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Dr Kaushik Hazratwala Blogs

Patella-Femoral Joint Arthritis

Patellofemoral arthritis affects the underside of the patella (kneecap) and the channel-like groove in the femur (thighbone) that the patella rests in. It causes pain in the front of your knee and can make it difficult to kneel, squat, and climb and descend stairs Patellofemoral arthritis occurs when the articular cartilage along the trochlear groove and on the underside of the patella wears...

Are you Fit for Surgery???

Smoking and Obesity are the major risk factors

 Like training for a marathon, ‘training’ for surgery by getting your body in better shape may lessen the risk of complications during your surgery and improve your post-surgery recovery. If you have surgery that requires you to receive a general anaesthetic, your body will be placed in a drug-induced state during which you will not respond to any stimuli such as pain. ...

Antero-Lateral Ligament (ALL) Augmentation

Antero-Lateral Ligament Augmentation to ACL reconstruction.

The anterolateral ligament(ALL) is a ligament on the lateral aspect of the human knee, anterior to the fibular collateral ligament. Perhaps the earliest account of the ALL was written by French surgeon Paul Segond in 1879, in which he described a ligamentous structure between the lateral femur and tibia. The ALL, which has been suggested to occur in at 33-97% of...

Why do Gap Payment exist in Private insurance Surgery??

The Role of the Doctor, the Insurer and Medicare!!!!!!!!

One of the most important components of hospital insurance is the cover for medical services expenses during hospital treatment.The cover provided by different funds delivers different outcomes for patients. There is essentially 3 types of Billing structure from your service Provider (Usually specialist in-hospital stay) Note- Health insurance does not cover outpatient service e.g. consult,...

Orthopaedic Robotics

In recent times there has been an industry push towards the use of orthopaedic robots. This push has largely been by Stryker who acquired Mako and have married their prosthesis with Mako “ARM” robot. This has been one of the clever marriages I have seen in orthopaedics for some time. Currently the use of this robot is limited to Unicompartmental knee replacement. I gather they are working...

Necessity is the Mother of Invention

Home Made Continuous Passive Motion (CPM) machine

A Patients Husband made this home made hand operated device after seeing it used in Hospital. This is usually a very expansive machine , power operated and usually very sophisticated. However this hand made version serves all the same function as it automated counterpart at probably 1/100th the cost. GENIUS how it rehabs the knee whilst working out the arms and the upper body.

What Can Go Wrong with Knee Replacement????

Complications of Knee Replacement Surgery

Most knee joint operations are problem-free but about 1 person in every 20 may have complications. Most of these complications are minor and can be successfully treated. The risk of complications developing will depend on a number of factors including your age and general health. In general, a younger patient with no other medical problems will be at a lower risk of complications. It's...

New ORIQL Publication

The use of Regional Administration of Prophylactic Antibiotics in Total Knee Arthroplasty

Click link below-  https://www.researchgate.net/publication/327262289_The_use_of_Regional_Administration_of_Prophylactic_Antibiotics_in_Total_Knee_Arthroplasty 

The emotional impact of AHPRA complaints by patients

A single doctors narrative View. Published in Australian Doctor Magazine

My world fell apart' - doctor describes her blind fear when AHPRA came knocking Melbourne doctor appeals for a more humane reporting process 16th August 2018 Special Report: Part 1 Each year up to 5,000 doctors will be subject to a formal complaint by a patient. But while relatively common, the emotional fallout is less discussed. In this two part series Australian Doctor...

10 Tips for those caring for Orthopaedic Patients.

Knee and Hip replacement post operative patient care

Recovering from hip and  knee replacement surgery can be challenging, especially without the help of friends and family members. For many people, the first few days at home are the most difficult. The person you’re caring for is likely to be tired and in pain. They may be frustrated or scared because it’s difficult for them to get around and do things on their own. This is when...

Naturally Aligned Computer Assisted Knee Replacement

Computer assisted Surgery (CAS) has now been around for almost 20 yrs. in various forms. With the advent of mechanical execution tools i.e. Robots, the surgical accuracy is excellent. Multiple studies show that computer navigated knee replacements have better alignment and less outliers.1 However most of these studies go on to state that there is no defined statistical benefit to the patient....

Obesity and Joint Replacement Surgery

Obesity is major problem facing our affluent society. In 2014-2015, a staggering 63.4 percent of Australian adults were overweight or obese -- well over half of our nation's population. That's almost two in three adults. This is an increase from 1995, which was 56.3 percent, illustrating that the problem is getting worse.  Orthopaedic surgery deals with the treatment...

Sleep Apnea Must be Treated

The life-threatening consequences of obstructive sleep apnoea are caused by a lack of oxygen in the blood. Breathing is hindered or obstructed when the airways are too narrow. Consequently, too little air reaches the lungs. During these breathing pauses, the oxygen content in the blood decreases rapidly, the heart races, blood pressure increases and stress hormones such as cortisol and...

Townsville surgeon wants health providers enforce smoking laws

OLIVIA GRACE-CURRAN, Townsville Bulletin March 20, 2018 12:00am SMOKERS are being urged to consider others and heed signs discouraging smoking near public and private health facilities. Smoking is prohibited within 5m of all public and private health facilities in Queensland. A Townsville orthopaedic surgeon is hoping local health providers consider driving an initiative to enforce the...

Computer Navigation is for the Outliers!!!!!!

By Dr Kaushik Hazratwala, Orthopaedic Surgeon, Director – Orthopaedic Research Institute of Qld Director – Townsville Lower Limb Clinic Finally, after 15 yrs. this Korean group has proven that Computer Navigation will not improve patient outcome in all comers.  The proponents of conventional Knee replacements will rejoice in this publication and uncork expensive French...

Platelet Rich Plasma (PRP) - Latest Evidence or Lack of !!!

This is an abstract from the recently published review article in the American JBJS. It summarises the current application of the use of PLATELET RICH PLASMA in clinical orthopaedics. There is support for its use in knee Arthritis but there is not enough evidence for routine use in soft tissue injuries. Read: Who is more likely to have anterior patella pain (knee cap)? "Platelet-rich...

Who is more likely to have anterior patella pain (knee cap)?

The patella is located anterior (in front) of the femur in the femoral trochlear groove, and “tracks” along this groove depending on how the knee is bent. Patellar instability and pain can happen to anyone once the patella begins to move incorrectly. Most commonly, pain in the front of the knee occurs in: Athletes involved in sports with repeated running or jumping People employed in...

How old is too Young for Hip and knee arthroplasty

Nearly every day I consult I would see a patient in their 40's or early 50's with bone on bone arthritis of the knee and less commonly the hip. Unfortunately, the easiest operation for me to perform on these patients is a total joint replacement (Arthroplasty). Why?- Because the surgery has predictable results including pain relief. However, is this the morally, ethically and scientifically...

Issues to consider with health insurance in Australia

Health insurance issues in Australia - Dr Kaushik Hazratwala One of the most important components of hospital insurance is the cover for medical services expenses during hospital treatment.The cover provided by different funds delivers different outcomes for patients. There is essentially 3 types of Billing structure from your service Provider (Usually specialist in-hospital stay) Note-...

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