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Southern DHB Orthopaedics - Southland

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    Orthopaedics deal with disorders of bones, joints, limbs and the spine. This covers a range of conditions including:
    • congenital
    • degenerative conditions of old age
    • trauma from road accidents
    • bone infections
    • fractures.
    Services include a range of elective orthopaedic procedures including hip, knee, foot, ankle, shoulder, paediatric, spinal, hand and arthroscopic surgery.
     
    Fracture Clinics are for patients who have sustained an injury and have been treated in the Emergency Department (ED), where further follow-up of that injury is required.
     
    Orthopaedic Outpatient Clinics are for patients referred for a specific problem, or follow up after planned surgery.
     
    Upon presentation at either clinic X-Rays may be required prior.

    Practitioners

    • Mr Russell Fowler

      Mr Russell Fowler

      Orthopaedic Surgeon
    • Mr Charles Luecker

      Orthopaedic Surgeon - Clinical Lead
    • Mr Pierre Navarre

      Mr Pierre Navarre

      Orthopaedic Surgeon
    • Dr Christopher Phoon

      Orthopaedic Surgeon
    • Mr Amir Sandiford

      Orthopaedic Surgeon
    • Mr Gordon Veale

      Orthopaedic Surgeon
    Procedures

    Fracture Clinics

    These clinics are run by most orthopaedic departments for patients that have sustained an injury that has already been treated and further follow-up of that injury is required, to monitor progress of a healing bone, check the position of the bone in a cast and to decide when other steps in management such as re-manipulation of fracture, removal of a cast or change of the management plan is required. Often at these fracture clinics x-rays are taken on arrival. Although an appointment time is given, the time to have x-rays, casts removed, other treatments instigated may take several hours. Other appointments will be quick and efficient if these other procedures are not needed.

    General Outpatient Clinics

    These are clinics for patients that have been referred by their doctor for an orthopaedic opinion on a specific concern. These clinics are usually attended by a specialist orthopaedic surgeon who will be available to advise on diagnosis and management. Often at the clinics x-rays will be taken, if not already taken and sometime other investigations such as ultrasound scans may be taken.

    Specialty Clinics

    Clinics for specific parts of the body or specific conditions. Examples of these will be an orthopaedic tumour clinic or a spinal clinic. Here the patients with specific problems are seen by the appropriate doctors and support staff for their special needs.

    Joint Replacement

    For elderly patients joint replacement surgery is commonly required to treat damaged joints from wearing out, arthritis or other forms of joint disease including rheumatoid arthritis. In these procedures the damaged joint surface is removed and replaced with artificial surfaces normally made from metal (chromium cobalt alloy, titanium), plastic (high density polyethelene) or ceramic which act as alternate bearing surfaces for the damaged joint.These operations are major procedures which require the patient to be in hospital for several days and followed by a significant period of rehabilitation. The hospital has several ways of approaching the procedure for replacement and the specifics for the procedure will be covered at the time of assessment and booking of surgery. Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation.

    Osteotomy

    The division of a crooked or bent bone to improve alignment of the limb. These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

    Arthroscopy (keyhole surgery)

    Over the last 30 years a large number of orthopaedic procedures on joints have been performed using an arthroscope, where a fiber optic telescope is used to look inside the joint. Through this type of keyhole surgery, fine instruments can be introduced through small incisions (portals) to allow surgery to be performed without the need for large cuts. This allows many procedures to be performed as a day stay and allows quicker return to normal function of the joint.Arthroscopic surgery is less painful than open surgery and decreases the risk of healing problems.  Arthroscopy  allows access to parts of the joints which can not be accessed by other types of surgery.

    Soft Tissue (muscles, tendons and ligaments)

    In many cases tendons will be lengthened to improve the muscle balance around a joint or tendons will be transferred to give overall better joint function. This occurs in children with neuromuscular conditions but also applies to a number of other conditions. Most of these procedures involve some sort of splintage after the surgery followed by a period of rehabilitation, normally supervised by a physiotherapist.