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Very First for <strong>South</strong><br />
West! – Surgical<br />
Computer Navigation<br />
System introduced by<br />
leading Orthopaedic<br />
Surgeon Mr Andy<br />
Murphy at Plymouth’s<br />
Nuffield Hospital<br />
ADVERTISING FEATURE<br />
Arthritis is not inevitable! And….did you know as well as hip<br />
and knee, you can also have a shoulder replacement?!<br />
We speak to<br />
Andy Murphy,<br />
Consultant Surgeon<br />
in Orthopaedics at<br />
the Nuffield Health<br />
Plymouth Hospital.<br />
He has a busy<br />
practice with a<br />
significant trauma,<br />
reconstructive and sports injury, especially<br />
in shoulder and knee problems – it<br />
encompasses complex and revision cases<br />
referred from colleagues in Plymouth and<br />
from around the <strong>South</strong>west.<br />
Mr Murphy, most people accept arthritis<br />
as something they can’t do much<br />
about – how can you help alleviate<br />
symptoms?<br />
Arthritis is not inevitable! I see many<br />
patients who have been told by wellmeaning<br />
doctors, physiotherapists and<br />
surgeons that they should rest their<br />
shoulder or knee if they have arthritis as<br />
this will prolong its life - the opposite is<br />
true: keeping physically fit and mentally<br />
active, taking the occasional mild<br />
painkiller and exercising within the limits of<br />
discomfort is much better for early arthritis<br />
in any joint, as well as keeping your heart,<br />
lungs and bones strong.<br />
At what point does knee or shoulder<br />
pain become something that might<br />
require surgery?<br />
Arthroscopy (keyhole surgery) can be very<br />
helpful for more intrusive arthritis of the<br />
shoulder or knee – there are many things<br />
we can do to reduce the symptoms,<br />
alleviate pain and restore movement. If<br />
you find your sleep is becoming regularly<br />
disturbed and you’re regularly reaching for<br />
painkillers and avoiding activities that you<br />
love that’s the time to see a specialist.<br />
You are at the medical forefront with<br />
your computer-navigated shoulder<br />
surgery – can you tell us more?<br />
Shoulder replacement surgery is one<br />
of the most technically demanding<br />
operations. Surgical computer navigation<br />
systems have been available in the US<br />
and EU for a few years but are not yet<br />
in regular use in the UK. I was fortunate<br />
enough to see these state-of-the-art<br />
systems being used during recent visits<br />
to Madrid and Geneva and I was thrilled<br />
to be the first surgeon to bring this<br />
technology to the <strong>South</strong> West last year.<br />
We use a CT scan of the worn-out<br />
shoulder joint to create a digital 3D model.<br />
This allows the surgeon to understand<br />
the complex anatomy of the shoulder<br />
as never before: using advanced<br />
computer software, we can then plan for<br />
pinpoint accuracy when implanting the<br />
components of the new shoulder, with a<br />
real-time view of the bony anatomy and<br />
implants during surgery.<br />
This type of shoulder replacement is a<br />
major undertaking for both patient and<br />
surgeon, but this very latest technology<br />
means that complications can be<br />
minimised and so should increase the<br />
longevity of the new shoulder joint.<br />
About 5000 shoulder replacements are<br />
carried out each year in the UK, compared<br />
to more than 50,000 in the US. I believe<br />
that many more patients could be helped<br />
with surgery if only the technology was<br />
more widely available. This is a really<br />
successful operation for the vast majority<br />
of patients: I have personally carried<br />
out hundreds of shoulder replacements<br />
and often patients tell me that their new<br />
shoulder has given them a new lease of<br />
life, allowing them to resume physical<br />
activities such as golf, sailing, walking,<br />
yoga, tennis, windsurfing, diving and<br />
paddle boarding. Just as important is the<br />
confidence they feel and the ability to<br />
carry out daily activities and chores around<br />
the house and garden without pain.<br />
Contacts:<br />
Mr Andy Murphy<br />
MSc MFSEM FRCSEd<br />
FRCS(Trauma&Orth)<br />
PA: liz.binding@btconnect.com<br />
Tel 01752 702 096<br />
Nuffield Health Plymouth Hospital, Derriford Road,<br />
Derriford, Plymouth PL6 8BG<br />
Telephone 0300 131 1422<br />
www.nuffieldhealth.com<br />
46 | www.southhamslifestyle.co.uk