Over the last two years I have introduced an Enhanced Recovery After Surgery (ERAS) pathway for knee replacement surgery at Sportsmed Hospital. This is a patient focused evidence-based team approach to knee replacement surgery that speeds up recovery and reduces pain and complications. Every aspect of patient care has been carefully evaluated and the patient is involved as an active participant in the process.
An independent audit by the Australian Orthopaedic Association National Joint Replacement Registry has confirmed that Sportsmed has an extremely low revision surgery rate for infection of joint replacements compared to the national average of all other hospitals. The audit covered 19223 joint replacement procedures performed at Sportsmed over 20 years from January 1999 to February 2019.
Every day patients with knee arthritis ask me whether keyhole surgery (knee arthroscopy) would help them. The bottom line is that it is an excellent minor procedure for patients who have symptoms from obstructing lesions in the knee such as a torn meniscus (cartilage shock absorber) or loose body regardless of the presence of underlying arthritis. It is less useful for patients with simple ache from arthritis without any mechanical component. The trick is telling the difference and this requires experience.
Rupture of the Anterior Cruciate Ligament (ACL) is a common injury that can severely effect an athlete’s career and has significant additional financial, physical and emotional consequences outside of sport. The good news is that many of these injuries can be prevented with an ACL prevention program. Unfortunately, most amateur athletes involved in sport at a school or community level are not engaged in these sorts of programs, but progress is being made.