BOSS Latest News

Channel 9 News!

Tue, 08 Oct 2024 05:36:58 GMT

Our very own Dr William O’Callaghan met Andrew Lofthouse from Channel 9 news.

The discussion covered things patients should consider when making the decision to undergo knee replacement surgery.

Dr William O’Callaghan met with Andrew Lofthouse from Channel 9 news to discuss things patients should consider when making the decision to undergo knee replacement surgery.

RACGP Meeting – 6th May, 2023

Mon, 15 May 2023 00:55:07 GMT

Many thanks to the RACGP who put on a fantastic educational meeting. It was a pleasure to have the BOSS doctors involved in the education updates for General Practitioners on upper and lower limb examination with special tests, including a chance to practice examinations on each other.

Our thanks to both Eleanor (RACGP) and Nadine (St Vincent’s) for their help in organising this.

ADVANCED ANKLE SURGERY

Wed, 12 Apr 2023 04:44:34 GMT

Continued Total Ankle Replacement Advances

Using CT scans and 3D printing technology, we are now able to re-create a mold of your ankle arthritis & deformity. This allows more precise surgery by using the specific patients cutting & alignment guides.

This technique of total ankle replacements to:

better correct your arthritis,
improved joint longevity,
minimises operating time, and
with reduced complications,

In future, we should be able to utilise virtual reality training to help us "virtually trial" our surgical techniques prior to surgery, and further ensuring smoother operating technique and reducing complications.

If you would like to have a chat about your patient specific total ankle replacement book an appointment with us today!

BRISBANE EAGLES BASEBALL

Thu, 23 Dec 2021 05:36:16 GMT

Brisbane Orthopaedic Specialist Services are proud to be sponsors of the Eagles Baseball Club on Brisbane southside. Eagles were established in 1961 and is a community club that caters for players of all ages. This year, their youngest registered player is 5 yrs and the oldest is 64yrs! Congratulations to the Eagles for contributing to community sport for 50 years and best of luck for the current season.

BOSS of the Court!

Mon, 26 Jul 2021 01:49:58 GMT

Brisbane Orthopaedic Specialist Services are proud to support our local theatre and hospital staff team. We wish them all the success with their 2021 season and look forward to some great results on court.

Dr Craig Hughes talks on Arthritis

Wed, 19 Aug 2020 23:41:32 GMT

ADVANCES IN FOOT & ANKLE SURGERY

Tue, 07 Jul 2020 02:56:49 GMT

By Dr Gerald Yeo, Foot & Ankle Surgeon Brisbane

Dr Yeo was recently invited to make a short video by North West Private hospital to be included in the May 2020 GP Newsletter.

He talks briefly on the recent advances in Foot and Ankle surgery, focusing on arthroscopic surgery, minimally invasive/percutaneous surgery and ankle replacements.

Please enjoy the video.

2020 B.O.N.E.S CONFERENCE

Mon, 20 Apr 2020 02:13:45 GMT

Signature GP Educational Event

Brisbane Orthopaedic Specialist Services participated in the recent B.O.N.E.S (Brisbane Orthopaedic Network Education Services) a signature education event for General Practitioners.

The 2020 B.O.N.E.S Orthopaedic GP Education event was run on the 28th of March 2020 via a webinar. Dr Bill Donnelly chaired the afternoon sessions of the meeting and Dr Craig Hughes presented on:

Robotic surgery in total hip replacement and
Advantages and disadvantages of anterior vs posterior approach.

90 GP’s from South East Queensland participated in the meeting online.

GP EDUCATION WITH NORTH LAKES DOCTORS

Sun, 30 Jun 2019 02:15:07 GMT

Dr Craig Hughes and Dr Gerald Yeo were invited to take part in an Orthopaedic Update for General Practitioners in the North Lakes District.

Orthopaedic Topics

The update was a casual round table discussion that focused on:

Meniscal Root Tears, and
Ankle Instability.

Time Well Spent

The format was well received by those that attended and feedback indicated 90% of the GPs felt the meeting was very relevant to their practice and patients.

Both Dr Hughes and Dr Yeo run patient clinics in North Lakes and enjoyed the opportunity to meet with their colleagues and discuss the management of patients.

WILD WOMEN OF COASTREK

Sat, 29 Jun 2019 00:00:00 GMT

Brisbane Orthopaedic Specialist Services were proud to be sponsors of a team entered in The Wild Women On Top Coastrek.

What is Coastrek?

The Coastrek is a 30 and 60-kilometre team trekking challenge to raise money to restore sight.

Trekkers fundraise and raise money to help eliminate avoidable blindness by walking along some of Australia’s most beautiful coastlines.

Sydney Coastrek is an annual event supporting the Fred Hollows Foundation and allows the Foundation to continue its vital work to end avoidable blindness.

Coastrek Route

The trek, starting at sunrise, took our team of four “Angels” through pristine national parks, secret coves, stunning beaches and over Sydney's Harbour Bridge and past other iconic landmarks.

The trek was 30km from Rushcutters Bay to Tania Park near Manly Beach and thankfully we couldn’t have asked for better weather.

The BOSS Team

The four girls spent 12 weeks training with regular Sunday morning long distance walks along the Brisbane River which did not really prepare us very well for the ups and downs of a coastal walk and our tracking devices on the day registered around 36 kilometres.

It was a great achievement to complete the trek and raise money for this worthy cause.

SPORTS MEDICINE UPDATE

Tue, 16 Apr 2019 19:47:32 GMT

Presentation on holistic approaches to common sporting pathologies

Presentation on holistic approaches to common sporting pathologies

Dr Yeo recently presented at a Sports Medicine update for General Practitioners. The program focused on a holistic approach to common sporting pathologies, covering various topics ranging from drugs in sport, head and upper limb injuries to stress fractures of the foot and ankle.

Dr Yeo presented on the topic of Achilles tendon pathology, focusing particularly on insertional vs non-insertional tendinopathy. This is a common condition plaguing middle aged runners and athletes and is also a common question asked by most General Practitioners.

Pain in this condition is localised primarily to the bottom of the Achilles close to where it attaches to the calcaneus, and is usually worse with prolonged mobility, exercise or activities that induce pushing off or going up on tip toes. There can be swelling, crepitus or associated bumps on the back of your heel. These can be investigated with a simple x-ray and an ultrasound of your Achilles, and on occasion an MRI is required to provide further detail.

It is important to be able to distinguish between the 2 insertional vs non-insertional pathologies as they are quite separate entities and treatments vary. Overall the evening was a great success, with some great feedback from those that attended.

INTRODUCING DR GERALD YEO

Tue, 12 Feb 2019 00:00:00 GMT

Specialist in: Foot, Ankle & Lower Limb Trauma

Introducing Dr Gerald Yeo - Orthopaedic Surgeon

Specialist in: Foot, Ankle & Lower Limb Trauma

Dr Gerald Yeo (M.B.B.S., F.R.A.C.S. (ORTHO)) is our Foot, Ankle and Lower Limb Trauma surgeon. Gerald is a Queensland trained and qualified Orthopaedic Surgeon graduating with Honours from Medical School in Tasmania.

Of Malaysian/Chinese heritage, Dr Yeo moved in the 1990’s initially to New Zealand and then onto Australia. He is a Fellow of the Royal Australasian College of Surgeons, the Australian Orthopaedic Association and has completed a Fellowship in Knee, Foot & Ankle Surgery.

Dr Yeo’s special interest is disorders of the Foot, Ankle and General Lower Limb Trauma. He currently holds a public appointment at the Prince Charles Hospital, while consulting and operating out of the Brisbane Orthopaedic Specialist rooms and St Vincent’s Private Hospital Northside (formerly known as Holy Spirit Northside Hospital). He works closely in conjunction with Orthopaedic Wound Nurses, Podiatrists and Physiotherapist to ensure an optimal outcome for all his patients with foot, ankle and lower limb conditions.

OPERATING LOCATIONS:
CHERMSIDE
St Vincent’s Private Hospital Northside (formerly known as Holy Spirit Northside Hospital)
627 Rode Road, Chermside QLD 4032
EVERTON PARK
North West Private Hospital
137 Flockton Street, Everton Park QLD 4053

CONSULTING LOCATIONS:
CHERMSIDE
St Vincent’s Private Hospital Northside (formerly known as Holy Spirit Northside Hospital)
Brisbane Orthopaedic Specialist Services, G Floor, Medical Centre, 627 Rode Road, Chermside QLD 4032
NORTHLAKES
Northlakes Specialist Medical Centre, Medical Precinct
Suite 510-511, Level 5, 6 North Lakes Drive, Northlakes QLD 4509

MENISCAL MINEFIELDS

Mon, 04 Feb 2019 00:00:00 GMT

Understanding meniscal injuries and treatments

Understanding meniscal injuries and treatments

Summary: Meniscal tears are a many varied beast and hopefully now you can understand why when you refer patients with a meniscal tear on MRI to an orthopaedic surgeon that they may come back to you with a wide variety of treatment plans from oral analgaesia, physiotherapy or surgery.

by Dr Craig Hughes M.B.,B.S., F.R.A.C.S. (Orth) Hip, Knee and Trauma Surgery

Meniscal injuries are an interesting topic given they are a frequent presentation, are commonly operated on and have been investigated with some great randomised controlled trials.

The meniscus is 70% water and 30% organic material. It is predominately collagen, and is important for load transfer, absorbing 50% of the load across the knee joint. The menisci derive their blood from the geniculate arteries, with the vessels penetrating the peripheries of the menisci with anything greater than 5mm from the meniscal rim generally considered avascular and without healing potential.

Meniscal tears can be classified according to their location and orientation, or by the chronicity of the tear. A clear distinction needs to be made between atraumatic, degenerative tears and acute, traumatic tears.

Most traumatic tears of the meniscus will be the result of a combination of compression and rotational forces across the knee joint, classically squatting and twisting or pivoting.

The symptoms patients exhibit are quite variable but certainly pain at the joint line, which is a stabbing type pain on twisting or squatting is often described by the patient. Mechanical symptoms of clicking, swelling and giving way can also be present, but any locking type symptoms or lack of flexion or extension warrant close attention.

The examination of patients with acute knee injuries can be very challenging and almost impossible in the first few days after injury. When the pain has settled sufficiently to allow for their examination, there are some specialised physical examinations that can be performed to assess the integrity of the meniscus. Joint line tenderness, McMurray’s test, Apley’s grind test and the Thessaly test can be useful, particularly if they are all positive or all negative.

The investigation of choice for meniscal pathology is an MRI. In a symptomatic knee an MRI will show a meniscal tear 91% of the time. However, we must be cognizant that 13% of people under 45 with normal knees have meniscal tears on MRI and 36% of people over 45 will also show tears on MRI. (1)

Hulet et al published in the Bone and Joint Journal the 12 year results of patients that had undergone arthroscopic partial meniscectomy in 74 knees. Pleasantly, 95% of patients were happy with their knee function. Factors like age, gender and whether it was a medial or lateral tear did not seem to make a significant difference to the final outcome measures. (2)

A systematic review comparing meniscal debridement to repair showed that the risk of re- operation, usually due to failure of the repair, was approximately ten times higher in the repair group. Those meniscal repairs done with concomitant ACL reconstructions achieved better results. Overall, at final follow up the repair group had better functional scores and less radiologic deterioration. (3)

Gauffin studied arthroscopy versus physiotherapy in 45- 64 year olds with arthroscopy having better results at 1 year with regard to pain and function. (4) These results were not corroborated by Roos et al who did a similar study that showed no significant difference between exercise therapy or arthroscopy after two years. (5)

Several randomised controlled trials have shown no benefit from arthroscopy compared to sham surgery. (6,7) However, it is pertinent to note that these studies specifically excluded traumatic tears and locked knees. (7)

References; (1) Boden SD, Davis, DO, Dina TS, et al: A prospective blinded investigation of magnetic resonance imaging of the knee: Abnormal findings in asymptomatic subjects. Clin Orthop Relat Res 1992;282:177-185

(2) Hulet CH, Locker BG, Schiltz D, Texier A, Tallier E, Vielpeau CH. Arthroscopic medial meniscectomy on stable knees. J Bone Joint Surg [Br] 2001;83B:29-32

(3) Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: A systematic review comparing reoperation rates and clinical outcomes. Arthroscopy 2011;27(9):1275-1288

(4) Gauffin H, Tagesson S, Meunier A, Magnusson H, Kvist J. Knee arthroscopic surgery is beneficial to middle aged patients with meniscal symptoms: a prospective, randomised, single-blinded study. Osteoarthritis and Cartilage 2014;22:1808-1816

(5) Kise NJ, Risberg MA, Sterisrud SS, Ranstan J, Engebretsen L, Roos EM. Exercise therapy versus arthroscopic partial meniscectomy for degenerate meniscal tear in middle aged patients: randomised controlled trial with two year follow up. BMJ 2016;354:i3740

(6) Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 2002;347:81–88

(7) Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Järvinen TL. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med. 2013;369:2515–2524