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The future of hip surgery.

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Your first step to a healthy future. Adelaide Orthopaedic and Trauma Specialists are excited to offer patients suffering from hip arthritis the benefits of MAKOplasty® robotic-arm assisted technology.

Our surgeon controlled robotic arm allows us to perform hip replacement surgery tailored to patients’ specific anatomy. This innovative approach aids in the accurate positioning and placement of implants, resulting in improved function and lifespan of the hip replacement.

MAKOplasty® is a high-tech, minimally invasive solution that offers fast recovery & little post-operative pain, meaning you’ll get back to living a healthy and active lifestyle as quickly as possible.

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Hip pain shouldn’t hold you backMany Australians who suffer from hip pain due to degenerative joint disease (DJD) discover there are many treatment options that can help maintain an active and quality lifestyle. We recommend discussing all options with your doctor to learn if MAKOplasty® total hip replacement is right for you.

What is Degenerative Joint Disease?Degenerative joint disease (DJD) is a common cause of hip pain, which affects hundreds of thousands of Australians and often results in a reduced activity lifestyle and quality of life. There are many different forms of DJD that may cause hip pain including, but not limited to:

» Osteoarthritis (OA) Where the cartilage wears down over time causing pain and swelling in the joints. There are many types of arthritis, but osteoarthritis is the most common.

» Post traumatic arthritis Resulting from a fracture, dislocation or injury.

» Rheumatoid arthritis (RA) An auto-immune disorder which causes inflammatory arthritis of the joints.

» Avascular necrosis (AVN) A condition where the ‘ball’ or femoral head loses healthy blood supply causing death of the bone. The femoral head then becomes misshapen.

» Hip dysplasia A condition where the bones around the hip joint don’t develop or form properly, causing malalignment and impingement, and dislocation of the hip joint.

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What causes degenerative joint disease?The risk of developing symptomatic DJD is influenced by multiple factors such as age, gender and inherited traits that can affect the shape and the stability of your joints. Other factors can include:

» A previous hip injury

» Repetitive strain on the hip

» Improper joint alignment

» Being overweight

» Exercise or sports generated stress placed on the hip joint

What are the symptoms?The most common symptom of DJD of the hip is pain, which may occur in a variety of places:

» Groin

» Outside the hip

» Lower back area

» Thigh to the knee (or below)

Pain from the hip is commonly mistaken for back or knee pain, and may be treated as such until the diagnosis of DJD is made.

What causes the pain?DJD of the hip is a loss of the protective cartilage, or lining, of the hip joint. The cartilage serves as a cushion and allows for the normal smooth movement of the hip.

When cartilage wears away, the ball-and-socket bones touch, creating bone-on-bone contact. This contact creates pain from rubbing together, swelling and stiffness.

How is DJD treated?For hip pain, non-surgical treatment options are often the first line of management. This can include resting the hip from overuse, more gentle exercise (such as swimming), or over the counter medications to manage the pain.

If your symptoms are not responding to non-surgical options, be sure to speak to your doctor. You may be a candidate for total hip replacement.

What is Total Hip Replacement?Patients who have DJD may benefit from total hip replacement, also referred to as total hip arthroplasty. This is a surgical procedure in which the arthritic hip joint is replaced by implants, which include:

» A metal cup with a liner which replaces the socket (acetabulum) in the pelvis

» A metal femoral stem and head

The goal of total hip replacement is to decrease pain to allow for increased mobility and ability to perform daily activities.

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How can MAKOplasty® help?MAKOplasty® is an innovative, breakthrough solution for those suffering with painful DJD of the hip and need total hip replacement. MAKOplasty®, powered by the RIO Robotic Arm Interactive System, allows the surgeon to treat your specific hip condition with accuracy and precision.

During surgery, the robotic arm guides the surgeon in preparing your socket in the pelvis and positioning the implants. Real-time information and images allow the surgeon to know and control accurate implant placement, which can be difficult to achieve using traditional techniques without a robotic arm.

MAKOplasty® benefits may include:

» Accurate placement of your hip implant using surgeon controlled robotic arm system, which can reduce the likelihood of hip dislocation.

» Consistency in leg length assessment

» Decreased risk of the implant and bone abnormally rubbing together (impingement) - this may improve the lifespan of your new hip.

How does MAKOplasty® work?If the surgeon determines that you are a good candidate for the MAKOplasty® procedure, the first step is organising a CT scan of your hip. This scan is then used to create a 3-D model of your hip, pelvis and femur which the surgeon uses to plan your surgery based on your unique anatomy.

During surgery the robotic arm is used to prepare your socket and guide the placement of the implants, while the software provides real-time information to the surgeon to find and optimise the implant position and alignment. The accurate alignment and positioning of hip implants are extremely important and determine surgical outcomes and lifespan of implants.

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Who is a good candidate for the MAKOplasty® Total Hip Procedure?Although we recommend consulting with your doctor, you may be a candidate for MAKOplasty® if you have one or more of the following symptoms:

» Pain while putting weight on the affected joints

» Limping to decrease the pressure being put on the hip

» Hip pain or stiffness during walking or other activities

» Difficulties putting on your socks and shoes

» Pain at night

» Failure to respond to non-surgical treatments or pain medication

If I undergo MAKOplasty® Total Hip Replacement, what can I expect?From your first CT scan through to post-operative care we offer a tailored service throughout. The MAKOplasty® surgeon will determine your hospital stay length and physiotherapy and rehabilitation programs will be decided after the operation.

Through which approach is the surgery performed?A MAKOplasty® Total Hip replacement can be performed through any approach to the hip joint including, but not limited to:

» Direct Anterior Approach

» Lateral Approach

» Posterior Approach

What is the lifespan of a MAKOplasty® Total Hip Replacement?All implants have a life expectancy that depend on several factors including the patients’ activity level, quality of bone, weight and compliance with their doctor’s orders.

MAKOplasty® hip replacement surgery utilises implants manufactured by Stryker. These implants have some of the longest follow up and best results on the Australian and other international joint replacement registries.

With the use of our systems’ software, implants are optimally aligned and positioned. Proper implant alignment and precise positioning are important factors that can improve the life expectancy of an implant. The MAKOplasty® procedure ensures you’ll receive the longest benefit possible from your hip replacement surgery.

If you would like to discuss your individual care with our experienced team of surgeons, please call us on 08 7325 4800 or visit www.orthorobotics.com.au to book an appointment.

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Our Team of Specialists MAKOplasty® is exclusive in SA and NT to our team of certified surgeons Dr. Robert Baird, Dr. Robert Fassina and Dr. Justin Munt.

Dr Robert Baird ORTHOPAEDIC SURGEON

orthorobotics.com.au

Dr Baird is an Australian trained Orthopaedic Surgeon with a special interest in hip and knee surgery and orthopaedic trauma. He is trained and certified in the use of Robotic Arm Assisted Joint Replacement Surgery.

After completing his training in South Australia he conducted further subspecialty training in complex joint replacement surgery at St Michaels Hospital, Toronto, Canada and orthopaedic trauma surgery at Vancouver General Hospital, Vancouver, Canada.

A special interest of his is joint replacement surgery and revision surgery which includes problems due to fractures, infection, loosening, instability or implant fractures. Dr Baird is one of the first surgeons in South Australia to be trained and certified in the use of Robotic Arm Assisted Joint Replacement using the Stryker MAKO robotic system TM.

Dr Baird is a member of the arthroplasty unit at the Royal Adelaide Hospital where he is a senior visiting surgeon.

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Dr Robert Fassina ORTHOPAEDIC SURGEON

orthorobotics.com.au

Dr Robert Fassina is a fellowship trained Orthopaedic surgeon who has a special interest in Joint Replacement Surgery. He is a founding member of AOTS - OrthoRobotics, SA’s first orthopaedic group conducting Robotic Assisted Joint Replacement surgery.

One of the many challenges he and colleagues face every day is how to improve the already fantastic results seen with joint replacement surgery. Since his exposure to the world of Robotic Joint Replacement Surgery in early 2015, he has immersed himself in the literature and technology to determine if the results that have been obtained by surgeons overseas - namely better patient outcomes and improved long term survival of replaced joints - are translatable to his practice and most importantly to his patients.

Dr Fassina traveled to the USA, where robotic technology has been used for 10 years. There he had the opportunity to spend time with, and be instructed by, some of the most experienced orthopaedic robotic surgeons in the world. He personally saw the results that the Stryker Mako Robot offered and was incredibly excited about the possibility of being able to bring this innovative surgical technique to South Australia.

This advanced technique of Robotic Assisted Joint Replacement Surgery compliments Dr Fassina’s extensive range of surgical options which he can offer his patients.

Dr Justin Munt ORTHOPAEDIC SURGEON

orthorobotics.com.au

Dr Justin Munt is a knee and hip surgeon with a special interest in joint replacement surgery. After completing his orthopaedic training he undertook further subspecialty training focusing on all aspects of hip and knee replacement surgery including computer navigation and revision surgery.

His focus is on providing his patients with the best possible outcomes by utilising the most up to date clinical evidence and technology available. The MAKOplasty® robotic arm system is one such technolgical advance that has the potential to offer significant benefits for patients undergoing joint replacement surgery.

Dr Munt is excited to be able to offer this procedure as an option to his patients. While partial knee replacement surgery can be a technically challenging operation at times this innovative system can eliminate some of those difficulties and allows us to implant the components accurately through a small incision. The MAKOplasty® robotic arm system is now available for hip replacement surgery, including direct anterior approach, and Dr Munt would be happy to discuss this with his patients.

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Cont

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Us

The Burnside War Memorial Hospital

Kensington Rd

Hewitt Ave

Moore St

Moore St

Contact detailsorthorobotics.com.au orthorobotics@aots.net.au 08 7325 4800

AOTS - OrthoRobotics conduct all MAKOplasty® procedures at Burnside Hospital. CT scan is performed by Dr Jones & Partners Medical Imaging, conveniently located within the grounds of the Hospital.

LocationsAdelaide Orthopaedics & Trauma Specialists – OrthoRobotics Suite 3, 120 Kensington Road Toorak Gardens, South Australia 5065 Ph (08) 7325 4800

The Burnside War Memorial Hospital 120 Kensington Road Toorak Gardens, South Australia 5065 Ph (08) 8202 7222

Dr Jones & Partners Medical Imaging (for CT scan) Attunga Medical Centre (Co-located at Burnside Hospital) 97 Hewitt Avenue Toorak Gardens, South Australia 5065 Ph (08) 8403 3100

Regional PatientsRegional SA and NT consultations are also available. Contact us to find out more information regarding this service.

AOTS - OrthoRobotics

Dr Jones & Partners Medical Imaging

Visitor Parking

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What do I need to bring? » A valid GP referral letter

» Medicare, DVA, Private Health Insurance details

» Recent X-rays and/or MRI of your knees

» Wear loose clothing or bring shorts for your examination

Notes

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The information provided herein is not designed to substitute the in-depth consultation you should

have with your surgeon. Only a registered surgeon can adequately diagnose and explain your underlying

orthopaedic condition, the natural history of the condition without intervention, the MAKOplasty®

procedure, medically acceptable alternative procedures, and the potential complications and risks of

any procedure and/or operation. In every case your surgeon must guide you on all aspects of your

surgery, including pre- and post-operative care. Individual results will vary.

The Stryker Mako Robot has TGA approval

Adelaide Orthopaedics & Trauma Specialists – OrthoRobotics Suite 3, 120 Kensington Road

Toorak Gardens, SA 5065 08 7325 4800

orthorobotics.com.au

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