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Jarrad Stevens
Orthopaedic Surgeon
Surgical treatment of common
knee conditions
Dave Slattery
Orthopaedic Surgeon
Jarrad Stevens
Orthopaedic Surgeon
Hip|Knee|Trauma
Knee
Joint
Replacements
Declaration of Interest
I declare that in the past three years I have:
• No shares in an implant company
• No received royalties from an implant company
• I have given paid educational presentations for
Stryker knee products
• Received institutional support from: Royal
Infirmary Edinburgh Hip and Knee Arthroplasty
fellowship – funded through the NHS and
sponsored via the College of Surgeons
Edinburgh
• I use Stryker Knee in Public and Private Practice
Signed:
Australian Institute of Health and Welfare
reports 1 in 11 Australians have osteoarthritis,
approximately 2.2 million people.
Knee Arthritis
Where do Orthopaedic Surgeons fit in?
What are the surgical arthroplasty options
available for patients?
How do we perform the operations?
What does the future hold?
Knee Arthritis
Where does Ortho fit?
When non-operative treatment has been
exhausted
When the patient is likely to benefit from
replacement
Where does Ortho fit?
Where does Ortho fit?
Where does Ortho fit?
Where does Ortho fit?
Where does Ortho fit?
Where does Ortho fit?
Where does Ortho fit?
Ideal patients have advanced symptomatic
arthritis with pain in proportion to the disease
Advanced age
Fit for surgery
Where does Ortho fit?
Surgical Approach
Spinal or General Anaesthetic
1 to 1.5 hours to perform
Full pre-operative work-up
CT Scan if using robotics
Position supine on the operating table with bolster
to support the knee
Surgical Approach
Surgical Approach
https://www.vumedi.com/video/the-extensile-
medial-parapatellar-approach-to-the-distal-
femur-and-knee/
Graphic scene, cadaveric dissection
Surgical Approach
Surgery
Surgical Approach
Surgical Approach
drstevens@melbourneboneandjoint.com
Surgical Approach
drstevens@melbourneboneandjoint.com
Surgical Approach
drstevens@melbourneboneandjoint.com
Robotic Replacement
Haptic arm
Accurate to 1mm and 1
degree
Based on a pre-operative CT
Gives data about ligament
balancing and component
positioning
drstevens@melbourneboneandjoint.com
Surgical Approach
drstevens@melbourneboneandjoint.com
Options
Partial knee Replacement has new technology:
Partial Joint Replacement
Partial knee Replacement has new technology:
Partial Joint Replacement
Partial knee Replacement has new technology:
Partial Joint Replacement
Partial Joint Replacement
The Future
Fixation
Ideology
Materials
Patient selection
Outcomes
Pathways
Jarrad Stevens
Orthopaedic Surgeon
Dave Slattery
Orthopaedic Surgeon

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