Dr Jorgensen is committed to providing his patients with world-class Orthopaedic care that helps return people to the life and activities that they enjoy
HIP ARTHRITIS and HIP REPLACEMENTS – DIRECT ANTERIOR and POSTERIOR
Dr Jorgensen performs both Direct Anterior Approach (DAA) or Posterior Approach – depending on what is the right surgery for you.
The Minimally Invasive Direct Anterior Approach (often termed DAA or AMIS) is an approach that may lend itself to a quicker short-term recovery due to the fact that the surgical approach uses intermuscular planes allowing exposure of the hip joint without detaching muscle off bone. This may allow the patient the ability to recover quicker and return to function quicker compared to other approaches.
Dr Jorgensen has a particular interest in this surgery, and has other surgeons visit to learn this approach. In cases of Bilateral Hip Replacements the Direct Anterior Approach is beneficial.
The most important factor in determining long-term success of a hip replacement is to choose a skilled surgeon and be guided by his/her recommendations.
The Australian National Joint Register publication reports that there was no difference in the overall rate of revision when surgical approach is compared.
Dr Jorgensen performs Total Knee Replacements and utilises Computer Navigation. There is also the option for post-operative activity tracking that each patient can be linked into.
Knee replacements are a successful way to treat knee arthritis and immobility that is not controlled with medications and braces. Dr Jorgensen aims to get you back into your lifestyle demands and activities with certainty and with minimal interruptions.
Bilateral knee replacements are occasionally required, and Dr Jorgensen is happy to discuss the implications of this surgery and approach with you.
OSTEOTOMIES
The most common form of arthritis affecting the ankle is osteoarthritis.
Ankle osteoarthritis is also caused by trauma. This can be an old fracture or cartilage damage that has occurred from an ankle sprain. Cartilage damage can lead to progressive arthritis. Chronic instability can lead to accumulated damage to a joint and arthritis with deformity.
Chronic malalignment either above or below the ankle joint can lead to osteoarthritis because of uneven forces that act across the joint leading to uneven cartilage wear. This can include a malunited tibial fracture or severe uncorrected flat foot deformity.
Similar to knee and hip replacement surgery, an ankle replacement may be indicated when you have advanced osteoarthritis of the ankle joint and non-operative measures are no longer controlling your pain.
Fusion
Ankle fusion surgery, aims to bind the tibia and talus together, by preparing the joint surfaces and internally fixing them with screws or plates. It eliminates all movement at the ankle joint, and relieves the pain. It can be done either via an open incision or with arthroscopic assistance (keyhole).
A Total Ankle Replacement is the technique of removing the ankle joint and inserting a prosthetic metal and polyethylene joint. In my practice, this involves having a specialised CT Scan to custom design Patient Specific Jigs – made specifically for your ankle arthritis.
Dr Jorgensen is Internationally Trained, and is as an AO Trauma International Faculty Instructor. He also works at the Princess Alexandra Hospital with a focus on complex and compound trauma including Pelvic and Acetabular Trauma.
LOWER LIMB EQUALISATION SURGERY (LENGTHENING)
Limb lengthening is a reconstructive technique for lengthening and/or straightening of the deformed bone segments. Limb lengthening technique uses the principle of distraction osteogenesis, which refers to pulling the deformed bone to stimulate new bone growth through neovascularization. Limb lengthening has proven to be a very powerful and effective procedure.
Limb lengthening may be used in the following conditions:
Limb lengthening may be used to treat injuries to the tibia and/or femur, following ankle fractures that have healed in a challenging position (mal-union) or not healed in the correct way (non-union); after bone infections and arthritis or other acquired limb deformities.
