Dr Neville J Rowden

QUALIFICATIONS

• M,B. B,S. (Hons) UNSW 1974
• F.R.C.S. (Eng) 1979
• F.R.A.C.S. (Ortho) 1985
• F.A.Orth.A 1990

OVERVIEW

In 1974 I completed undergraduate medicine, (M.B. B.S. Hons) at the University of New South Wales and continued my studies overseas, becoming a Fellow of the Royal College of Surgeons in England in 1979.

In 1984 on graduating from the Australian Orthopaedic Association training programme in Sydney, Australia, I became a Fellow of the Royal Australasian College of Surgeons in 1985. I have been established in private practice in Sydney since 1985.

From 1988 to the year 2000 I was a visiting medical officer at the Prince of Wales Hospital, Randwick and acting Head of the Department of Traumatic & Orthopaedic Surgery (1993 to 1995).

The Evelyn Hamilton Trust Award was presented to me in 1994 for the best scientific paper at the Australian Orthopaedic Association Meeting in Sydney N.S.W. (Comparisons of Fixed Strengths of Two Types of Autologous ACL Grafts) .In the same year I represented the Australian Orthopaedic Association as an exchange fellow in Hong Kong.

For the past twenty five years I have subspecialized in knee surgery and since 1998 much of my practice has focused on overall management of osteoarthritis of the knee.

I developed a strong interest in unicompartmental arthroplasty surgery and visited Dr J Repicci in Buffalo, New York and Dr Gerald Engh at the Anderson Clinic in Washington. USA.

In 2003 I founded the Hurstville Knee Clinic, a facility specialising in the treatment of knee trauma and knee osteoarthritis and in 2013 the clinic moved to Kogarah under the name of the St George Knee Clinic, offering extensive experience and expertise in the management of knee injuries and knee osteoarthritis.

Early in the 2000’s I developed a strong interest in unicompartmental arthroplasty surgery having visited Dr J Repicci in Buffalo New York and Dr Gerald Engh at the Anderson Clinic in Washington. U.S.A.

I have also developed an ongoing knee arthroplasty data base comprising of over 3,500 patients, with prospective outcome measurements including patient demographics, Oxford knee scores (OKS) and x-rays. This is a very valuable resource and I have a keen interest in using the OKS to assess the outcomes of surgery for patient education and surgical decision making.

My current practice is based in Kogarah N.S.W. at the St George Knee Clinic and I am a senior Orthopaedic Visiting Medical Officer at St George Private Hospital.

POST GRADUATE EXPERIENCE

Private Practice in Orthopaedic Surgery

Current

• St George Knee Clinic From 2013
• VMO: St George Private Hospital. Kogarah. N.S.W. From 2007

Previous

• Hurstville Knee Clinic Hurstville N.S.W. 2003 - 2013
• Orthosports. Orthopaedics & Sports Medicine Practice. 1986 - 2003 (Hurstville and Randwick Clinics)

Visiting Medical Officer

Previous appointments in Sydney N.S.W.

• Hurstville Community Hospital, Hurstville 1992 - 2008
• Prince of Wales Hospital Randwick 1988 – 2000
• Kogarah Private Hospital Kogarah 1988 - 2002
• Bexley Private Hospital Bexley 1988 –  2000
• Pacific Private Hospital Brighton-le-Sands 1988 - 2000

Visiting Medical Officer - Locum

• Dr R Sekel, (St George Public Hospital) 1985 – 1987
• Dr W Cumming. (St George Public Hospital) 1985 – 1987

Positions Held

• Acting Chairman. The Department of Traumatic & 1993 – 1995
  Orthopaedic Surgery. Prince of Wales Hospital, Randwick N.S.W.
• Clinical Co-Ordinator FRACS Final Orthopaedic Examinations.
  1990 & 1996 Prince of Wales Hospital, Randwick N.S.W.

Training

• Australian Orthopaedic Association (AOA) Sydney N.S.W. 1981-1984
  Registrar Training Programme.

COMMITTEES & ADVISORY BOARDS

• Chairman of Medical Council. 2003 – 2008
  Hurstville Community Hospital, Hurstville, N.S.W.

MEMBERSHIP OF PROFESSIONAL BODIES (Current and past)

• Australian Orthopaedic Association
• Arthroplasty Society of Australia
• Australian Medical Association
• Royal Australasian College of Surgeons
• American Academy of Orthopaedic Surgeons

AWARDS

• Evelyn Hamilton Trust Award. 1995
• Hong Kong Traveling Fellowship. 1995

PRESENTATIONS

Arthroplasty Society of Australia Meetings.

• May 2014. Arthroplasty Society of Australia. Freemantle. WA.

What can we learn from the New Zealand Joint Registry?

• May 2013. Arthroplasty Society of Australia. Coolum. QLD

Measuring the influence of patient selection on UKA revision rates.

• May 2012. Arthroplasty Society of Australia. Melbourne. VIC.

Total knee replacement outcomes. "Measuring satisfaction."

• May 2011. Arthroplasty Society of Australia. Gold Coast. QLD.

Lost to follow up after joint arthroplasty.

• May 2010. Arthroplasty Society of Australia.  Cypress Lakes. NSW.

An audit of 1525 UK cases over 12 years.

• September 2007. Arthroplasty Society of Australia. Kingscliff. NSW.

What can we learn from the New Zealand National Joint Registry experience ?
A review of the 7 years report with a focus on knee arthroplasty.

• September 2006 Arthroplasty Society of Australia. Adelaide. Oral Presentation.

Conversion of Failed Unicompartmental Arthroplasty to Total Knee Replacement. An analysis of 38 cases over 8 years.

• October 2005 Arthroplasty Society of Australia. Margaret River. WA Oral Presentation.

Measuring Knee Arthroplasty Outcomes.
Australian Orthopaedic Association. N.S.W.

• August 2014. State Meeting AOA. Sydney. NSW.
• What can we learn from the New Zealand Joint registry ?

August 2013. State Meeting AOA. Sydney. NSW.

• Measuring the influence of patient selection on UKA revision rates.

August 2012. State Meeting AOA. Sydney. NSW

• Satisfaction after TJA. What are we measuring ?

August 2011. State Meeting AOA. Sydney. NSW.

• Lost to follow up after joint arthroplasty. A new use of the AOANJRR.

May 2010. Continued Orthopaedic Education Meeting (COE) Sydney. NSW.

• Ten year experience of unicompartmental arthroplasty.
• A personal audit using AOANJRR data.

May 2010. Continued Orthopaedic Education Meeting (COE) Sydney. NSW.

• Revision surgery for a failed unicompartmental knee arthroplasty.

October 2004. Annual Scientific Meeting. Sydney. NSW

• Lateral unicompartmental arthroplasty.
• The outcomes of 123 cases over 5 years.

Australian Orthopaedic Association.

• November 1995. NSW State AOA Meeting. Sydney. Oral Presentation
• Painful Knees in Older Patients. N Rowden, R Hocking.

• October 2013 AOA Annual Scientific Meeting. Darwin. NT

Measuring the influence of patient selection on UKA revision rates.

• May 2010. Continued Orthopaedic Education Meeting (COE) Sydney. NSW.

Ten year experience of unicompartmental arthroplasty.
A personal audit using AOANJRR data.

• May 2010. Continued Orthopaedic Education Meeting (COE) Sydney. NSW.

Revision surgery for a failed unicompartmental knee arthroplasty.

• October 2006. Annual Scientific Meeting. Canberra. ACT.

Measuring arthroplasty outcomes.
Experience using the Oxford Knee Score for surgical audit and clinical use.

• October 2004. Annual Scientific Meeting. Sydney. NSW

Lateral unicompartmental arthroplasty.
The outcomes of 123 cases over 5 years.

• Oct 2004 Poster Presentation AOA Sydney N.S.W.

Using the Oxford Knee Score as a Patient Education Tool.

• July 2002. AOA Continuing Education Meeting. Darwin N.T.

Arthroscopy in the degenerative knee.

OTHER PRESENTATIONS

• June 2011. Mathes Symposium. Sydney N.S.W.

Tools for decision making in arthritic knees.

Revision surgery for failed UKA. Why it is controversial ?

Why do UKA's fail ?

• February 2007. Encore Orthopaedic Meeting. Beaver Creek. Colorado. U.S.A.

Measuring knee arthroplasty outcomes. Eight years experience using the Oxford Knee Score.

• September 2005. Global RBK Users Group. New Zealand. Oral Presentations.

• Medial UKA Results and Complications Reviewed in over 1000 cases.
• History of UKA Surgery.
• Radiology of the Osteoarthritic Knee.
• Results of the RBK Total Knee Arthroplasty.
• October 2004. Asia Pacific Orthopaedic Association Meeting. Kuala Lumpur.

Oral Presentation.

Using the Oxford Knee Score as a Patient Education Tool.

• 2004. Canberra ACT Regional Meeting. Global Orthopaedics Oral Presentation.

GRU - Rationale, Surgical Technique and Two Year Outcome Analysis.
June 2002. Sydney University. Lecture for Physiotherapists.
Advances in the Management of Osteoarthritis of the Knee.

• November 2001. AOA Registrar Training Lecture. Royal Prince Alfred Hospital.
  Unicompartmental Knee Replacement / High Tibial Osteotomy.
• August 1998. Biomedical Scientific Meeting. Brisbane Australia.

A New method to Dynamically Measure the Pressure Distribution in Knee Prostheses. P Morberg, ML Harris, W Bruce. G Kiddle, L Kohan. N Rowden, DH Sonnabend, WR Walsh.

• March 1997. Arthroscopic Surgery. Towards 2000. Sydney. Oral Debate.

ACL Reconstruction. Hamstrings vs Patellar Tendon.

Neville Rowden for Hamstrings. Russell Warren. (Surgeon in Chief. The Hospital for Special Surgery. NY.  USA) for Patellar Tendon

• October 1997. Grand Rounds. Prince of Wales Hospital. Oral Presentation.

Management of Anterior Cruciate Ligament Tears.

• September 1996  LCS User Group Meeting. Coolum QLD. Panel Discussion.Soft Tissue Balancing + Surgical Technique Tips.
• May 1995. Annual Scientific Meeting. Knee Society Port Douglas. Oral Presentation.

Comparison of Fixation Strengths of Two Types of Autologous ACL grafts.

• May 1995. Sports Medicine Travelling Fellows. Sydney. Oral Presentation

Comparative Strengths in ACL Graft Fixation.

• 1994. Orthopaedic Association 45th Annual Scientific Meeting. New Zealand.

Oral Presentation.

Comparisons of Fixation Strengths of Two Types of Autologous ACL Grafts.

• 1994. Orthopaedic Association 45th Annual Scientific Meeting. New Zealand.

Oral Presentation.

Comparisons of Fixation Strengths of Two Types of Autologous ACL Grafts.

RESEARCH

• Anterior cruciate ligament graft fixation. Initial comparison of patellar tendon and semitendinosus autografts in young fresh cadavers. Rowden NJ, Sher D, Rogers GJ, Schindhelm K.  1997 (Masters Thesis Sher D U.N.S.W.)
• Dr N Rowden. Ref: B52/09. Belberry Limited. 30th March, 2009

A Consecutive pilot project analysing outcome measure analysis in primary hip and knee arthroplasty.

• Dr N Rowden/ lead investigator. Bupa Health Foundation Grant. 2013

An arthroplasty outcome project.  St George Private Hospital. Kogarah N.S.W.

PUBLICATIONS

• Loss to follow-up after arthroplasty: a new use for registry data.

Rowden NJ,  Harrison JA, Graves SE, Miller LN, de Steiger RN, Davidson DC.

J Bone Joint Surg Br. 2012 Apr;94(4):493-6.

Unicompartmental  knee arthroplasty for the treatment of unicompartmental osteoarthritis: a systematic study.

Griffin T, Rowden N, Morgan D, Atkinson R,
Moodruff P, Maddern G.
ANZ J Surg. April 2007.

• Lateral Unicompartmental Arthroplasty - The Outcomes of 123 Cases Over Five Years. Rowden N, Small T.

J Bone Joint Surg Br 2005;87-B-Supp- III

• Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin. Pulmonary Embolism Prevention. (PEP) N J Rowden. Collaborator.

The Lancet. Vol 355. April 15, 2000.

• Anterior cruciate ligament graft fixation. Initial comparison of patellar tendon and semitendinosus autografts in young fresh cadavers. Rowden NJ, Sher D, Rogers GJ, Schindhelm K.

American Journal Sports Medicine. 1997. Jul-Aug; 25(4): 472-8

• Basic Science in Knee Arthroplasty. W R Walsh, N Rowden, DH Sonnabend.

Current Opinion in Orthopaedics. 1996 7;1:75-81

• Total Knee Replacement. Experience of a Combined Rheumatology Orthopaedic Clinic. N. Rowden, E McGirr, J. Edmonds. R. Drummond and R Sekel.

Abstract of A.R.A Annual Scientific Meeting. ANZJM 1983.