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Dr Kaushik Hazratwala Blogs

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-...

Alternate Alignment Technique for Total Knee Replacement

Alternate alignment is gaining popularity amongst orthopaedic surgeons. The alternate alignment principal for total knee is based on the gap balancing principal, allowing the medial and lateral soft tissue envelope to remain at their native lengths.12 It is an anatomical tibia 1st technique with subsequent femoral cuts to balance the knee within its native soft tissue envelope, Compared to...

Lateral Hip Pain (Outer)

The most common reason for Lateral (outer) hip pain is Trochanteric Bursitis. This is inflammation of the trochanteric bursa. This bursa is at the top, outer side of the femur. It has the function of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it, especially the Ilio-Tibial Band (ITB). This is a strong sheet of tissue that runs from the Pelvis...

Chronic Ankle Instability

Chronic ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually, the giving way occurs while walking or running on uneven surfaces or sloped surfaces. Most people who suffer an ankle sprain will recover with Physio and retraining. A select small number go on to develop...

5 Steps to Finding the Perfect Life after Knee Replacement

Total knee replacement has a very high success rate in relieving pain and bearing upon the ability to mobilize. Overall, 95% of these operations are highly successful and we know that at 10 – 15 years after the surgery 95% are still working very comfortably. In general, the knee replacement will last longer in older and lighter people. 1. Care your knee after knee replacement It will take...

Is Hip replacement the best option for hip pain?

If you are suffering from a hip pain for a long time. You should consult with your nearby orthopaedic surgeon who is a specialist in hip replacement. Because instead of suffering from pain, it is beneficial to go for surgery. Dr Kaushik Hazratwala - Hip Replacement Specialist Surgeon According to Dr Kaushik Hazratwala, Hip Replacement surgery is recommended when: Inadequate pain...

Early Mobilisation reduces the risk of complications in Ankle Fracture Fixation Surgery

Ankle fractures can occur during sporting activities, or as a result of a fall. Fractures can occur in the tibia, fibula or a combination of both, and damage can also involve the ligaments of the ankle joint. Depending on the type and location of the fracture, surgery may be required.  Dr Kaushik Hazratwala - Ankle surgery specialist Depending on the success and stability of the...

Orthopaedic Research Institute of Queensland (ORIQL)

Orthopaedic Research Institute of Queensland (ORIQL) is a Health Promotions Charity organisation formed by Myself, Dr Peter McEwen, and Dr Matthew Wilkinson. Our aim is to promote musculoskeletal research here in North Queensland. We are affiliated with JCU, The Townsville Hospital and The Mater Hospital. If you have any queries regarding our research projects or would like to get involved in...

Know all things about Knee Replacement Surgery Procedure.

If you are considering a Total Knee Replacement or are having one soon, this video will help you understand what the surgeon will be doing. I should clarify that I no longer use rods inserted into the tibia and the femur as I use computer navigation. I do use bone cement to fix the implants to your bone. My patients usually stay in the hospital for 2 days and are walking the same day of the...

Total Knee Replacement vs Resurfacing

With the invent of new surgical techniques and instruments Knee Replacements can now be performed almost like Resurfacing. Taking as little bone as possible and resurfacing it with the equal amount of metal and plastic. Total Knee Replacement vs resurfacing The attached picture is from a knee arthroplasty I performed today. This is the actual picture of the bone cuts I performed on the...

Baker's Cyst of The Knee

A Baker's cyst is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully flex or extend your knee or when you're active. Image courtesy - Mayo Foundation Read: 5 Steps to Finding the Perfect Life after Knee Replacement A Baker's cyst is usually the result of a problem with your knee joint, such as arthritis or a...

Bilateral (2) Hip and Knee Replacements

  Many patients suffer from arthritis in 2 large joints at the same time that require joint replacement. Patients usually think that having 2 large joints replaced at the same time would require prolonged rehabilitation and increased pain. THIS IS NOT TRUE. Nowadays with advanced surgical techniques and postoperative pain relief protocols, patients are only a day longer in hospital, and...

ACL rupture and associated structural injuries of the knee

The ACL (anterior cruciate ligament) is part of a complicated network of ligaments that help stabilise and hold the knee.  These structures are especially vulnerable to injury during sporting activity or as the result of direct impact. ACL rupture is often associated with meniscal and medial ligament injury. This combination is known as a the “terrible triad” of knee injuries. Knee...

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