Specialising in hip and knee procedures
Doctor Young’s flexible, consultative approach is informed by years of experience in the field of orthopaedic care, providing patients with the very best advice and results from their treatment.
Learn more about the treatment best suited to your requirements below.
Treatment for sporting injuries
If you are injured playing sport and your injury does not settle fairly quickly or you feel a joint is unstable or deformed, it is best to seek help.
The best place to start is your GP, who should help make a diagnosis and prescribe appropriate treatment. Many injuries will resolve uneventfully.
If symptoms persist, it is reasonable to return to your GP for reassessment or to discuss referral for a consultation and perhaps further treatment.
Learn more about effective injury management for sports-related conditions here.
Knee injury and treatment
Explore available treatments in more detail below.
Arthritis is a condition where the joint surface (articular cartilage) is worn away, by time, injury or – more rarely – other conditions (infection, tumour, inflammatory conditions). The articular cartilage normally distributes the load of the weight-bearing joint, and when worn away, the load borne by the bone is uneven and increased.
When this happens, joints are often stiff and swollen, painful, and become gradually deformed.
Early treatment includes weight loss and exercise since any reduction to weight borne by the joint may prove beneficial. An exercise bike is a great, low impact way to approach this condition.
Treatment with paracetamol and anti-inflammatory medications is often used next. Used intermittently, such tablets can reduce symptoms and preserve function.
Should these measures be unsuccessful, injections into the knee may be trialled.
Knee arthroscopy is a form of keyhole surgery where the internal structures of the knee can be assessed and problems treated. The surgery is usually performed as day surgery and patients rarely require walking aids (i.e. crutches or sticks) afterwards.
At least two small incisions (0.5cm) are made over the front of the knee, and a device placed into the knee to visualise the structures within. Special instruments are then used to perform the surgery, often including removal of loose and torn fragments.
The goal of knee arthroscopy is to reduce pain and improve function. It is possible that your knee condition requires more substantial treatment than what can be achieved by arthroscopy.
Probable outcomes of arthroscopic surgery are discussed in your pre-operative consultation, and any factors which may alter the results are highlighted.
As always, post-operative exercises are crucial to successful treatment.
The goal of ACL Reconstruction is to restore stability to the knee.
The ACL lies deep within the knee and is key to providing rotational and lateral stability. Patients who have injured their ACL will often complain their knee feels like it will give way if they change direction while walking or running.
ACL surgery takes about one hour and most often the ACL is reconstructed using the hamstring tendons from the inner side of the thigh. This is a common technique as the tendons reform, and so little function is lost in their use.
The tendons are passed into appropriate tunnels within the femur (thigh bone) and the tibia (below the knee) and secured. There are four small incisions, the largest being 3cm long. Patients stay in hospital overnight, and walk the next day using crutches for about five days.
Exercise post-surgery, as always, is very important.
The symptoms of knee arthritis often fluctuate – the pain is variable as is the swelling. At times the knee feels unstable. As the condition progresses walking distance diminishes and sleep is interrupted. Generally people become sick of their symptoms and therefore consider treatments such as knee replacement.
The goal of knee replacement surgery is to diminish pain and improve function. It is performed for knees where the joint’s surface has been significantly worn away. Any deformity is also corrected at the time of operation.
Success rates for knee replacement surgery is very high. Most patients report a range of motion from full extension (able to straighten the leg fully, very important for regular walking) to 120 degrees flexion (being able to bend the knee back under the thigh).
The ultimate motion achieved is a combination of the surgeon’s efforts and patients’ commitment during recovery.
Doctor Young uses real time (within the operating theatre) computer assistance to provide the most accurate placement of the new knee prosthesis, allowing for the very best outcome. Surgery takes about an hour, with a hospital stay of about two days.
Upon going home, patients are able to bend the knee to a right angle, go up and down stairs, and walk with a stick over the following three weeks.
Most knee replacements should last between 20 and 25 years.
Hip and treatment
Select a condition below to explore treatments in more detail.
Hip arthritis is usually caused by time, sometimes by slight deformities which occurred in youth (of which most people are unaware), uncommonly by injury or rarely by other conditions.
Early treatment is with exercise and weight loss, as the less load is put through the joint the less painful it may prove. Exercise needs to be sensible. Cycling and swimming are reasonable, walking is fine, though running may be met with a marked increase in symptoms. The symptoms of hip osteoarthritis often seem severe initially however tend to diminish, running a fluctuating course.
An arthritic hip becomes gradually more stiff. Pain is felt in the groin, buttock and thigh, and sometimes in the knee. Paracetamol and anti-inflammatory medications can be trialled and these may keep symptoms at bay for a period.
Ultimately people become sick of the pain and limitations such as not being able to put on socks, tie up shoelaces; having difficulty dressing and sitting in a car. Sleep is often disturbed. At this stage, many may contemplate a Hip Replacement.
Hip replacement is one of the most successful of all surgical procedures. Such surgery is advised for the relief of pain, and to improve function when all other efforts have failed.
It is usually performed when the hip ball and socket joint has been destroyed by arthritis. Other, less common causes may arise from injury or other conditions. The smooth cartilage surface has worn away, leaving a rough and bare surface. The leg may feel it is getting stuck, and pain is felt in the groin, thigh to knee and the buttock.
During a hip replacement, the worn-out joint is replaced with a prosthesis, resulting in significant pain relief and better functioning. The socket (or acetabulum) is replaced with a hemispherical component, including a new bearing surface.
Then, the head of the femur (the ball part of the joint) is replaced with a new ball, usually placed on another component within the centre of the bone.
Surgery takes around one hour. Walking starts either the same or next day, with pain relief given. Most hip replacements will last between 20 and 25 years.
There are many ways to access the hip in order to perform a hip replacement. One of the best techniques involves an approach through the front of the thigh in what is called a Direct Anterior Approach (described by Heuter and popularised by Laude).
The incision is smaller, although importantly no muscles are cut, allowing a much faster return to function and a significant reduction post-operative pain. Doctor Young has performed over 600 hip replacements with this technique and is the only surgeon in the region to offer it with such experience.
Surgery takes about one hour, with patients up and walking either the same day or early the next. Hospital stays are typically two to three days.
Book your appointment
Seeking a treatment that’s right for you? Arrange a consultation with Doctor Young today. Call 02 4958 7777 or make an enquiry below.