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Tag Archives: Evidence

How soon after contracting Covid can I have surgery?

With almost 2 million Australians now having had Covid, it is no longer a small percentage of our population. This means that the “normal” health problems we treat will still need treatment despite patients being Covid positive, or recovered from Covid. One of many questions being asked now is how soon is too soon to have an anaesthetic after Covid? The current evidence is based on studies of patients who have had the Delta strain and we are starting to see more evidence being collected ... Read More

February 5, 2022 By Jai Sungaran in Hand & Wrist

$Surgery for a wrist fracture is not always necessary$

Surgery for a wrist fracture is not always necessary

It is important to constantly evaluate our treatment options of even the most common injuries, like a wrist fracture. Surgery, while important for many injuries, is not always necessary to achieve a good outcome. This was the rationale behind Dr. Sungaran’s research work that has now been published in JAMA Surgery, the highest ranking surgical journal in the world. This collaboration of highly trained and well respected Surgeons from Australia have shown that for a wrist fracture in our older ... Read More

January 14, 2021 By Jai Sungaran in Developments, Hand & Wrist, Health and well being

Nerve transfer surgery

Dr Sungaran is looking forward to presenting his research on nerve transfer surgery at the upcoming Australian Orthopaedic Association conference in Canberra this year. The moderators for this session are such experienced Surgeons, it will be exciting to receive their feedback. Nerve injuries can have devastating consequences to function. If left untreated the chance of recovery can be poor and time is crucial to prevent further muscle damage and weakness. Nerve transfer surgery is at ... Read More

September 18, 2019 By Jai Sungaran in Developments, Hand & Wrist, Research

Just because you can, doesn’t mean you should…

As Surgeons we are trained to "fix" a problem. If a bone is broken we can use plates and screws to realign it and relieve pain. If someone cuts their finger, we can repair their nerves, tendons, and arteries to restore its appearance and function. If you have an arthritic joint, chances are we have a replacement that we can implant to improve your motion. But one of the hardest things to do as a Surgeon, is to tell a patient that you cannot help them with an operation. Just think about ... Read More

June 22, 2019 By Jai Sungaran in Developments, Hand & Wrist, Injections, Joint pain, Nerve injury, Research, Teaching, trauma, Work injury

Hand exercises while in a cast can improve grip strength

During this morning's first session at the Australian Hand Surgery Society annual meeting, Dr. Sungaran presented his study on grip strength in older patients treated for a wrist fracture with a cast. This was a prospective, randomised controlled trial (PRCT) which is regarded as high level evidence that the outcomes are of clinical significance. The main finding of this study was that grip strength was noticeably better in patients who had a hand exercise program even while they were in ... Read More

April 4, 2019 By Jai Sungaran in Developments, Hand & Wrist, Research, Teaching, trauma

Presenting our research

We are proud to share some of our research with our colleagues at the upcoming Australian Hand Surgery Society (AHSS) meeting in Adelaide this year. This represents one of our ongoing projects and some fine work by our Registrars and Allied Health staff at Concord Hospital. We firmly believe in research that can benefit our patients, and the outcomes from this study have shown that an early exercise program can make a difference, even when a patient is in a cast following a wrist ... Read More

March 4, 2019 By Jai Sungaran in Developments, Research

What’s new in hand surgery

Looking forward to sharing some exciting developments with our nursing colleagues at the Australian Orthopaedic Nursing Association (AONA) annual conference today. Hand surgery continues to advance and develop, offering better outcomes for patients. For example, we are now able to 3D print titanium mesh models of the scaphoid bone to replace native bone which is either too damaged or diseased, thereby giving patients an alternative to wrist fusion surgery. It is a reminder that we, as ... Read More

May 3, 2018 By Jai Sungaran in Arthritis, Developments, Robotics, Sporting injury, trauma, Work injury

How does Private Health Insurance affect your treatment.

There has been renewed interest in Private health insurance due to the upcoming increase in premiums as of April 1. Another reason has also been the much criticised changes by BUPA to it's health cover. But do you actually need to have private health insurance to receive treatment in Australia? The simple answer is, no. And that in itself is something we should all be grateful for. Our Health system has many flaws but the fact that every Australian has access to free health care for ANY ... Read More

March 13, 2018 By Jai Sungaran in Arthritis, corticosteroid, Elbow, Hand & Wrist, Injections, Joint pain, lacerations, Nerve injury, Rehabilitation, Sporting injury, Tendon, trauma, Work injury

Tennis Elbow – steroid injection or not?

Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Many people ask why they have this when they don't even play tennis! Because it is an overuse condition, it can be brought on by many different actions, ranging from repetitive exercise, lifting at work or at home. Some occupations are at a higher risk such as plumbers, carpenters and painters. With regards to tennis, forceful groundstrokes where the wrist is held still against an extended elbow ... Read More

August 24, 2016 By Jai Sungaran in corticosteroid, Elbow, Hand & Wrist, Injections, Joint pain, Sporting injury

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