Dr. chienwen Liew Orthopaedic Surgeon

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Dr. Chienwen-Liew

• Orthopedic Surgeon

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Total Hip Replacements via a Direct Anterior
Approach

• Total Hip Replacements are the final stage in
  treatment of osteoarthritis of the hip.
  Pre-operative measures that may be used prior to
  the decision to proceed with surgery include
  basic pain management, walking aids and activity
  modification. By the time patients attend an
  Orthopaedic Surgeon, they have often exhausted
  all of the non operative options.
• The Direct Anterior Approach to the hip is the
  only truly internervous and intermuscular
  approach, meaning that muscles are not cut and
  the interval to gain access to the hip runs
  between muscles supplied by different nerves.
  Only one other approach utilises an approach
  which does not cut muscle, but it runs between
  two muscles which are supplied by the same nerve.
  This can put the nerve at risk and cause damage
  to nerves that supply muscles. Using a truly
  internervous and intermuscular plane, no nerves
  which supply muscles are at risk of being
  injured.
• Click to learn more about the Direct Anterior
  Approach

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Total Knee Replacement

• Adelaide Orthopaedic Surgeon Dr Chien-Wen Liew
  -Total Knee replacements are performed when
  arthritis in the joint worsens.  Arthritis is a
  condition caused by many factors, which result in
  the destruction or loss of cartilage from inside
  the knee joint. When the cartilage is lost, there
  is no recovery of the same type of cartilage in
  the knee.
• Patient specific Instruments can help in
  achieving this alignment as all of the
  calculations are done prior to the operation. No
  alignment guides are necessary during the
  operation, and it has been shown in multiple
  studies to have reproducible results. Patient
  specific instruments are made by taking an image
  of the knee and reproducing it in a computer,
  similar to how blueprints and prototypes are made
  (i.e. using a program like AutoCAD). This is
  highly accurate, and can identify what is
  necessary to obtain the perfect alignment. 
• After surgery for knee arthritis, patients are
  often walked the day of, or day after surgery. Dr
  Chien-Wen Liew likes his patients to walk the day
  of surgery if possible (subject to anaesthetic,
  and patient comorbidities). The usual stay in
  hospital for a total knee replacement is 5 days.
  After this time, patients are usually fit enough
  to return home to continue healing. 

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Total Shoulder Replacement

• Dr Chien-Wen Liew Orthopaedic Surgeon
  Adelaide, South Australia
• A total shoulder replacement is used when the
  joint surface of the glenohumeral joint (main
  ball and socket joint of the shoulder) becomes
  worn out or injured. It is a pain relieving
  operation, and also generally improves range of
  motion of the shoulder. Shoulder replacements are
  less well studied than total knee replacements
  and total hip replacements are performed much
  less than hip and knee replacements. The shoulder
  is a unique joint in that the ball and socket are
  not matched in size, meaning that a lot of the
  stability of the shoulder comes from soft tissue
  structures like the labrum, and surrounding
  muscles (such as the shoulder rotator cuff, and
  deltoid). 
• Once you have recovered from the initial surgery,
  you will undergo an intensive physiotherapy
  program to improve your range of movement and
  strengthen your shoulder. 
• For more information on shoulder surgery, please
  contact the office of Dr Chien-Wen Liew,
  Orthopaedic Surgeon. [phone].

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Appointment

• Name - Dr. Chien-wen Liew
• Web- http//www.drchienwenliew.com.au/
• Address- Suite 3/120 Kensington Road,
• Toorak Gardens Adelaide
• South Australia 5065
• Phone- [phone]