Orthopaedics 360

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Orthopaedics 360 360 degrees of Orthopaedic expertise. Our surgeons specialise in all aspects of your care. SHOULDER ELBOW HIP KNEE FOOT ANKLE

Adelaide's choice for Orthopaedic care - Arthritis and Sports Injury Surgeons.

A day of firsts for with the first Mako assisted shoulder joint replacement. Our combined with Dr Oscar Brumby-Rendel...
15/10/2026

A day of firsts for with the first Mako assisted shoulder joint replacement. Our combined with Dr Oscar Brumby-Rendell - Upper Limb Surgeon of .au in caring for the first patient at Eastwood Private Hospital to undergo this technology assisted surgery. We wish the patient the best in their recovery.

Awesome to bump into Angus at the gym this morning — 6 months on from his elbow reconstruction.Great to see him lifting ...
07/10/2026

Awesome to bump into Angus at the gym this morning — 6 months on from his elbow reconstruction.
Great to see him lifting again and putting the work in. This was one main goal of his operation!
Solid work mate. OUR GYM Fitness Club 24/7 Orthopaedics360

Come and join our caring and passionate team at . We are looking for a Personal Assistant to work closely with Dr Mooney...
18/09/2026

Come and join our caring and passionate team at .
We are looking for a Personal Assistant to work closely with Dr Mooney to support patients through their journey with Hip and Knee surgery.
If you or someone you know is interested, please visit the ad at https://au.seek.com/job/94716256

Muscle sparing hip replacement, a room full of surgeons and a film crew. What a weekend!Dr. Luke Mooney was in Melbourne...
24/08/2026

Muscle sparing hip replacement, a room full of surgeons and a film crew. What a weekend!

Dr. Luke Mooney was in Melbourne as faculty on a direct anterior approach course, and it was a big one. Surgeons flew in from NSW, QLD, SA and New Zealand for two days of lectures and cadaveric surgery. Dr Mooney was teaching alongside Prof Ton Tran from Melbourne and Dr Jono De Hoog from Townsville - a real sharing of experience and knowledge.

So why does it matter? The direct anterior approach reaches the hip from the front, between the muscles rather than through them, which is why there are no movement restrictions afterwards. It also takes most surgeons around 100 cases to become comfortable with. That is exactly why courses like this one exist.

Lights, camera, action. The trip also saw Dr Mooney step in front of the camera to record a Stryker surgery demonstration video in the lab!

Pain after joint replacement is one of the things patients worry about most before surgery. The reality tends to be much...
22/06/2026

Pain after joint replacement is one of the things patients worry about most before surgery. The reality tends to be much better than expected.

Modern pain management uses a multimodal approach - combining several methods to control pain rather than relying on a single strong opioid.

During surgery, I inject a long-acting local anaesthetic mixture around the joint before closing in a knee replacement. We find we don't need this for a hip replacement. This provides several hours of relief while the spinal block wears off.

After surgery, the plan typically includes paracetamol taken regularly around the clock, possibly an anti-inflammatory (celecoxib), and sometimes a nerve pain modifier (pregabalin). Opioids are available but are used as a supplement, not a foundation. We use Palexia and Endone when we need to use Opioids.

Most patients are genuinely surprised by how manageable it is. The most common feedback I hear is "I expected it to be much worse."

A few things patients can do: take medications on schedule rather than waiting until pain is severe, do your physio exercises even when the joint is uncomfortable, and keep the leg elevated when resting.

Pain that is well-controlled in the first two weeks makes rehabilitation significantly more effective.

drchienwenliew.com.au

A little preparation before surgery makes the first two weeks at home significantly easier.Medications: get your prescri...
19/06/2026

A little preparation before surgery makes the first two weeks at home significantly easier.

Medications: get your prescriptions filled before admission. You will not want to manage a pharmacy trip on day one at home.

Your chair: you need a firm chair with armrests you can push off from easily. Low sofas and soft lounges are hard to get out of in the early weeks. A chair that lets you get to standing without struggling is worth setting up before you go in.

Bathroom: a shower stool or shower chair is helpful, particularly after knee replacement. For hip replacement via the direct anterior approach, there are no toilet height restrictions - no raised toilet seat is required.

Trip hazards: remove rugs, secure loose cords, and clear a clear path between your bedroom, bathroom, and kitchen.

Food: stock the fridge before surgery. You will be mobile, but elaborate cooking in the first week is more effort than it needs to be. Prepare a few days of simple meals.

Transport: organise who is collecting you from hospital and who is staying the first night. Do not plan to be alone for the first 24 hours at home.

The patients who prepare well have a smoother first week. It is worth the half hour.

drchienwenliew.com.au

Surgeons, physios, and a robot walk into a room… 🤖A brilliant education night with the PhysioXtra and Eastwood Physiothe...
17/06/2026

Surgeons, physios, and a robot walk into a room… 🤖
A brilliant education night with the PhysioXtra and Eastwood Physiotherapy Clinic teams — a tour of our new rooms, shared learning, and a live, hands-on demo of the Mako 4 Robotic System we use at Eastwood Private Hospital.
Surgery is only half the story — recovery is the other. When both teams work this closely, patients get the best of both.👏
Our surgeons: Dr Luke Mooney, Dr Raymond Yu, Dr Mike Smith and Dr Chien Wen Liew.
.raymondyu Dr. Luke Mooney Eastwood Physio and Rehab Clinic

Swelling after joint replacement is normal - and it can look alarming if you are not expecting it.Here is what is happen...
16/06/2026

Swelling after joint replacement is normal - and it can look alarming if you are not expecting it.

Here is what is happening. Surgery causes local tissue trauma and an inflammatory response. Your body sends fluid to the area as part of healing, not as a sign that something is wrong.

After hip replacement, swelling tends to be mild and settles within 2 to 3 weeks for most patients. After knee replacement, it is more significant and can persist for 3 to 6 months. The knee has a tight soft tissue envelope and takes longer to settle - this is normal.

What helps: elevate the leg above heart level when resting, particularly in the first few weeks. Use an ice pack wrapped in a cloth for 20 minutes several times a day. Walk regularly - movement pumps fluid out of the limb. Wear your compression stockings for the first 2 weeks.

What does not help: sitting with the leg down for long periods, standing still, or missing physio exercises.

One thing to watch for: sudden swelling that is hot, one-sided, and particularly in the calf warrants a call to us. That is a different situation and needs review.

drchienwenliew.com.au

Surgery day can feel daunting. Most patients tell me afterward that it was much calmer than they expected.Here is how th...
13/06/2026

Surgery day can feel daunting. Most patients tell me afterward that it was much calmer than they expected.

Here is how the day typically unfolds.

You arrive at Eastwood Private or Calvary Adelaide Hospital (The two newest ones in Adelaide) and get settled into the pre-op gowned wait area. The anaesthesia team comes by to introduce themselves and go over the plan in holding bay. We always check things multiple times - Name, DOB and side for surgery - it's just part of the routine. We never make mistakes because we follow set protocols. I visit before you go to theatre to answer any last-minute questions.

The operation itself takes around 60 to 90 minutes for a primary joint replacement. You spend a short time in recovery, then return to your room.

Within a few hours - or the morning after at the latest - the physiotherapist gets you up and walking. That first walk is usually the moment patients realise the joint already feels different.

Hospital stay is typically 2 -3 nights for a single hip replacement, and up to 3 nights for a knee replacement or bilateral hip.

A few things to prepare: have your prescriptions filled before admission, have someone stay the first night at home, and set up a firm chair with armrests you can push off from easily. Make sure you have a good supply of food at home, and queue up some movies to watch, or books to read. The first few weeks are just short walks, regularly, icing and elevation.

drchienwenliew.com.au

A question that comes up regularly in clinic, especially for patients planning travel or interstate visits after surgery...
04/06/2026

A question that comes up regularly in clinic, especially for patients planning travel or interstate visits after surgery: when is it safe to fly after hip replacement?

The main concern with flying is deep vein thrombosis (DVT). Surgery increases the risk of blood clots, and prolonged immobility in a plane cabin compounds that risk. This is why timing matters.

For most patients, I advise:

DOMESTIC FLIGHTS (under 4 hours): typically safe anytime after surgery. We have many patients who fly in from all over Australia, who decide to stay in Adelaide a few days after discharge, and then fly home. This is absolutely fine. You will have blood thinners on board, compression stockings, and you should be walking reasonably well.

LONG-HAUL FLIGHTS (over 4 hours): I recommend waiting a minimum of 4 weeks. At this stage, you are walking well, and the blood clot risk has reduced significantly. It's not quite normal as yet, but the risk is far lower.

Even so, there are sensible precautions:

Book an aisle seat so you can stand and walk every hour without disturbing others. Wear compression stockings for the full duration of the flight. Stay well hydrated and avoid alcohol. Perform the exercises that you were given - especially toe wriggling, ankle pumps etc, regularly, whilst on the flight. And it is recommended to take an Aspirin 100mg before take off, and one on landing as well after longer flights. It will thin the blood slightly, and reduce your risks.

If you have had a blood clot before, avoid long flights for 10-12 weeks post op.

The same principles apply to long car trips and cruises. It is the prolonged sitting, not the altitude, that creates the risk.

If you have a specific trip planned, let me know at your pre-operative or post-operative visit and we can plan around it.

drchienwenliew.com.au/learn-hip

Address

Level 2, 204 Greenhill Road, Eastwood (Eastwood Private Hospital)
Adelaide, SA
5063

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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