https://www.jerryvandepol.com/aftersurgery daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580701021109-4RK3SSRXZ0V1EE9M20RG/_TAP9936.jpg After Surgery Physiotherapy Protocols On the links following you can find rehab protocols for: ACL reconstruction Meniscus surgery Knee replacement (total and partial) Patella stabilisation Ankle Fracture Surgery Knee Fracture Surgery Pelvis and Hip Fracture surgery Upper Limb fractures PEP knee injury prevention program FIFA 11+ program https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580701062413-N91J7T2EIUTYT9VD36YS/_TAP9996_1.jpg After Surgery Rehabilitation Sometimes it is not possible to go home after surgery and a temporary admission on a rehabilitation ward may be needed to get you back on your feet. An individual rehab program will be developed with you, your rehabilitation physician and the physiotherapist. There is an excellent rehabilitation physician at the Mater, who also consults at fourth Floor Surgery. Please contact reception@ffsurgery.com.au for further details. https://www.jerryvandepol.com/contact daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580699886444-M4EY06F7VV3K3IIGGKV5/_TAP9963_npCROP.jpg Contact - Practice Locations Fourth Floor Surgery Level 4 (Suite 4.10) | Mater Private Clinic, 550 Stanley Street | South Brisbane Qld 4101 07 3010 5760 | reception@ffsurgery.com.au Royal Brisbane and Women's Hospital Metro North Hospital and Health Service Corner Butterfield St and Bowen Bridge Road |Herston Qld 4029 07 3646 8129 The Prince Charles Hospital 627 Rode Road | Chermside Qld 4032 07 3139 4000 https://www.jerryvandepol.com/home daily 1.0 2024-03-01 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1576205924903-FUD60KIMT9KIK8NO4WLH/438A7897SQ.jpg Home - About Jerry Dr Jerry van de Pol is an orthopaedic surgeon with a special interest in complex fracture surgery, lower limb reconstructions, ligament reconstructions and knee replacements. Dr Jerry van de Pol has public appointments at the Royal Brisbane and Women’s Hospital, where he is also involved in the education of medical students and orthopaedic trainees, and the Prince Charles Hospital. He is a senior lecturer at the School of Clinical Medicine, University of Queensland where he also performs clinical research. He operates privately at the Mater Private Hospital and consults at Mater Private Clinics, Fourth Floor Surgery–a modern surgical practice, specialising in orthopaedic surgery and orthopaedic trauma surgery. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580697458728-O9W3R7PULNYK77KB74L3/Fractures_1+npCROP.jpg Home - Fractures and Surgery A fracture, or broken bone, often results from an injury or accident and can cause significant disability to a patient. Fractures range from small non-displaced cracks to severely broken bones with multiple pieces. Some closed fractures are treated with a cast, while others need surgical repair or a fixation also known as an ORIF (open reduction and internal fixation). There are different methods to fix fractures, including pins, screws, plates, nails (rods) and external frames. Sometimes fractures don’t heal properly or heal in the wrong position. In those situations, deformities may occur needing further treatment including ‘re-breaking’ of the bone. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580697675299-FF6PGYHPR2S4XYJT91P6/KneeInjuries_1+npCROP.jpg Home - Knee Injuries and Ligament Reconstructions There are four main supporting ligaments of the knee. They connect the tibia and femur, and stabilise and guide the knee during motion. These ligaments can be injured during sporting activity or in other accidents, leading to pain, swelling, and potentially a loss of stability. The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament. Absence of a functioning ACL due to injury may present itself as the knee giving way, particularly during twisting movements. Not every torn ligament needs surgery but in some situations it may be advisable to repair or reconstruct the torn ligament. This is usually done by taking a tendon or ligament from elsewhere and replacing the torn ligament with it. This is commonly known as a ligament reconstruction. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1589773813250-BGI9TJORC0KYRCNBZAKU/Arthritis_1+npCROPb.jpg Home - Arthritis and Knee Replacements Arthritis is a condition which causes a degradation of the cartilage lining of the joint. Symptoms may include joint pain, tenderness, stiffness, catching, and fluid in the joint. The joint typically is less painful at rest, and painful with prolonged activity. Knee with arthritis may occasionally give way. In more severe cases, night pain may impair sleep and walking may be severely restricted. There are many different causes of arthritis, but the main type requiring operation is osteoarthritis. Osteoarthritis is a process of gradual wear and tear of the joint cartilage over a long period of time. In advanced stages of arthritis the cartilage is gone and bone-on-bone contact affects the joint. In these final stages, joint replacement surgery is often advised. For the knee, this can be either a Total Knee Replacement or a Partial Knee Replacement depending on which part of the knee is affected. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580698625864-5CW0NUVPE6HOVCG6R14L/Arthroscopy_1+npCROP.jpg Home - Arthroscopy and Meniscus Surgery The meniscus is a crescent shaped structure that lies between the cartilage of femur and the tibia on each side (inside and outside) of the knee. The functions of the meniscus is to protect the cartilage by functioning as a shock absorber. Damage to the cartilage leads to arthritis in the knee. The meniscus also contributes to knee joint position sense and joint stability. The outer third of the meniscus, known as the “red zone” is well supplied with blood, and has healing capacity. The inner two-thirds is known as the white zone and has no blood supply and has diminished ability to heal. Meniscus damage can be from injuries (acute) or from general wear and tear (chronic). In most acute meniscus injuries repair or removal is advised through ‘key-hole’ surgery also known as arthroscopy. Arthroscopy uses small 1 cm incisions through which it is possible to repair a meniscus, reconstruct ligaments, remove loose bodies and even fix small fractures. https://www.jerryvandepol.com/about daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580700326188-9296GGSEVPYWNQMFHFED/_TAP0092.jpg About Dr van de Pol - About Dr Jerry van de Pol is a Brisbane-based orthopaedic surgeon with a special interest in complex fracture surgery lower limb reconstructions and knee injuries and ligament reconstructions. He completed his orthopaedic training in the Netherlands and has done subspecialty training in Australia. He completed a fellowship in orthopaedic trauma surgery, including pelvis and acetabular surgery in Adelaide and subsequently undertook a fellowship in knee reconstructive surgery under Dr Leo Pinczewski in Sydney. He is also trained in knee and hip arthroplasty. Dr van de Pol is a fellow of the Royal Australasian College of Surgeons and is a member of the Australian Orthopaedic Association and the Orthopaedic Trauma Association. He has a public appointment at the Royal Brisbane and Women’s Hospital, where he is involved in the education of medical students and orthopaedic trainees. Dr Jerry van de Pol is a senior lecturer at the School of Clinical Medicine, University of Queensland where he also conducts clinical research. Qualifications Fellowship Royal Australasian College of Surgeons (FRACS) Medical Doctor (MD) Memberships Royal Australasian College of Surgeons Australian Orthopaedic Association Orthopaedic Trauma Association Australasian Limb Lengthening and Reconstructive Society Appointments Senior Lecturer School of Clinical Medicine, the University of Queensland https://www.jerryvandepol.com/kneeinjuries daily 0.75 2024-03-01 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580703851190-TPQPJG9CVGWD29L6YXA1/acl+tear_np.jpg Knee Injuries and Reconstruction - Knee Injuries & Reconstruction Ligament injuries There are four main supporting ligaments of the knee. They connect the tibia and femur, and stabilise and guide the knee during motion. These ligaments can be injured during sporting activity or in other accidents, leading to pain, swelling, and potentially a loss of stability. The Anterior Cruciate Ligament (ACL) is one of the most commonly injured ligaments. Absence of a functioning ACL due to injury may manifest itself as the knee giving way, particularly during twisting movements. ACL ruptures can be treated by either repairing the torn ligament or by reconstructing it. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580703181113-1KO3ECVMTOC8WTOGK0H3/TLS_cropandclean.jpg Knee Injuries and Reconstruction - My preferred technique There are many ways to reconstruct a torn ACL and the used technique depends on the patients’ build and needs. My preferred technique for a primary ACL reconstruction is to use hamstring tendons from the same leg as the reconstruction. The tunnels are created using arthroscopy (keyhole surgery) and the graft is fixed in the femur and the tibia using screws that lock the graft in the bone. In the short graft technique synthetic tapes are used to pull the graft into the bone tunnels. These tunnels are bone preserving and often only one hamstring tendon is needed. There is little movement in this construct. Alternatively, a two-tendon RCI interference technique or a bone-patella tendon-bone technique may be used if required. Local anaesthetic is widely infiltrated around the knee, and there is no post-operative brace. Patients leave the hospital on crutches the day following surgery. https://www.jerryvandepol.com/arthroscopy-meniscus-surgery daily 0.75 2020-04-17 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580704832172-TPRL1AY5R7HEFEDB4MZE/MRI+knee.jpg Arthroscopy and Meniscus Surgery - Arthroscopy & Meniscus Surgery The meniscus is a crescent shaped structure that lies between the femur and the tibia on each side (inside and outside) of the knee. The principal functions of the meniscus are load sharing and shock absorption. The intact meniscus spreads load away from the cartilage of the bones, thereby protecting it. Damage to the cartilage leads to arthritis in the knee. The meniscus also contributes to knee joint position sense and joint stability. The outer third of the meniscus, known as the “red zone” is well supplied with blood, and has healing capacity. The inner two-thirds is known as the white zone and has no blood supply and has diminished ability to heal. Meniscus damage can be from injuries (acute) or from general wear and tear (chronic). https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580704786813-S9YBKTXZSP8YBDIY378K/meniscus_CROP.jpg Arthroscopy and Meniscus Surgery In most acute meniscus injuries repair or removal is advised through ‘key-hole’ surgery also known as arthroscopy. The factors influencing whether the meniscus should be repaired or removed include: Patient age – younger patients are more likely to benefit from meniscal repair. They are also more prone to develop arthritis if the meniscus has to be removed. Location of the tear – loss of the lateral meniscus is associated with poorer outcomes than loss of the medial meniscus. Repairing lateral meniscus tears may prevent these problems. Type of tear – bucket handle tears are the most amenable to repair. Radial tears and parrot-beak tears can be fixed with special techniques, but are less successful. Degenerate and horizontal cleavage tears are usually best removed Presence of arthritis – once degenerative changes in the joint are present, there is limited benefit from repairing the meniscus. Meniscus root tears – in patients with tears of the meniscal root, where the remaining meniscus looks healthy on MRI scanning, and there is no signs of arthritis, repair is often advised. https://www.jerryvandepol.com/hips-pelvis daily 0.75 2020-04-17 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1587102155837-VMYLK841JI49NGL46MDY/bluescreen.png Pelvis and Hip - Pelvis & Hip Trauma https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1587096507512-VVUU8ITXDXTANFWF8ZHP/CT%252BPELVIS%252B0001.jpg Pelvis and Hip - Pelvic fractures The pelvis is a ring of bone at hip level, made up of several separate bones. A pelvic fracture is a break in any one of those bones. Some pelvic fractures involve breaking more than one of the bones, and these are particularly serious as the bones are more likely to slip out of line. Perhaps the most important way of classifying pelvic fractures is into stable or unstable fractures. Most pelvic fractures are stable: the broken bones are still properly lined up, so that the ring has kept its shape. Usually only one bone is affected, with a single fracture. Unstable fracture: this usually occurs when there are two or more breaks in the pelvic ring and the ends of the broken bones move apart. This type of fracture is more likely to occur after high-impact injury and there may, therefore, be other associated injuries including damage to the internal organs. Some patients require internal fixation to keep the bones in place. This is open surgery, performed under anaesthetic. The bone fragments are repositioned, then held together with screws or metal plates which are left permanently in place. Getting the pelvis fixed and stable is very important both for pain control and for the long-term results of your treatment. It is more likely to be necessary if there are multiple fractures. https://www.jerryvandepol.com/limb-corrections daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1586305786175-90QIT07JEMCAFRAFT5ZV/Fractures_New.jpg Limb Corrections - Limb corrections Most fractures heal without problems, but sometimes the fragments are not aligned properly and the bone heals with a deformity (malunion). In those situations it might be necessary to re-break the bone (osteotomy) and realign the fragments. The fragments need to be stabilised with plates or nails until healing has occurred. Occasionally the corrections have to be done gradually over several weeks to months with the use of ring-frames or growing nails. Sometimes patients are born with limb deformities or with a leg length discrepancy. If the difference in length and/or alignment is too much, a correction might be needed. This means breaking the bone and gradually lengthening / straightening it to the appropriate shape. There are many techniques to achieve this ranging from external circular frames to magnetic powered telescope nails. Other reasons for using these techniques are: when a fracture hasn’t healed (nonunion), when there is a chronic infection (osteomyelitis) or rarely for cosmetic reasons. https://www.jerryvandepol.com/robotic-surgery daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1586924167735-2AN7GG8GLJJDS7J1RHWA/Knee-Robotic_arm+copy.png Robotic Assisted Surgery - Robotic Surgery Robotic assisted surgery can be a helpful tool in performing joint replacements. Dr van de Pol uses a robot for partial knee replacements and in selected cases for total knee replacements. The potential benefits of robotic surgery include: More accurate bone removal and implant placement, which may result in improved outcomes and functioning of the knee. Less pain in the days and weeks following surgery. Shorter hospital stay. Quicker recovery. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1577858590474-JNDFFCQQR6J711CPC8FJ/Screen-Shot-2017-12-12-at-8.33.20-pm-1024x547.png Robotic Assisted Surgery - Planning The outcome, success and longevity of a knee replacement will all depend on how the implants are inserted into the knee joint. Robotic surgery planning uses CT-scans and highly accurate 3D modeling to determine the correct position of the knee replacement in each individual case. The correct size, the right orientation and right alignment means better functional outcomes and success. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1577858619732-GE4ASQLK5O3LGEPY9XQ4/Mako-Overview-bone-preparation.jpg Robotic Assisted Surgery - Robot Arm The robot arm assists the surgeon during the joint replacement. It guides the surgeon but has no autonomy and can be overruled at any time. For information on robotic knee replacement surgery email: reception@ffsurgery.com.au https://www.jerryvandepol.com/arthritis-and-joint-replacement daily 0.75 2020-01-05 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580704257380-U40XIQHJBVLUKCADJKPK/knee+replacement2.jpg Arthritis and Joint Replacement - Joint Replacement Total Knee Replacement (TKR) This is most appropriate where the arthritis affects the majority of the knee, if there is significant deformity, or if there is an inflammation type of arthritis, such as rheumatoid arthritis. It involves removal of the diseased cartilage throughout the entire knee, and replacement with a metal and plastic prosthesis. Unicompartmental Knee Replacement (UKR) The advantages of unicompartmental knee replacement are of a smaller incision, less bleeding, less post-operative pain, reduced stay in hospital, and a feeling of a more normal knee. It is appropriate where the arthritis is confined to one area or compartment of the knee. The medial (inside) compartment is most often affected. The arthritis may spread to other areas of the knee with time, and may require revision to a total knee replacement. https://www.jerryvandepol.com/research daily 0.75 2021-02-04 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1579414098877-UPI2XW77U48QPRFAO8MM/TLS+presentation.JPG Research https://www.jerryvandepol.com/fractures-and-corrections daily 0.75 2020-11-06 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580685304027-LWG2T1G5KA9NL3I2X16S/ankle+fracture.jpg Fractures and Corrections - Specific fractures Every fracture is different and therefore the treatments of all fractures are different. Below is a list of the most common fractures with a general outline of the treatment plan and follow-up. https://www.jerryvandepol.com/conditions-and-procedures-index daily 0.75 2020-05-18 https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580697458728-O9W3R7PULNYK77KB74L3/Fractures_1+npCROP.jpg Conditions and Procedures - Fractures & Corrections A fracture, or broken bone, often results from an injury or accident and can cause significant disability to a patient. Fractures range from a small non-displaced cracks to severely broken bones with multiple pieces. Some closed fractures are treated with a cast, where others need surgical repair or fixation also known as an ORIF (Open Reduction and Internal Fixation). There are different methods to fix fractures, including pins, screws, plates, nails (=rods) and external frames. Sometimes fractures don’t heal properly or heal in the wrong position. In those situations, deformities may occur needing further treatment including ‘re-breaking’ of the bone. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580697675299-FF6PGYHPR2S4XYJT91P6/KneeInjuries_1+npCROP.jpg Conditions and Procedures - Knee Injuries & Reconstruction There are four main supporting ligaments of the knee. They connect the tibia and femur, and stabilise and guide the knee during motion. These ligaments can be injured during sporting activity or in other accidents, leading to pain, swelling, and potentially a loss of stability. The Anterior Cruciate Ligament (ACL) is one of the most commonly injured ligaments. Absence of a functioning ACL due to injury may present itself as the knee giving way, particularly during twisting movements. Not every torn ligament needs surgery but in some situations it may be advisable to repair or reconstruct the torn ligament. This is usually done by taking a tendon or ligament from elsewhere and replacing the torn one. This is commonly known as a ligament reconstruction. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1589773736465-DIOTX5KZFDVO8Y9HOCG6/Arthritis_1+npCROPb.jpg Conditions and Procedures - Arthritis & Joint Replacement Arthritis is a condition which causes a degradation of the cartilage lining of the joint. Symptoms may include joint pain, tenderness, stiffness, catching, and fluid in the joint. The joint typically is less painful at rest, and painful with prolonged activity. Knee with arthritis may occasionally give way. In more severe cases, night pain may impair sleep and walking may be severely restricted. There are many different causes of arthritis, but the main type requiring operation is osteoarthritis. Osteoarthritis is a process of gradual wear and tear of the joint cartilage over a long period of time. In advanced stages of arthritis the cartilage is gone and bone-on-bone contact affects the joint. In these final stages, joint replacement surgery is often advised. For the knee, this can be either a Total Knee Replacement or a Partial Knee Replacement depending on which part of the knee is affected. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1580698625864-5CW0NUVPE6HOVCG6R14L/Arthroscopy_1+npCROP.jpg Conditions and Procedures - Arthroscopy & Meniscus Surgery The meniscus is a crescent shaped structure that lies between the cartilage of femur and the tibia on each side (inside and outside) of the knee. The functions of the meniscus is to protect the cartilage by functioning as a shock absorber. Damage to the cartilage leads to arthritis in the knee. The meniscus also contributes to knee joint position sense and joint stability. The outer third of the meniscus, known as the “red zone” is well supplied with blood, and has healing capacity. The inner two-thirds is known as the white zone and has no blood supply and has diminished ability to heal. Meniscus damage can be from injuries (acute) or from general wear and tear (chronic). In most acute meniscus injuries repair or removal is advised through ‘key-hole’ surgery also known as arthroscopy. Arthroscopy uses small 1 cm incisions through which it is possible to repair a meniscus, reconstruct ligaments, remove loose bodies and even fix small fractures. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1586923503829-G3F5PIW3W7V5PUF01CTW/pelvisNP.png Conditions and Procedures Pelvis & Hip The pelvis is a ring of bone at hip level, made up of several separate bones. A pelvic fracture is a break in any one of those bones. Some pelvic fractures involve breaking more than one of the bones, and these are particularly serious as they are more likely to slip out of line. The hip joint forms part of the pelvis and can also be worn, damaged or fractured. Hip fractures often need fixation or in some cases may need replacement. In case of a worn hip joint, a hip replacement is a very successful operation to treat pain and get people walking. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1586922968364-4GMBVK7NJAR4U0XMG0BW/Fractures_NewCROP.jpg Conditions and Procedures Limb Corrections Most fractures heal without problems, but sometimes the fragments are not aligned properly and the bone heals with a deformity (malunion). In those situations it might be necessary to re-break the bone (osteotomy) and realign the fragments. The fragments need to be stabilised with plates or nails until healing has occurred. Occasionally the corrections have to be done gradually over several weeks to months with the use of ring-frames or growing nails. https://images.squarespace-cdn.com/content/v1/5ded8cad57e1833f5c25a505/1586924167735-2AN7GG8GLJJDS7J1RHWA/Knee-Robotic_arm+copy.png Conditions and Procedures Robotic Surgery Robotic Assisted Surgery can be a helpful tool in performing Joint Replacements. Dr Van de Pol uses a robot for Partial Knee Replacements and in selected cases for Total Knee Replacements. Potential benefits are: More accurate bone removal and implant placement, which may result in improved outcomes and functioning of the knee. Less pain in the days and weeks following surgery. Shorter hospital stay. Quicker recovery.