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Jonathan S Mulford

Jonathan S Mulford
Tamar Valley Orthopaedics, Launceston General Hospital, University Tasmania · Orthopaedics

MBBS (Hons), FRACS (Ortho), Diploma Clinical Trial

About

41
Publications
6,067
Reads
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1,212
Citations
Introduction
I obtained my Orthopaedic Fellowship of the Royal Australasian College of Surgeons in 2005. I have travelled internationally to North America and Europe to gain further expertise and training with recognised world leaders in the fields of hip, knee and wrist surgery. I began my surgical practice in Sydney at Prince of Wales Public and Private Hospitals. In 2013, I relocated back to my home state of Tasmania and started Tamar Valley Orthopaedics. I now work in private practice at Tamar Valley Orthopaedics and St Lukes Private Hospital. I provide public work at the Launceston General Hospital (LGH). I have particular interests in Hip and knee replacement Surgery . Most of my research is around clinical aspects of hip and knee surgery.
Additional affiliations
February 2013 - present
Launceston General Hospital
Position
  • Orthopaedic Surgeon
January 2008 - January 2013
Prince of Wales Hospital and Community Health Services
Position
  • Orthopaedic Surgeon
January 2007 - July 2007
University of Toronto
Position
  • Clinical Orthopaedic Fellow

Publications

Publications (41)
Article
Importance: Distal radius fractures are common and are managed with or without surgery. Current evidence indicates surgical treatment is not superior to nonsurgical treatment at 12 months. Objective: Does surgical treatment for displaced distal radius fractures in patients 60 years or older provide better patient-reported wrist pain and function...
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Full-text available
Aim: The Anatomique Benoist Girard (ABG) II femoral implant was a commonly used stem for primary total hip replacement (THR) at our institution (Launceston, Tasmania Australia). We identified peri-prosthetic fracture as the main cause of late failure. Methods: The late periprosthetic fracture rate for ABG II implants was reviewed with national s...
Article
Importance The burden of injury and costs of wrist fractures are substantial. Surgical treatment became popular without strong supporting evidence. Objective To assess whether current surgical treatment for displaced distal radius fractures provided better patient-reported wrist pain and function than nonsurgical treatment in patients 60 years and...
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Full-text available
Background We are performing a combined randomised and observational study comparing internal fixation to non-surgical management for common wrist fractures in older patients. This paper describes the statistical analysis plan. Methods/design A Combined Randomised and Observational Study of Surgery for Fractures In the distal Radius in the Elderly...
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Full-text available
Introduction Soft tissue imbalance is considered to be a major surgical cause of dissatisfaction following total knee arthroplasty (TKA). Surgeon-determined manual assessment of ligament tension has been shown to be a poor determinant of the true knee balance state. The recent introduction of intraoperative sensors, however, allows surgeons to prec...
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Background: Osteoarthritis often results in prolonged periods of reduced physical activity and is associated with adverse health outcomes, including increased risk of cardiovascular and metabolic diseases. Exercise interventions for patients on the waiting list for arthroplasty can reduce the risk of long-term adverse outcomes by increasing activit...
Article
Background: Reduction in postoperative pain, nausea, and vomiting in patients undergoing total joint arthroplasty may facilitate earlier discharge from hospital and reduce healthcare costs. This study was performed to primarily assess whether perioperative dexamethasone reduced hospital length of stay and to assess the effect on pain, nausea and v...
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The aim of this study is to investigate the clinical effectiveness of an advanced practice physiotherapist triaging patients referred from primary care to the orthopaedic clinic with chronic hip and knee pain. An exploratory study design was used to assess 87 consecutive patients referred from general practice in Northern Tasmania. Patients were as...
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Methods and analysis: This pragmatic, multicentre randomised comparative effectiveness trial aims to determine whether plating leads to better pain and function and is more cost-effective than closed reduction and casting of displaced distal radius fractures in adults aged 60 years and older. The trial will compare the two techniques but will also...
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Objectives Three dimensional (3D) printing technology has many current and future applications in orthopaedics. The objectives of this article are to review published literature regarding applications of 3D technology in orthopaedic surgery with a focus on knee surgery. Methods A narrative review of the applications of 3D printing technology in or...
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Introduction: This is a report of a mechanical failure of an S-ROM revision total knee prosthesis. The prosthesis was used as a revision implant following deep peri-prosthetic infection in a morbidly obese male. The prosthesis failed on both the femoral and tibial sides at the modular metaphyseal stem junctions and required a further revision usin...
Article
Background: The primary objective of the study was to determine if local infiltration anaesthetic (LIA) reduced total length of hospital stay in total knee arthroplasty (TKA) patients. The study also examined whether LIA improves early pain management, patient satisfaction and range of motion in TKA patients. Methods: We conducted a randomized c...
Article
Purpose To determine the suitability of the quadriceps autograft in primary anterior cruciate ligament (ACL) reconstruction. Methods A systematic review was undertaken to identify all clinical studies reporting on the use of the quadriceps tendon autograft in ACL reconstructions. Studies that reported on clinical and functional outcomes, morbidity...
Article
The purpose of our study was to assess the reproducibility and reliability of traditional radiographic methods of diagnosing trochlear dysplasia compared with the gold standard of MRI. Plain radiographs and MRI scans of 36 knees in 28 patients with proven trochlear dysplasia were compared with 18 controls in a single surgeon's practice. The sulcus...
Article
We present a case of meniscal cyst formation 1 year following a successful meniscal repair in a 30-year-old male using a hybrid suture–anchor meniscal repair system. Open excision of the cyst revealed it to be in continuity with the suture–anchor fragments. The patient made an uneventful recovery. Level of evidence V.
Article
The ligament advanced reinforcement system (LARS) ligament is an artificial polyester ligament made from polyethylene terephthalate (PET) that is used for primary anterior cruciate ligament (ACL) reconstructive surgery. Recent media attention has resulted in a high awareness of this reconstructive option among patients; however, the outcomes compar...
Article
Proximal row carpectomy (PRC) and scaphoid excision with four corner fusion (4CF) are common salvage procedures to preserve motion in wrists with scapholunate advanced collapse (SLAC). A case scenario is presented and the evidence for outcomes provided through the use of a systematic review. We collated 14 articles that examined the outcomes for SL...
Article
Traumatic injuries of the distal radioulnar joint (DRUJ) may give rise to complex wrist pathologies. Substantial ongoing disability can arise should these injuries go unrecognized resulting in sub-optimal treatment and lack of appropriate rehabilitation. Injuries of the DRUJ may occur in isolation but more commonly are found with a fracture of the...
Article
Background Patellofemoral arthroplasty is becoming an established treatment for isolated patellofemoral arthritis. Revision to total knee replacement occasionally is required. Lessons learned from patients requiring revision surgery and their subsequent post-revision outcomes are described.Method This study reviewed 49 patellofemoral arthroplasties...
Article
Proximal row carpectomy (PRC) and scaphoid excision with four-corner fusion (4CF) are common motion-preserving, salvage procedures for the treatment of wrists with scaphoid nonunion (SNAC) or scapholunate advanced collapse (SLAC). A systematic review was undertaken to clarify controversies regarding which of these procedures has the better outcome....
Article
Trochlear dysplasia is common in patients presenting with recurrent patellofemoral instability. Frequently, these patients are young but severely incapacitated. They have often received multiple previous treatments, including extensive physiotherapy and a variety of surgical procedures. Trochleoplasty is a surgical management option for those patie...
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Full-text available
Trochlear dysplasia is a developmental condition characterised by an abnormally flat or dome-shaped trochlea and is an important contributory factor to patellofemoral instability and recurrent dislocation. We studied prospectively a series of 54 consecutive patients (59 knees) with patellofemoral instability secondary to trochlear dysplasia, who we...
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Full-text available
Chronic patellofemoral instability can be a disabling condition. Management of patients with this condition has improved owing to our increased knowledge of the functional anatomy of the patellofemoral joint. Accurate assessment of the underlying pathology in the unstable joint enables the formulation of appropriate treatment. The surgical techniqu...
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Compensation, whether through workers' compensation or through litigation, has been associated with poor outcome after surgery; however, this association has not been examined by meta-analysis. To investigate the association between compensation status and outcome after surgery. We searched MEDLINE (1966-2003), EMBASE (1980-2003), CINAHL, the Cochr...
Article
Introduction The outcome of conventional treatment of isolated end-stage patello-femoral arthritis is unpredictable. Encouraging success rates have been documented in the literature with the use of patello-femoral arthroplasty. A prospective study was performed to review the early outcome of patello-femoral arthroplasties at St Vincent’s Private Ho...
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Full-text available
To determine the frequency of vitamin D deficiency in older patients admitted with a hip fracture and to look for seasonal variation in vitamin D levels and hip fracture in Southern Tasmania. This was a case series of patients admitted to the Royal Hobart Hospital, Tasmania with a hip fracture from July 1996-June 1997. Information was collected on...
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Full-text available
Coconut palms are an integral part of life in the Solomon Islands, given the widespread dependence of subsistence agriculture. Injuries related to the coconut palm are thus inevitable. Hospital records from the Central Referral Hospital were reviewed to identify (i) how commonly the coconut palm is implicated in injuries referred to the surgery dep...

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