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Dr Kaushik Hazratwala Blogs

Anaesthesia for Hip and Knee Surgery

A Case for Conscious (awake) regional Anaesthesia

Before your joint replacement surgery, A/Prof Kosh will discuss anaesthesia with you. The selection of anaesthesia is a major decision that could have a significant impact on your recovery. It deserves careful consideration and discussion with A/Prof Kosh and your anaesthetist. Several factors must be considered when selecting anesthesia, including: Your past experiences and...

COVID-19 - How does it impact your medical care

Please read response from A/Prof Hazratwala at QLLC.

The current COVID-19 (CoronaVirus) outbreak is escalating around the world. The numbers of potentially infected people have increased, and Australia has one of the lowest rates currently. The evidence, however suggests that this is NOT just a regular flu, but something that can potentially flood our hospitals with patients requiring ventilatory support. There are numerous examples now in highly...

Evidence for Allograft use in ACL reconstruction

MTF- Musculoskeletal Tissue Foundation

Ever wondered why you have to give up one body part in order to reconstruct another. This is because donated tissue are either weaker or may carry a risk of disease transmission. An American company MTF Biologics (https://www.mtfbiologics.org) who have been supplying allograft (donor) tissue in the USA for the last 30yrs have finally received approval for there products to be brought to...

New Patient Partner Programme- A move towards personalised rehabilitation

A new programme offered by QLLC for Hip and Knee Replacement Patients.

Queensland Lower Limb Clinic in partnership with 360 Knee Systems (360KS) (https://kneesystems.com) offer all eligible Bupa, HCF, NIB and AHSA fund members who are scheduled for knee or hip replacement surgery, a dedicated Patient Partner to design and deliver a rehab program personally tailored for you in your own home, at no additional cost. The Patient Partner pathway is prescribed by Dr...

Pacific Island Orthopaedic Association (PIOA)

My Time in Papua New Guinea

I went to PNG to help my colleague and friend Dr Desmond Soares with his initiative - the Pacific Island Orthopaedic Association. This initiative took birth way back in 2012.  Dr Soares who in his former life before becoming an Orthopaedic Surgeon worked in Nepal looking after Leprosy patients.  He returned to Australia in the late 90's and trained as an orthopaedic surgeon in...

Do you need a Knee Replacement???

If you’re thinking about having knee replacement surgery, you’re in good company. Every year, more than a 55000 Australians opt for the procedure.   Many people have knee replacements (also called knee arthroplasty) because they have osteoarthritis. This condition occurs when the cartilage (tissue) that cushions the knee joint wears away. As a result, bone...

What is Patient Selection?

An Excellent Surgeon Knows when NOT to Operate!!!!!!

"A Good Surgeon Knows How to Operate'                                                                                                      ...

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....

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