they have had.” – Nurse Practitioner

“It was an excellent evening and I thoroughly enjoyed it. The presenters were brilliant and I personally feel privileged to receive such education from these fantastic specialists” – Nurse Practitioner

The event aimed to provide Nurse Practitioners with key learning outcomes imperative to the assessment and management of Upper limb treatment, including:

  1. Condition assessment and diagnosis
  2. Immediate treatment
  3. When to refer and when to delay
  4. How to manage the condition in the meantime
  5. How to manage the condition following treatment
  6. Return to normal activity.

According to Orthopaedics SA General Manager, Nicole Sykes, ‘the Nurse Practitioner Education evenings are a testament to our Surgeons’ commitment at Orthopaedics SA in providing excellent care from the initial assessment to post-operation’.

‘If we can support Nurse Practitioners with our insights for identifying the appropriate treatment and management of Upper Limb conditions prior to referral, we can ensure a consistent approach is adopted early.’

‘It can only benefit our patients when we work closely with our allied health colleagues to ensure we are all educated around current best practice.” Said Nicole.

A sincere thank you to ACHA for their support of this event and their commitment to educating Nurse Practitioners in South Australia.

If you would like to register for future Nurse Practitioner events, please contact Sarah Davies, Marketing Manager, Orthopaedics SA on (08) 8267 8220 or email sdavies@orthosa.com.au

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NOVEMBER 2016

In November, Dr James McLean published an article on complex wrist injuries in The Journal of Wrist Surgery. Co-authored with four fellow orthopaedic surgeons from Australia and the United Kingdom, the article presents novel ways to manage complex, traumatic wrist injuries using state-of-the-art equipment and techniques.

From reconstructive surgery undertaken with eight patients, the team found that the new approach resulted in patients experiencing a reduced pain (decreasing from 5.8 to 2.1); improved wrist range of motion; and improved grip strength. Following these preliminary findings, further research is planned to investigate the long term benefits of the technique.

Read the full article in the Journal of Wrist Surgery.

This month, an article on a muscle-sparing surgical technique, developed and used by Dr James McLean for several years, has been published in the Techniques in Hand & Upper Extremity Surgery Journal. The technique preserves important forearm muscles, thereby improving patients’ short and long-term recovery from surgery. This technique is reproducible and effective, and can be adopted by other surgeons to improve their patients’ outcomes from this potentially devastating injury.

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Congratulations to two of our team, Dr David Hermann and Nicole Sykes, who recently graduated from the Australian Institute of Company Directors’ Company Directors Course. Dr Hermann is the current Chair of Orthopaedics SA and Ms Sykes is General Manager.

With a focus on compliance and governance, the course provides ten modules, equipping participants with a greater understanding of the duties and responsibilities essential for all directors.

Nicole & David photo

 

 

So pleased for one of our surgeons, Dr Jason Ward, who appeared on Channel 7 recently. Jason is sailing in the Sydney to Hobart yacht race. We wish him all the best.

We are pleased to announce that Orthopaedics SA have commenced consulting and operating at Calvary Central Districts Hospital, complementing our locations to cover patients within central Adelaide and the surrounding metropolitan areas to the north, south, east and west.

Calvary Central Districts Hospital provides convenience for local patients, with ample parking from Jarvis Road, making appointment and hospital check in easier. The hospital location also facilitates access to orthopaedics services for defence patients, WorkCover patients and general adult orthopaedic patients from the region.

From October 2015, two doctors commenced regular consulting sessions, Dr Justin Webb and Dr James McLean. In 2016, additional doctors will be available from the hospital; Dr Aman Sood, Dr Meng Ling and, returning later in 2016, Dr Philip Brook. This will enable OSA to provide the region with both upper and lower limb orthopaedic care for adults and children.

Nurse Practitioners join OSA for professional development training

Nov 2015

On Wednesday, we welcomed nurse practitioners from hospital emergency departments across Adelaide to Orthopaedics SA to look at common presentations in emergency. Thanks to Jackie Sullivan, from the Orthopaedic & Trauma Service at the Royal Adelaide Hospital, who joined our surgeons to present on fingertip injuries. Also focused on upper limb issues were Dr James McLean, who explained hand and wrist injections and blocks, and Dr Jonathan Cabot, who discussed shoulder examinations. Our lower limb specialists, Drs Daniel Mandziak and Justin Webb, spoke about acute ankle injuries and sports knee injuries respectively.

Dr Justin Webb explaining sports injuries of the knee

Dr Justin Webb explaining sports injuries of the knee


South Australia’s largest private orthopaedic group welcomes new surgeon

August 2015

South Australia’s largest, private orthopaedic group, Orthopaedics SA, has grown to 22 surgeons, with the introduction of Dr James McLean. Dr McLean joins the practice upon his return from Canada, increasing the team of upper limb surgeons to eight.

“We are pleased to welcome James to the Group,” says Orthopaedics SA Chairman, David Hermann.

“We’re always focused on improving patient outcomes and, with James’s research and practical experience, he will quickly prove his value to both patients and our practice.”

Dr McLean has a particular interest in joint replacement and minimally-invasive arthroscopic (key-hole) surgery of the shoulder, elbow, wrist and hand. He manages patient conditions associated with arthritis, trauma and sports injuries; and has a special interest in shoulder arthritis and rotator cuff disease.

In addition to consulting from three of Orthopaedics SA’s metropolitan locations, Dr McLean complements his private practice with clinics at the Queen Elizabeth and Royal Adelaide Hospitals; where he holds clinical and academic appointments through the University of Adelaide.

He is also an active Australian Defence Force Reservist, a devoted husband and father of two young boys.

To learn more about Dr McLean, click here or book a consultation on 08 8267 8292.


Orthopaedics SA announce new chairman

July 2015

Orthopaedics SA is pleased to announce the appointment of Dr David Hermann as Chairman of the group practice. An orthopaedic surgeon and sports injury specialist, Dr Hermann has been a member of the orthopaedic practice for nine years, including serving on the Executive Committee. He has recently completed the Company Directors course with the Australian Institute of Company Directors.

Dr Hermann follows the footsteps of Associate Professor Peter Cundy, who had held the position of Chairman for the past three years.


Feb 2015.

Patient safety and optimal surgical outcomes are the first priority of our surgeons. Dr Justin Webb and Dr Daniel Mandziak recently attended a conference entitled ‘Adverse Events: Can we prevent them’, organised by the Australian Society of Anaesthetists.

A variety of presentations by medical specialists addressed a range of pre-operative and post-operative patient care issues which can help to identify and prevent adverse outcomes.

This will further be discussed with all Orthopaedics SA surgeons at their regular practice clinical meeting.


New Orthopaedics SA General Manager

Orthopaedics SA are very pleased to announce the appointment of a General Manager, Nicole Sykes.

Nicole was the successful candidate for the position which was advertised Australia-wide, with a large number of highly qualified local and interstate applicants.

Nicole commenced on September 4 and is currently transforming the secretarial and back office services across our 3 major sites at Memorial Hospital, Ashford Hospital and Flinders Private Hospital.

Orthopaedics SA looks forward to utilising her skills and leadership qualities in the years ahead with improved efficiencies and enhanced customer and patient services. Welcome Nicole.


Direct Anterior Hip Replacement

Dr Daniel Mandziak is offering direct anterior hip replacement surgery to appropriate patients.

The direct anterior minimally invasive approach offers some potential benefits, particularly in the early stages of recovery/rehabilitation. Dr Mandziak is offering this approach using computer navigation to aid accuracy of implant positioning. Please book in for a consultation if you would like to discuss this further.