https://www.melbourneorthopaedicclinic.com.au/medical-icons daily 0.75 2019-08-17 https://static1.squarespace.com/static/5d50ec16ef3559000173683a/t/5d57a71b5d96e80001ccbf44/1566025452786/ MEDICAL ICONS https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025491632-0SEBBYL16X6CNHOSFXTT/fracs-logo%402x.jpg MEDICAL ICONS https://static1.squarespace.com/static/5d50ec16ef3559000173683a/5d57a6be7f5ea10001a43b2d/5d57a6ec24d0a800018e9a9f/1566025452786/ MEDICAL ICONS https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025524593-PSL63ELX8E5KDY9K6311/faorthoa-logo%402x.jpg MEDICAL ICONS https://www.melbourneorthopaedicclinic.com.au/surgeon-dr-vera-maria-sallen daily 0.75 2019-12-10 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566027341085-RT6HDSN9SEK0O98R2YQO/Screenshot+2019-06-22+22.35.27.png Surgeon Dr Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566123627990-6RHQJEI3H7VR2BSUQ8DP/Facetune_22-06-2019-22-41-55.jpg Surgeon Dr Vera Maria Sallen - DR VERA MARIA SALLEN MBBS PhD FMH(Orth) FEBOT FRACS FAOrthoA ORTHOPAEDIC SURGEON Dr Vera Maria Sallen is an experienced European and Australian trained specialist orthopaedic surgeon. Dr Sallen has worked in Victoria’s public health system for the last 10 years and is providing orthopaedic services in Melbourne and Regional Victoria. She has a broad training and surgical background and is skilled in contemporary orthopaedic surgical techniques, including expertise in anterior minimally invasive total hip replacement. QUALIFICATIONS & MEMBERSHIPS ■ Fellow of the Royal Australasian College of Surgeons ■ Fellow of the Australian Orthopaedic Association ■ Fellow of the European Board of Orthopaedics and Traumatology ■ Member: Swiss Orthopaedic Association ■ Member: European Wrist Arthroscopy Society ■ Member: Australian Federation of Medical Women ■ Member: Medical Woman’s International Association Additional Languages: ■ French ■ German https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566027341085-RT6HDSN9SEK0O98R2YQO/Screenshot+2019-06-22+22.35.27.png Surgeon Dr Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566027704351-T0C7SZE554XF6HBAVX1E/vera-sallen-orthopaedic-surgeon-300.jpg Surgeon Dr Vera Maria Sallen - BACKGROUND & SURGICAL EXPERIENCE Dr Vera Sallen has extensive specialist medical and surgical training having completed a number of additional orthopaedic training programs and fellowships in Europe (including Switzerland, France and Germany) as well as more recently in Australia. ❖ Swiss orthopaedic training - mentored by renowned shoulder surgeon Professor Christian Gerber (2002-2006) ❖ Upper Limb and Reconstructive Fellowships, Institut de la Main and APHP, Paris - Diplomas in Upper Limb and Hand Surgery and Microsurgical Techniques (2006-2007) ❖ PhD based on inflammatory arthritis of the shoulder joint, University of Hamburg, Germany (2008) ❖ Trauma Fellowship, Alfred Health (2008-2009) ❖ AOA recognised Arthroplasty Fellowship (2011-2012) SPECIAL INTEREST Hip - Joint replacement including, minimally invasive hip replacement surgery using the anterior approach, hip arthroscopy Knee - Arthroscopy, ACL reconstruction, partial and total knee replacement including patient specific instrumentation Shoulder - Arthroscopy, rotator cuff repair and shoulder reconstruction, shoulder replacement Wrist & Hand - Thumb & finger joint arthroscopy. Carpal tunnel release & nerve compression syndromes. https://www.melbourneorthopaedicclinic.com.au/medical-icons-1 daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025608463-PYT6JS14VTHINI66SD5F/fracs-logo%402x.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025608463-PYT6JS14VTHINI66SD5F/fracs-logo%402x.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025651263-D2855WM3C3RNN5QG7BCQ/faorthoa-logo%402x.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025705247-U08DLUL2VGKH40QX8TUZ/swiss-orthopaedics-logo.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025815819-0VQY8C68Q2J9ECU3E1B5/sitemgr_photo_8178.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025839721-M8LWVWQ6D9SW828XHNXW/logo_rounded-300x120.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025864700-TL7NQ54QTJ8ZOAGKAY7K/d698e59526e6e54fab72b78ee8be97ef.jpg MEDICAL ICONS #1 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025793027-PA7OVPWBYKOPMC97L1Q5/download-1.jpg MEDICAL ICONS #1 https://www.melbourneorthopaedicclinic.com.au/spine-conditions-surgery daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031266662-IBS0857WYISNNB4NGD6J/spine-melbourne-orthopaedic-clinic-2.jpg SPINE CONDITIONS & SURGERY - SPINAL DECOMPRESSION AND FUSION SURGERY This information is provided for the purposes of educating the reader regarding conditions that may benefit from spinal fusion surgery. Fusion surgery in the spine refers to joining together of two or more vertebrae. Over time the procedure itself has evolved and has become highly technical and is necessary in a number of different spinal conditions to improve the long term outcome of surgery. This has been shown in studies and therefore is a well- accepted technique. In most fusion procedures there is a decompressive element where nerves are relieved of pressure and a fusion where nerves are protected from irritation by stabilising two or more vertebrae. The stabilisation procedure includes using implants such as screws and rods and bone grafting between and alongside of the vertebrae. This allows healing bone to bridge the mobile joints between the vertebrae and allow solid union to occur and hence protecting the nerve roots from further irritation and avoiding recurrent symptoms. INDICATIONS FOR SPINAL FUSION SURGERY Indications for spinal fusion surgery are several. In those patients with an unstable spine where one vertebra is moving too much on another, or where there is scoliosis of the spine which is progressive, fusion surgery is used to correct the deformity as well as stabilise the spine. In some cases removal of spinal tumours will require a reconstructive procedure and fusion to stabilise the spine after removal of the spinal tumour. In some fractures of the spine, fusion surgery is used to stabilise the spine and additionally in some infective conditions of the spine, surgery is indicated to stabilise the spine and assist with management of the infection. In some instances axial neck or lower back pain can be managed with spinal fusion surgery. Most spinal fusion surgery is performed to protect the spinal cord or nerves from irritation or compression that can result in permanent damage to the nerves. In the situation where neck pain or lower back pain is being treated, the results of spinal surgery can be less predictable as the spinal structure is quite complicated and pain symptoms can emanate from multiple locations. Therefore this surgery for neck or lower back pain is in general, less predictable than spinal fusion surgery for spinal cord or nerve impingement, or spinal surgery which is used to treat an unstable spine as mentioned above. Fusion of one vertebra to another using bone graft usually takes a number of months to achieve as healing is slow. The screws and rods help to stabilise the spine in this period. Once the fusion has occurred the screws and rods may still help share some of the load across the spine but with a solid spinal fusion there is usually no further movement. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031266662-IBS0857WYISNNB4NGD6J/spine-melbourne-orthopaedic-clinic-2.jpg SPINE CONDITIONS & SURGERY - SPINAL DECOMPRESSION AND FUSION SURGERY This information is provided for the purposes of educating the reader regarding conditions that may benefit from spinal fusion surgery. Fusion surgery in the spine refers to joining together of two or more vertebrae. Over time the procedure itself has evolved and has become highly technical and is necessary in a number of different spinal conditions to improve the long term outcome of surgery. This has been shown in studies and therefore is a well- accepted technique. In most fusion procedures there is a decompressive element where nerves are relieved of pressure and a fusion where nerves are protected from irritation by stabilising two or more vertebrae. The stabilisation procedure includes using implants such as screws and rods and bone grafting between and alongside of the vertebrae. This allows healing bone to bridge the mobile joints between the vertebrae and allow solid union to occur and hence protecting the nerve roots from further irritation and avoiding recurrent symptoms. INDICATIONS FOR SPINAL FUSION SURGERY Indications for spinal fusion surgery are several. In those patients with an unstable spine where one vertebra is moving too much on another, or where there is scoliosis of the spine which is progressive, fusion surgery is used to correct the deformity as well as stabilise the spine. In some cases removal of spinal tumours will require a reconstructive procedure and fusion to stabilise the spine after removal of the spinal tumour. In some fractures of the spine, fusion surgery is used to stabilise the spine and additionally in some infective conditions of the spine, surgery is indicated to stabilise the spine and assist with management of the infection. In some instances axial neck or lower back pain can be managed with spinal fusion surgery. Most spinal fusion surgery is performed to protect the spinal cord or nerves from irritation or compression that can result in permanent damage to the nerves. In the situation where neck pain or lower back pain is being treated, the results of spinal surgery can be less predictable as the spinal structure is quite complicated and pain symptoms can emanate from multiple locations. Therefore this surgery for neck or lower back pain is in general, less predictable than spinal fusion surgery for spinal cord or nerve impingement, or spinal surgery which is used to treat an unstable spine as mentioned above. Fusion of one vertebra to another using bone graft usually takes a number of months to achieve as healing is slow. The screws and rods help to stabilise the spine in this period. Once the fusion has occurred the screws and rods may still help share some of the load across the spine but with a solid spinal fusion there is usually no further movement. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031310620-T5DMZY0DO5V01RI8EVR5/spine-surgery-lumbar-disc-prolapse.jpg SPINE CONDITIONS & SURGERY Spine Conditions Spine Microdiscectomy Spine Laminectomy Spine Anterior Cervical Decompression And Fusion Spine Anterior Lumbar Decompression And Fusion Spine Posterior Lumbar Decompression And Fusion Spine Extreme Lateral Lumbar Decompression and Fusion Coccygectomy https://www.melbourneorthopaedicclinic.com.au/knee-conditions-surgery daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030904584-IUUJRP0VODV8XRAGST6S/knee-melbourne-orthopaedic-clinic-trans.jpg KNEE CONDITIONS & SURGERY - SURGICAL PROCEDURES & CONDITIONS OF THE KNEE KNEE REPLACEMENT SURGERY Knee replacement surgery, which is essentially resurfacing of the articular surfaces of the joint and reducing inflammation and therefore pain in the knee, has a high success rate in relieving symptoms. Approximately ninety-five out of every hundred joint replacement procedures give good pain relief for a prolonged period of time following the surgery. Knee replacement procedures have become more common due to the aging population. FULL KNEE REPLACEMENT • In those patients where there is arthritis throughout the knee which is severe, a full knee replacement will be recommended. PARTIAL OR UNICOMPARTMENTAL KNEE REPLACEMENT • In those patients with only limited arthritis in one part of the knee, the partial knee replacement procedure may be possible. The advantages of a partial knee replacement are that the procedure is a smaller operation with faster recovery time. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030904584-IUUJRP0VODV8XRAGST6S/knee-melbourne-orthopaedic-clinic-trans.jpg KNEE CONDITIONS & SURGERY - SURGICAL PROCEDURES & CONDITIONS OF THE KNEE KNEE REPLACEMENT SURGERY Knee replacement surgery, which is essentially resurfacing of the articular surfaces of the joint and reducing inflammation and therefore pain in the knee, has a high success rate in relieving symptoms. Approximately ninety-five out of every hundred joint replacement procedures give good pain relief for a prolonged period of time following the surgery. Knee replacement procedures have become more common due to the aging population. FULL KNEE REPLACEMENT • In those patients where there is arthritis throughout the knee which is severe, a full knee replacement will be recommended. PARTIAL OR UNICOMPARTMENTAL KNEE REPLACEMENT • In those patients with only limited arthritis in one part of the knee, the partial knee replacement procedure may be possible. The advantages of a partial knee replacement are that the procedure is a smaller operation with faster recovery time. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030945843-B3SCWDJIPQW0GX9ORR7R/knee-medial-osteoarthritis.jpg KNEE CONDITIONS & SURGERY Knee Arthroscopy Knee Ligament Reconstruction Knee Anterior Cruciate Ligament Reconstruction (ACL) Knee Patellofemoral Stabilisation/Realignment Knee Osteotomies Knee Replacement Knee Replacement Partial (Unicompartmental and Patellofemoral Replacement) Knee Replacement Revision https://www.melbourneorthopaedicclinic.com.au/history daily 0.75 2019-10-26 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572073858298-48Q97KV3OTYM45WLG9O9/erin-street-richmond-1870s-1920-strip.jpg HISTORY - 15 ERIN STREET RICHMOND The Richmond Hill area within the precinct has aesthetic significance as an enclave of grand Victorian houses, which enhanced by its hillside topography, mature plantings and unusual urban elements such as the obliquely-sited West Richmond railway station, and a stepped lane off Highett Street. The aesthetic qualities of the buildings in the precinct are enhanced by traditional streetscape materials such as asphalt footpaths, bluestone kerb and channel and bluestone laneways. Erin Street is notable as a grand nineteenth century streetscape containing of some of Richmond's most substantial late nineteenth century houses, most with extravagant 'Boom era' decoration and many retaining original front and side fences. The Richmond Hill area within the precinct is historically significant for its associations with various eminent Victorians and others who lived there and were important in the development of Richmond. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572073858298-48Q97KV3OTYM45WLG9O9/erin-street-richmond-1870s-1920-strip.jpg HISTORY - 15 ERIN STREET RICHMOND The Richmond Hill area within the precinct has aesthetic significance as an enclave of grand Victorian houses, which enhanced by its hillside topography, mature plantings and unusual urban elements such as the obliquely-sited West Richmond railway station, and a stepped lane off Highett Street. The aesthetic qualities of the buildings in the precinct are enhanced by traditional streetscape materials such as asphalt footpaths, bluestone kerb and channel and bluestone laneways. Erin Street is notable as a grand nineteenth century streetscape containing of some of Richmond's most substantial late nineteenth century houses, most with extravagant 'Boom era' decoration and many retaining original front and side fences. The Richmond Hill area within the precinct is historically significant for its associations with various eminent Victorians and others who lived there and were important in the development of Richmond. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029099072-Y0JTAPA4JO3CCMHG37LL/220px-Bridge_road_richmond_victoria_1908.jpg HISTORY - The West Richmond precinct is of local historic and aesthetic significance to the City of Yarra. The precinct provides tangible evidence of the key phases in the residential development of Richmond from the time of earliest settlement in the 1850s to the inter-war period and demonstrates how the areas closest to Melbourne town were the first to be subdivided and developed. It is also important for demonstrating an important phase of development in the late interwar period, which was characterised by industrial and higher density residential development. The precinct is of note as a vivid illustration of how class distinctions were reflected in the design and location of housing from the earliest time of settlement in Richmond. The substantial mansions and villas in and around Erin Street, in particular, demonstrate the early importance of Richmond Hill as a suburb favoured by wealthy and the elite, overlooking the working-class housing that developing on the flat areas around Smith and York streets. The precinct demonstrates the principal characteristics of residential areas in Richmond that were largely developed prior to World War II and are comprised of predominantly Victorian era housing, supplemented by Edwardian and interwar infill, with commercial buildings in small groups and on corner sites. Overall, the intactness of the building stock to the period prior to World War II is very high and creates visually cohesive and consistent streetscapes that are complemented by traditional public realm materials such as asphalt footpaths and bluestone kerb and channel. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029203680-CC6MF4T7A4AX8ZP84ZYZ/0.jpg HISTORY - The history and tradition behind the use of the titles of male and female surgeons In the United Kingdom, the Republic of Ireland and in some Commonwealth countries (such as South Africa, New Zealand and some states of Australia), many surgeons use the title Mr (or Miss, Ms, Mrs, as appropriate), rather than Dr (Doctor). Until the 19th century, earning a medical degree was not required to become a qualified surgeon. Hence, the modern practice of reverting from Dr to Mr after successfully completing qualifying exams in surgery (e.g., Membership of the Royal College of Surgeons or the Royal Australasian College of Surgeons) is a historical reference to the origins of surgery in the United Kingdom as non-medically qualified barber surgeons. Wikipedia https://www.melbourneorthopaedicclinic.com.au/new-appointments daily 0.75 2019-11-05 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572947358789-49MEDJ8YF73I621L5RWG/0-7.jpg NEW APPOINTMENTS - INITIAL CONSULTATION APPOINTMENT On the day of your first consultation please bring the following with you: REFERRAL Medicare regulations require that patients have a valid referral from a primary medical practitioner (GP) It is also highly desirable to have a local medical practitioner involved with your care. NEW PATIENT FORM Once your appointment is confirmed, our clinic will send you a copy of the New Patient Form via mail or email. ALL RELEVANT IMAGING & INVESTIGATIONS Medical Imaging: e.g. X-rays, CT Scans, MRI, Bone Scans reports and films or discs. If you have received a radiology request please have it performed PRIOR to your appointment. PAYMENT on the day of consultation is required, we accept cash, cheque or visa/mastercard Please note it is not our practice to bulk bill. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572947358789-49MEDJ8YF73I621L5RWG/0-7.jpg NEW APPOINTMENTS - INITIAL CONSULTATION APPOINTMENT On the day of your first consultation please bring the following with you: REFERRAL Medicare regulations require that patients have a valid referral from a primary medical practitioner (GP) It is also highly desirable to have a local medical practitioner involved with your care. NEW PATIENT FORM Once your appointment is confirmed, our clinic will send you a copy of the New Patient Form via mail or email. ALL RELEVANT IMAGING & INVESTIGATIONS Medical Imaging: e.g. X-rays, CT Scans, MRI, Bone Scans reports and films or discs. If you have received a radiology request please have it performed PRIOR to your appointment. PAYMENT on the day of consultation is required, we accept cash, cheque or visa/mastercard Please note it is not our practice to bulk bill. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566028460900-3J6K7KQHA3P2A6R8FISG/0.jpg NEW APPOINTMENTS - INITIAL CONSULTATION APPOINTMENT On the day of your first consultation please bring the following with you: REFERRAL Medicare regulations require that patients have a valid referral from a primary medical practitioner (GP) It is also highly desirable to have a local medical practitioner involved with your care. NEW PATIENT FORM Once your appointment is confirmed, our clinic will send you a copy of the New Patient Form via mail or email. ALL RELEVANT IMAGING & INVESTIGATIONS Medical Imaging: e.g. X-rays, CT Scans, MRI, Bone Scans reports and films or discs. If you have received a radiology request please have it performed PRIOR to your appointment. PAYMENT on the day of consultation is required, we accept cash, cheque or visa/mastercard Please note it is not our practice to bulk bill. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572073605458-RUKFJHS0LNHDUD09TXML/0-2.jpg NEW APPOINTMENTS - PATIENT CARE Our Clinic’s philosophy is to strive for optimal patient care by providing a warm, friendly and informative environment in our rooms and follow this with a team based approach in the operating theatre, as well as ensuring we communicate clearly with referring doctors and physical therapists that are also involved in the patient’s care. As many patients present with multiple joint arthritis or dual pathologies, often resulting in a combination of problem areas such as hip, knee and shoulder pain, our understanding and expertise across multiple surgery areas assists us to assess and treat our patients holistically. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566028584342-YQT7GJWNM7UYFHJ4NV3D/0.jpg NEW APPOINTMENTS - PATIENT CARE Our Clinic’s philosophy is to strive for optimal patient care by providing a warm, friendly and informative environment in our rooms and follow this with a team based approach in the operating theatre, as well as ensuring we communicate clearly with referring doctors and physical therapists that are also involved in the patient’s care. As many patients present with multiple joint arthritis or dual pathologies, often resulting in a combination of problem areas such as hip, knee and shoulder pain, our understanding and expertise across multiple surgery areas assists us to assess and treat our patients holistically. https://www.melbourneorthopaedicclinic.com.au/shoulder-conditions-surgery daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031100051-TCT84M9EWF5BNU1UCYZM/shoulder-melbourne-orthopaedic-clinic-1.jpg SHOULDER CONDITIONS & SURGERY - SHOULDER REPLACEMENT SURGERY Shoulder replacement surgery is becoming more common as a method of treatment for arthritis of the shoulder joint. Shoulder arthritis is less common than other forms such as hip and knee arthritis as the shoulder is not a weight bearing joint. However due to the ageing population conditions such as osteoarthritis of the shoulder and other conditions such as tears of the rotator cuff which can ultimately go on to cause arthritis within the shoulder have become more prevalent in our community. Sometimes shoulder replacements are used to manage fractures of the shoulder. DEGENERATIVE CHANGES & ARTHRITIS IN THE SHOULDER: LOSS OF FUNCTION AND PAIN Shoulder replacement surgery restores function and treats pain by removing the arthritic parts of the joint. Arthritis is a process which results in loss of the articular cartilage or the lining of the joint. In the process of the cartilage being lost or if the cartilage has been completely lost, inflammation is generated by the damaged cartilage or damaged bone. This inflammation is an attempt at a healing response in the joint but due to the nature of articular cartilage it does not regenerate. Hence usually there is progression of degenerative changes in a joint over time. With progression of the damage there is often an increase in pain and also an increase in stiffness. Stiffness causes functional limitation as the shoulder is normally a very mobile joint. With age loss of cartilage can occur in the shoulder joint. It is also possible for the rotator cuff tendons over time to wear out. The tendons in the body generally have poor blood supply and are not good at healing and while they are strong they tend to be prone to wear. The tendons in the shoulder joint are susceptible to tears. The tears will not heal and tend to increase in size with time. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031100051-TCT84M9EWF5BNU1UCYZM/shoulder-melbourne-orthopaedic-clinic-1.jpg SHOULDER CONDITIONS & SURGERY - SHOULDER REPLACEMENT SURGERY Shoulder replacement surgery is becoming more common as a method of treatment for arthritis of the shoulder joint. Shoulder arthritis is less common than other forms such as hip and knee arthritis as the shoulder is not a weight bearing joint. However due to the ageing population conditions such as osteoarthritis of the shoulder and other conditions such as tears of the rotator cuff which can ultimately go on to cause arthritis within the shoulder have become more prevalent in our community. Sometimes shoulder replacements are used to manage fractures of the shoulder. DEGENERATIVE CHANGES & ARTHRITIS IN THE SHOULDER: LOSS OF FUNCTION AND PAIN Shoulder replacement surgery restores function and treats pain by removing the arthritic parts of the joint. Arthritis is a process which results in loss of the articular cartilage or the lining of the joint. In the process of the cartilage being lost or if the cartilage has been completely lost, inflammation is generated by the damaged cartilage or damaged bone. This inflammation is an attempt at a healing response in the joint but due to the nature of articular cartilage it does not regenerate. Hence usually there is progression of degenerative changes in a joint over time. With progression of the damage there is often an increase in pain and also an increase in stiffness. Stiffness causes functional limitation as the shoulder is normally a very mobile joint. With age loss of cartilage can occur in the shoulder joint. It is also possible for the rotator cuff tendons over time to wear out. The tendons in the body generally have poor blood supply and are not good at healing and while they are strong they tend to be prone to wear. The tendons in the shoulder joint are susceptible to tears. The tears will not heal and tend to increase in size with time. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031155161-4Q9H9400M2SH26ATSRSV/shoulder-surgery-reverse-tsr.jpg SHOULDER CONDITIONS & SURGERY Shoulder Arthroscopic and Open Stabilisation for Recurrent Dislocation Shoulder Arthroscopic Bursectomy, Decompression and Rotator Cuff Repair Shoulder Arthroscopic SLAP Tear Repair/ Biceps Tenodesis Shoulder Replacement Anatomic and Reverse https://www.melbourneorthopaedicclinic.com.au/sports-injuries-trauma daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025234237-V3JNNXBRHUQGOHMHDIZO/FC578125-6F87-4FBE-9339-2CCC99ED18B0.JPG SPORTS INJURIES & TRAUMA - TRAUMA Upper Limb Fractures, Dislocations, Ligament and Tendon Injuries Lower Limb Fractures, Dislocations, Ligament and Tendon Injuries Spine Fractures Paediatric Trauma https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025234237-V3JNNXBRHUQGOHMHDIZO/FC578125-6F87-4FBE-9339-2CCC99ED18B0.JPG SPORTS INJURIES & TRAUMA - TRAUMA Upper Limb Fractures, Dislocations, Ligament and Tendon Injuries Lower Limb Fractures, Dislocations, Ligament and Tendon Injuries Spine Fractures Paediatric Trauma https://static1.squarespace.com/static/5d50ec16ef3559000173683a/5d57a4e8f754be00010d49a7/5d57a4fd23582f00019acd86/1566024957910/ SPORTS INJURIES & TRAUMA https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025100635-4BWXBZMVI6D454L8VDOP/IMG_5992.jpg SPORTS INJURIES & TRAUMA - SPORTS INJURIES Knee Conditions Knee Arthroscopy Knee Ligament Reconstruction Knee Patellofemoral Stabilisation/Realignment Shoulder Arthroscopic and Open Stabilisation for Recurrent Dislocation Shoulder Arthroscopic Bursectomy, Decompression and Rotator Cuff Repair Shoulder Arthroscopic SLAP Tear Repair/ Biceps Tenodesis https://www.melbourneorthopaedicclinic.com.au/surgeon-prof-justin-hunt daily 0.75 2023-04-12 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566026008502-WCBOD142UMDQBNFLHSOX/download-6.jpg Surgeon Prof Justin Hunt https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566026254937-T8NM83GIOVVCOY8UJFMU/Screenshot+2019-06-22+14.51.59.png Surgeon Prof Justin Hunt - MR JUSTIN HUNT MBBS FRACS FAOrthoA ORTHOPAEDIC & SPINAL SURGEON Mr Justin Hunt is an Australian trained orthopaedic and spinal surgeon with his main surgical practice in Melbourne. QUALIFICATIONS & MEMBERSHIPS ■ Fellow of the Royal Australasian College of Surgeons ■ Fellow of the Australian Orthopaedic Association https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566026008502-WCBOD142UMDQBNFLHSOX/download-6.jpg Surgeon Prof Justin Hunt https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566026334880-3BLVSTT3UQ7C7BHKHHNP/download.jpg Surgeon Prof Justin Hunt - BACKGROUND & SURGICAL EXPERIENCE Justin Hunt has gained extensive international experience working in North America and Europe. This has enabled him to broaden the depth of his surgical expertise and has provided opportunities to pursue his interest in innovative surgical techniques particularly in the areas of joint preservation and minimally invasive surgery. Justin has a broad surgical interest, utilising the latest arthroscopic and minimally invasive techniques for the management of all hip, knee, shoulder and spinal conditions to facilitate the best recovery and outcome for patients from surgery. Surgical Interests include: Hip - Joint replacement including, minimally invasive hip replacement surgery using the anterior approach, hip arthroscopy Knee - Arthroscopy, ACL reconstruction, partial and total knee replacement including patient specific instrumentation Shoulder - Arthroscopy, rotator cuff repair and shoulder reconstruction, shoulder replacement Spine - Lumbar and Cervical disc decompression and fusion, lumbar laminectomy and micro-discectomy https://www.melbourneorthopaedicclinic.com.au/orthopaedic-conditions daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029608424-T4ZH60W7N6SBIAR3TU6X/hip-melbourne-orthopaedic-clinic-trans.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE HIP OPERATIVE MANAGEMENT OF HIP PAIN A diagnosis of hip pain will usually be made on the basis of history, examination and imaging findings. Hip pain symptoms arising from the hip joint itself usually result from loss of articular cartilage within the hip joint. This causes inflammation which is usually chronic resulting in pain and stiffness. Sometimes there are secondary features of back pain and knee pain as a result of a prolonged gait disturbance (limp). HIP REPLACEMENT SURGERY Hip replacement surgery is designed to change the natural history of an and restore function and relieve pain. This is one of the more successful orthopaedic procedures in achieving good pain relief and restoration of function. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029608424-T4ZH60W7N6SBIAR3TU6X/hip-melbourne-orthopaedic-clinic-trans.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE HIP OPERATIVE MANAGEMENT OF HIP PAIN A diagnosis of hip pain will usually be made on the basis of history, examination and imaging findings. Hip pain symptoms arising from the hip joint itself usually result from loss of articular cartilage within the hip joint. This causes inflammation which is usually chronic resulting in pain and stiffness. Sometimes there are secondary features of back pain and knee pain as a result of a prolonged gait disturbance (limp). HIP REPLACEMENT SURGERY Hip replacement surgery is designed to change the natural history of an and restore function and relieve pain. This is one of the more successful orthopaedic procedures in achieving good pain relief and restoration of function. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029706677-ASTB19W8WBWW78YMMC8D/anterior-hip-joint-replacement-surgery-2.jpg Orthopaedic Conditions Hip Arthroscopy Hip Osteotomies Hip Replacement – Anterior Minimally Invasive Hip Replacement Revision https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029757260-OCTM9UPFM4CK11MRAN10/knee-melbourne-orthopaedic-clinic-trans.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE KNEE KNEE REPLACEMENT SURGERY Knee replacement surgery, which is essentially resurfacing of the articular surfaces of the joint and reducing inflammation and therefore pain in the knee, has a high success rate in relieving symptoms. Approximately ninety-five out of every hundred joint replacement procedures give good pain relief for a prolonged period of time following the surgery. Knee replacement procedures have become more common due to the aging population. FULL KNEE REPLACEMENT • In those patients where there is arthritis throughout the knee which is severe, a full knee replacement will be recommended. PARTIAL OR UNICOMPARTMENTAL KNEE REPLACEMENT • In those patients with only limited arthritis in one part of the knee, the partial knee replacement procedure may be possible. The advantages of a partial knee replacement are that the procedure is a smaller operation with faster recovery time. RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT (ACL) Surgical reconstruction of the anterior cruciate ligament is performed in situations where there is ongoing instability in the knee as a result of the lack of functioning of the anterior cruciate ligament or in most people who want to return to sports that require a quick change in direction. When a tear of the anterior cruciate ligament occurs the ligament does not automatically heal. The torn ends of the cruciate ligament will not approximate and the ligament undergoes a process of plastic deformation where it stretches prior to ligament rupture. A primary repair of the ligament does not achieve a stable end result and therefore ligament reconstruction surgery is usually offered to replace the damaged ligament and allow more normal knee function. It is possible that without an anterior cruciate ligament, the articular surfaces and menisci in the knee may be be more likely to wear due to abnormal motion in the knee with every day activities. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029835484-VHXSQD1BDQHEIVOO9OWU/knee-medial-osteoarthritis.jpg Orthopaedic Conditions Knee Arthroscopy Knee Ligament Reconstruction Knee Anterior Cruciate Ligament Reconstruction (ACL) Knee Patellofemoral Stabilisation/Realignment Knee Osteotomies Knee Replacement Knee Replacement Partial (Unicompartmental and Patellofemoral Replacement) Knee Replacement Revision https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566029954394-PPSOB5LUDN479U417AEL/shoulder-melbourne-orthopaedic-clinic-1.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE SHOULDER https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030026226-85UHBYR96EBH056VY2SU/shoulder-surgery-reverse-tsr.jpg Orthopaedic Conditions Shoulder Arthroscopic and Open Stabilisation for Recurrent Dislocation Shoulder Arthroscopic Bursectomy, Decompression and Rotator Cuff Repair Shoulder Arthroscopic SLAP Tear Repair/ Biceps Tenodesis Shoulder Replacement Anatomic and Reverse https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030071562-OFWYKAS4LI38H846DG4U/spine-melbourne-orthopaedic-clinic-2.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE SPINE https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030121682-WA9UT2452SKU5OSRC7BI/spine-surgery-lumbar-disc-prolapse.jpg Orthopaedic Conditions Spine Microdiscectomy Spine Laminectomy Spine Anterior Cervical Decompression And Fusion Spine Anterior Lumbar Decompression And Fusion Spine Posterior Lumbar Decompression And Fusion Spine Extreme Lateral Lumbar Decompression and Fusion Coccygectomy https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030176192-V3Q9TTBKI81WY6HLUU0W/hand-wrist-melbourne-orthopaedic-clinic.jpg Orthopaedic Conditions - SURGICAL PROCEDURES & CONDITIONS OF THE HAND & WRIST https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566030232547-YKHTR9OSW44ATG1403QU/hand-wrist-surgery.jpg Orthopaedic Conditions Carpal Tunnel Release Ulnar Nerve Decompression and Transposition Trigger Finger Release Dupuytren’s Contracture Release Tennis and Golfers Elbow Tendon Repair Wrist Arthroscopy Wrist Ligament Reconstruction Wrist Fusion (Partial and Total) Osteotomies for Malunited Fractures Surgery for Thumb Base Arthritis Surgery for Finger Joint Arthritis https://www.melbourneorthopaedicclinic.com.au/hand-wrist-conditions-surgery daily 0.75 2019-08-17 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031469976-O0ONW2N9OTRGDR9VIRVU/hand-wrist-melbourne-orthopaedic-clinic.jpg HAND & WRIST CONDITIONS & SURGERY - HAND & WRIST SURGERY Our specialist perform a wide range of surgical procedures to address injuries or other conditions that affect the hand or other upper extremities Hand and wrist surgery can relieve painful symptoms caused by a number of diseases and conditions, such as carpal tunnel syndrome and arthritis. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031469976-O0ONW2N9OTRGDR9VIRVU/hand-wrist-melbourne-orthopaedic-clinic.jpg HAND & WRIST CONDITIONS & SURGERY - HAND & WRIST SURGERY Our specialist perform a wide range of surgical procedures to address injuries or other conditions that affect the hand or other upper extremities Hand and wrist surgery can relieve painful symptoms caused by a number of diseases and conditions, such as carpal tunnel syndrome and arthritis. https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566031518841-ONJLC0Q8OAINCRV1SK2P/hand-wrist-surgery.jpg HAND & WRIST CONDITIONS & SURGERY Carpal Tunnel Release Ulnar Nerve Decompression and Transposition Trigger Finger Release Dupuytren’s Contracture Release Tennis and Golfers Elbow Tendon Repair Wrist Arthroscopy Wrist Ligament Reconstruction Wrist Fusion (Partial and Total) Osteotomies for Malunited Fractures Surgery for Thumb Base Arthritis Surgery for Finger Joint Arthritis https://www.melbourneorthopaedicclinic.com.au/latest-news daily 0.75 2019-11-05 https://www.melbourneorthopaedicclinic.com.au/latest-news/hip-pain-management-seminar-with-orthopaedic-surgeon-dr-vera-sallen monthly 0.5 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/latest-news/https://www.youtube.com/watch?v=jw7_EJsO3TM monthly 0.5 2019-08-28 https://www.melbourneorthopaedicclinic.com.au/latest-news/https://youtu.be/undRkN9pXvU monthly 0.5 2019-08-28 https://www.melbourneorthopaedicclinic.com.au/latest-news/royal-australasian-college-of-surgeons-racs monthly 0.5 2019-08-28 https://www.melbourneorthopaedicclinic.com.au/latest-news/kuv2kxg4gldmlkyzvt1qquy1rfr0v4 monthly 0.5 2019-11-05 https://www.melbourneorthopaedicclinic.com.au/clinics daily 0.75 2019-08-18 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566118220251-XC4WRZPV11P2H4EFD9UJ/IMG_1414.jpg CLINICS - BENDIGO ORTHOPAEDIC CLINIC P: 03 5443 5501 F: 03 5443 5314 E: admin@moc.com.au 123 VIEW STREET, BENDIGO VIC 3550 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566118220251-XC4WRZPV11P2H4EFD9UJ/IMG_1414.jpg CLINICS - BENDIGO ORTHOPAEDIC CLINIC P: 03 5443 5501 F: 03 5443 5314 E: admin@moc.com.au 123 VIEW STREET, BENDIGO VIC 3550 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566118291736-EE5NG97NXUDIUM7U47CP/IMG_4188-1.jpg CLINICS - MELBOURNE ORTHOPAEDIC CLINIC P: 03 9421 6199 F: 03 9421 6114 E: admin@moc.com.au 15 ERIN STREET, RICHMOND VIC 3121 https://www.melbourneorthopaedicclinic.com.au/home daily 1.0 2023-03-20 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1573648440081-RY0AK0GYZMKGS6BG8GBS/IMG_4186.JPG Home - Melbourne Orthopaedic Clinic https://www.melbourneorthopaedicclinic.com.au/prof-justin-hunt daily 0.75 2023-04-12 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025491632-0SEBBYL16X6CNHOSFXTT/fracs-logo%402x.jpg Prof Justin Hunt https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025524593-PSL63ELX8E5KDY9K6311/faorthoa-logo%402x.jpg Prof Justin Hunt https://www.melbourneorthopaedicclinic.com.au/bendigo-orthopaedic-clinic daily 0.75 2019-08-18 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572947021482-UAOL8B76KERGPVVZTB46/0-1.jpg BENDIGO ORTHOPAEDIC CLINIC https://www.melbourneorthopaedicclinic.com.au/hip daily 0.75 2019-09-07 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567849997682-PVH5ZUKBEGNCIC3L2WW3/popApp.jpg HIP A mobile application to support and improve your surgical care experience before, during and after your surgery https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567850681676-HSDV5H8XLHUBV34WP6L2/download.jpg HIP https://www.melbourneorthopaedicclinic.com.au/sportsinjuries-trauma daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/melbourne-orthopaedic-clinic daily 0.75 2019-08-18 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572947109648-H97DIR8E3CUC8K6MP85S/0.jpg MELBOURNE ORTHOPAEDIC CLINIC https://www.melbourneorthopaedicclinic.com.au/shoulder daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/consulting-locations daily 0.75 2020-07-12 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572073012102-BNEW6TVAEUW5AKD5H9WR/0-1.jpg CONSULTING LOCATIONS BENDIGO ORTHOPAEDIC CLINIC P: 03 5443 5501 F: 03 5443 5314 E: admin@moc.com.au 123 VIEW STREET, BENDIGO VIC 3550 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1572073066663-OLOV4EZ3GZ8RESONAWQI/0.jpg CONSULTING LOCATIONS MELBOURNE ORTHOPAEDIC CLINIC P: 03 9421 6199 F: 03 9421 6114 E: admin@moc.com.au 15 ERIN STREET, RICHMOND VIC 3121 https://www.melbourneorthopaedicclinic.com.au/spine daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/prof-vera-maria-sallen daily 0.75 2023-04-12 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025608463-PYT6JS14VTHINI66SD5F/fracs-logo%402x.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025651263-D2855WM3C3RNN5QG7BCQ/faorthoa-logo%402x.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025705247-U08DLUL2VGKH40QX8TUZ/swiss-orthopaedics-logo.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025815819-0VQY8C68Q2J9ECU3E1B5/sitemgr_photo_8178.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025839721-M8LWVWQ6D9SW828XHNXW/logo_rounded-300x120.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025864700-TL7NQ54QTJ8ZOAGKAY7K/d698e59526e6e54fab72b78ee8be97ef.jpg Prof Vera Maria Sallen https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566025793027-PA7OVPWBYKOPMC97L1Q5/download-1.jpg Prof Vera Maria Sallen https://www.melbourneorthopaedicclinic.com.au/hand-wrist daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/history-of-erin-street daily 0.75 2020-03-27 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566123917612-312F5VUPP6B556IEBBKL/erin-street-richmond-1870s-1920-strip.jpg HISTORY OF ERIN STREET https://www.melbourneorthopaedicclinic.com.au/newappointments daily 0.75 2019-10-26 https://www.melbourneorthopaedicclinic.com.au/knee daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/latest-news-1 daily 0.75 2019-11-06 https://www.melbourneorthopaedicclinic.com.au/news daily 0.75 2019-08-18 https://www.melbourneorthopaedicclinic.com.au/contact daily 0.75 2023-04-12 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1566121236454-W6RX9B4R7DHM2R9B3I79/0.jpg CONTACT https://www.melbourneorthopaedicclinic.com.au/pop-app daily 0.75 2019-09-07 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567849117982-25CWII39VTBGOK3TBA1Z/apple_store.jpg Patient Optimized Pathway POP APP https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567849494532-J924D16ZY0MRPKB571BZ/download.jpg Patient Optimized Pathway POP APP https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567848894321-DDV3E0NFN961LG63AX8O/popApp.jpg Patient Optimized Pathway POP APP https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1567854781937-XEYT1HI16IJJUXTLKCUI/play_store.jpg Patient Optimized Pathway POP APP https://www.melbourneorthopaedicclinic.com.au/christmas daily 0.75 2019-12-19 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1576728506747-NI3NMJSEOZF3OMHF8BBZ/MOC+Christmas+2019.jpg Christmas Melbourne Orthopaedic Clinic would like to thank you for all your support during 2019 and continuing through 2020. Wishing you all a very happy and safe festive season. Closure dates over the holiday period - Monday 23rd December 2019 – reopen on Monday 6th January 2020 https://www.melbourneorthopaedicclinic.com.au/mr-or-dr daily 0.75 2021-11-03 https://images.squarespace-cdn.com/content/v1/5d50ec16ef3559000173683a/1585348092032-OIKS7HVVYD8C4WTG214V/0.jpg Mr, Ms or Dr? - MR, MS or Dr? Why are some surgeons Mr or Ms and others Dr ? https://www.melbourneorthopaedicclinic.com.au/covid19-update daily 0.75 2021-04-09