Posts in Surgery
To Operate or Not To Operate. That is the Question.

Watch this highly informative and thought-provoking discussion between Mark Hurworth (Orthopaedic Surgeon) and Ian Dowley (Senior Physiotherapist) about how the decision to operate or not to operate is made. The increasing availability of higher quality radiological imaging often causes a “knowledge explosion” - these images show every little change and irregularity in our bodies. But what is relevant? What is ‘normal’ age-related change and what is actually related to our symptoms? Do these ‘issues’ that have been identified actually need to be surgically ‘fixed’? In a radiological report the complex technical jargon or even the sheer volume of information can be scary and threatening for the patient.

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I have arthritis – will I need a joint replacement?

The CHECK cohort study findings indicate that when knee or hip OA is painful, it is the overall severity of the symptoms which increase the likelihood of having a joint replacement, rather than the rate at which these symptoms increase over time. As OA symptoms appear to remain reasonably stable over time, it may be beneficial to postpone primary joint replacement surgery to lower the future risks of revision surgery.

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Joint Operation - Insight - SBS On Demand

On May 15 2018 the SBS Network in Australia aired an episode of their ‘Insight’ program which highlights the current and ongoing debate amongst health care professionals regarding the effectiveness and appropriateness of surgical and non-surgical alternatives to back, knee and hip surgery. The program features interviews with patients, surgeons, physiotherapists and researchers as they discuss the big question: Is surgery the answer to our joint problems?

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Too Much Surgery?

Surgical techniques have become more refined and sometimes more experimental, with the number of elective surgeries performed continuing to increase exponentially over the past decades. But is surgery always the answer? Perhaps we have become so caught up in the idea of “progress” that we do not stop to ask whether these procedures actually work any better than non-surgical treatment. Some researchers are now attempting to answer these questions.

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