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Trochanteric Bursitis Surgery

Trochanteric Bursitis 

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 all the way past the knee to insert into the Tibia. The ITB can get tight over time or due to general deconditioning and poor gait. The ITB will cause friction over the Trochanteric Prominence causing the Bursa to get inflamed.

This presents as pain and tenderness over the outer side of the Hip. There is often pain on walking up and down stairs and inability to sleep on that side.

This condition is more common in middle-aged women and is associated with a chronic and debilitating pain which does not respond to conservative treatment.The mainstay of conservative,non-operative treatment consists of: Weight Loss ITB stretches Core Strengthening Gait retrainingThis can be augmented with Anti-inflammatory medication Intra-bursal Steriod and Local Aneasthetic injection

Source - www.sports-Injury-info.com If this treatment plan is followed there is an 80% success- however, can take 8-12mths for complete resolution. If symptoms fail to resolve then surgical ITB release and Bursectomy is an option. Sometimes the Abductor Tendons are degenerate, inflamed and can be ruptured which will need repairing as well. Below is a video demonstrating the surgical technique using LARS ligament Graft.https://www.coringroup.com/au/solutions/lars/

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Adult Total Knee Replacements

Adult Total Knee Replacements


If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.

If nonsurgical treatments like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.

Knee replacement surgery was first performed in 1968. Since then, improvements in surgical materials and techniques have greatly increased its effectiveness. Total knee replacements are one of the most successful procedures in all of medicine. 

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    Dr Hazratwala is a clinical consultatnt to Depuy Synthes (Johnson and Johnson) and is developing his alternate alignment technique to aid other surgeons to perform this technique. These videos are a demonstration of his surgical technique performed using Attune and Brainlab Knee 3 software.

  • Video

  • Dr Hazratwala provides his patients with the opportunity to have dynamic knee simulations performed with and Australian Innovation called KNEE360 SYSTEMS.

    This is a preoperative simulations performed prior to surgery allowing Dr Hazratwala to personalise your Knee to your unique anatomy. 

    This assessment requires a series of CT scans and X rays.

    Along with the personalised surgery you will be partnered with a Physio throughout your surgical journey.

    Please see attached KNEE360 SYSTEMS Video

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Healthdirect on TKR

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Research & Publications

Fiji Orthopaedic Services

Dr Hazratwala is currently providing tertiary level orthopaedic services in Fiji. He visits Fiji every three to four months for a week and performs operations at the Suva Private Hospital and is currently negotiating with the Ministry of Health in Fiji to obtain operating time at the CWM. He is performing Hip and Knee Replacements, ACL Reconstructions, Knee Arthroscopy and a variety of foot and ankle operations. Dr Hazratwala is a specialist in lower limb surgery and will only provide a basic upper limb service and will not be offering a spinal surgical service. Dr Hazratwala is also available via this website to offer advice on urgent fracture/trauma cases. Please note, this service is only for immediate treatment and not for chronic and degenerative conditions. Dr Hazratwala will not be able to attend to all enquiries of a non-urgent nature. For non-urgent/degenerative conditions, please make an appointment to see Dr Hazratwala at the Suva Private Hospital. For urgent/trauma advice, please use the Appointment Request Form and upload the x-rays and provide relevant history as to the mechanism of the injury and events and treatment received to date. For an appointment to see Dr Hazratwala, please make a booking through Dr Mahendra Hazratwala's surgery on 3302163.

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APPOINTMENT REQUEST

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USEFUL LINKS

Useful Links

AAOS - American Academy of Orthopaedic Surgeons

FRACS - Fellow of the Royal Australasian College of Surgeons

Suva Private Hospital

The Athletic Advisor

Australian Orthopaedic Association

Weststate Private Hospital

Townsville Hospital and Health Service

ORIQL

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Contact Details

Townsville: 07 4727 4111
Mater Medical Centre
Level 2, Suite 101
25 Fulham Road, Pimlico QLD 4812

Brisbane: 07 4727 4111
141 Warry Street
Fortitude Valley, QLD, 4006

Townsville:

Brisbane:

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