Procedures & Treatments

1

Orthopaedic Oncology

Orthopaedic oncology encompasses the comprehensive evaluation and treatment of both benign and malignant bone and soft tissue tumors of the musculoskeletal system. This subspecialty involves the diagnosis and surgical management of primary bone tumors, soft tissue sarcomas, skeletal metastatic disease, and complex joint reconstruction following tumor resection.

Treatment protocols include precise tumor staging, limb salvage procedures, wide resection with reconstruction, and multidisciplinary approaches to preserve function while achieving oncologic cure. Advanced techniques encompass endoprosthetic reconstruction, bone grafting, and complex soft tissue coverage to restore anatomical integrity following tumor excision.

2

Bone Sepsis Management

Osteomyelitis represents inflammation of bone caused by bacterial or fungal organisms, typically occurring following trauma, surgery, or hematogenous spread. Surgical management involves aggressive debridement of infected bone and necrotic tissue, combined with staged reconstruction and prolonged antibiotic therapy.

Treatment strategies include radical debridement, dead space management with antibiotic-loaded cement spacers or bone substitutes, and placement of antibiotic-loaded collagen sponges for local antimicrobial delivery. Chronic osteomyelitis often requires multiple surgical procedures including sequestrectomy, cortical windowing, and complex reconstruction techniques to achieve infection eradication while preserving limb function.

3

Limb Reconstruction

Limb reconstruction surgery involves the restoration of skeletal integrity, limb length, and functional anatomy following trauma, infection, congenital deformities, or tumor resection. This subspecialty employs techniques including distraction osteogenesis, bone transport, vascularized bone grafting, and complex deformity correction using external fixation systems such as Ilizarov and Taylor Spatial Frame methodologies.

Reconstruction protocols address bone defects, limb length discrepancies, angular deformities, joint contractures, and complex non-unions. The goal is to restore mechanical alignment, achieve bony union, and optimise functional outcomes while preserving limb viability and preventing amputation.

4

Trauma Surgery

Orthopaedic trauma surgery addresses the acute management of complex fractures, polytrauma, and severe musculoskeletal injuries resulting from high-energy mechanisms.

Management principles focus on anatomical reduction, stable internal fixation, early mobilisation, and prevention of complications such as infection, malunion, and post-traumatic arthritis. Advanced trauma reconstruction techniques include bone transport, acute shortening and lengthening, and staged reconstruction protocols for severe bone and soft tissue loss.

Frequently Asked Questions

We recommend bringing a referral letter from your primary care physician or specialist when scheduling an appointment. While it is not always mandatory, having a referral can help streamline the appointment process and ensure that we have all necessary information about your medical history and current condition. If you do not have a referral, please contact our office directly to discuss your situation, and we will guide you on the best course of action to take.

Please note that certain medical aid schemes require a referral. Our staff will inform you of any such requirements when you contact us to schedule your appointment.

You will receive a link via SMS and email to complete your patient intake forms online prior to your appointment. This will help expedite the check-in process.

Please bring the following to your appointment:
  • Valid identification and medical aid information
  • List of current medications and supplements
  • Previous medical records and test results
  • Questions or concerns you'd like to discuss
  • Referral letter if applicable
Arriving prepared helps us make the most of your appointment time and provide the most comprehensive care possible.

No, we are not contracted with any medical aids. However, we assist in obtaining pre-authorisation from your medical aid for elective procedures and submitting any related documentation required by the medical aids.

We will provide detailed invoices that you can submit to your medical aid for reimbursement according to your plan's out-of-network benefits. We recommend checking with your medical aid provider beforehand to understand your coverage and reimbursement policies for out-of-network services. Our billing team is also available to assist you with any questions regarding invoicing and claims submission.

This does NOT apply to trauma cases or emergencies where pre-authorisation is not required and we submit the claims directly to the medical aid on your behalf.

Some medical aids may reimburse patients directly for out-of-network services instead of paying the healthcare provider. If this occurs, it is important to ensure that the payment is properly allocated to your account with our practice.

If your medical aid reimburses you directly instead of the practice, please contact our accounts department as soon as possible accounts@kmedical.co.za. They will provide you with the necessary statements and banking details to ensure that the payment is correctly allocated to your account. It is important to keep records of all communications and payments for your reference. Our team is here to assist you in resolving any billing issues and ensuring that your account is up to date.

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