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Jarome Bentley - Orthopaedic Surgeon

Private Service, Orthopaedics

Description

Jarome is an orthopaedic surgeon who works in private practice and as a consultant at Auckland's busiest orthopaedic trauma unit, Middlemore Hospital. He has an active role in research and teaching. 
 
Born and raised in South Auckland, Jarome completed his orthopaedic training in New Zealand before spending three years on fellowship in Australia and the UK. 

Through his six fellowships, Jarome has acquired a broad set of skills to treat a variety of orthopaedic conditions. He has an interest in trauma, musculoskeletal infection as well as hip and knee disorders. Jarome has experience with navigation and robot assisted surgery and is passionate about integrating the latest technology into his orthopaedic practice.

Jarome is proud to be an orthopaedic surgeon at Counties Manukau DHB. He oversees the combined orthopaedic - infectious disease meetings, actively contributes to the orthoplastics service and accepts complex trauma referrals from within New Zealand and the Pacific Islands. 


Services offered:

  • Hip replacement surgery including revision
  • Knee replacement surgery – Total, Partial, Patellofemoral, Revision
  • Robot assisted hip and knee replacement surgery
  • Knee preservation (realignment) surgery – High tibial osteotomy, Distal femoral osteotomy
  • Knee arthroscopy
  • Adult patella stabilisation surgery
  • Trauma fixation of the upper and lower limb excluding hands and feet
  • Nonunion and malunion surgery of the upper and lower limb excluding hands and feet
  • Pelvic and acetabular surgery
  • Metalware removal

Consultants

Ages

Adult / Pakeke, Older adult / Kaumātua

How do I access this service?

Referral, Make an appointment

Referral Expectations

You need to bring with you to your first appointment:

1.       Any letters or reports from your doctor or hospital.
2.       Any X-Rays, CT or MRI films and reports.
3.       All medicines you are taking including herbal and natural remedies.
4.       Your pharmaceutical entitlement card.
5.       Your ACC number, if you have one.

Fees and Charges Categorisation

Fees apply

Fees and Charges Description

  • Southern Cross Health Insurance Affiliated Provider for Consultations.
  • NIB First Choice provider

Procedures / Treatments

MAKO Robot Assisted Joint Replacement Surgery

Robot asisted surgery leads to a stable and more natural feeling knee replacement with quicker recovery times and less postoperative pain. Unlike other robot systems, the MAKO robot uses haptic technology and virtual boundaries preventing accidental soft tissue trauma during the sawing process thereby reducing pain and ligament damage. MAKO Total Knee Replacement: https://patients.stryker.com/knee-replacement/options/mako-robotic-arm-assisted-total-knee MAKO Partial Knee Replacement https://patients.stryker.com/knee-replacement/options/mako-robotic-arm-assisted-partial-knee

Robot asisted surgery leads to a stable and more natural feeling knee replacement with quicker recovery times and less postoperative pain. Unlike other robot systems, the MAKO robot uses haptic technology and virtual boundaries preventing accidental soft tissue trauma during the sawing process thereby reducing pain and ligament damage.

MAKO Total Knee Replacement:

https://patients.stryker.com/knee-replacement/options/mako-robotic-arm-assisted-total-knee


MAKO Partial Knee Replacement

https://patients.stryker.com/knee-replacement/options/mako-robotic-arm-assisted-partial-knee

Arthroscopy (keyhole surgery)

Many orthopaedic procedures on joints are performed using an arthroscope, where a fibre optic telescope is used to look inside the joint. Through this type of keyhole surgery, fine instruments can be introduced through small incisions (portals) to allow surgery to be performed without the need for large cuts. This allows many procedures to be performed as a day stay and allows quicker return to normal function of the joint. Arthroscopic surgery is less painful than open surgery and decreases the risk of healing problems. Arthroscopy allows access to parts of the joints which can not be accessed by other types of surgery.

Many orthopaedic procedures on joints are performed using an arthroscope, where a fibre optic telescope is used to look inside the joint. Through this type of keyhole surgery, fine instruments can be introduced through small incisions (portals) to allow surgery to be performed without the need for large cuts. This allows many procedures to be performed as a day stay and allows quicker return to normal function of the joint.
Arthroscopic surgery is less painful than open surgery and decreases the risk of healing problems.  Arthroscopy  allows access to parts of the joints which can not be accessed by other types of surgery.
Joint Replacement

For elderly patients joint replacement surgery is commonly required to treat damaged joints from wearing out, arthritis or other forms of joint disease including rheumatoid arthritis. In these procedures the damaged joint surface is removed and replaced with artificial surfaces normally made from metal (chromium cobalt alloy, titanium), plastic (high density polyethelene) or ceramic which act as alternate bearing surfaces for the damaged joint. These operations are major procedures which require the patient to be in hospital for several days and followed by a significant period of rehabilitation. The hospital has several ways of approaching the procedure for replacement and the specifics for the procedure will be covered at the time of assessment and booking of surgery. Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation. Hip replacement An incision (cut) is made on the side of the thigh to allow the surgeon access to the hip joint. The diseased and damaged parts of the hip joint are removed and replaced with smooth, artificial metal ‘ball’ and plastic ‘socket’ parts. Knee replacement An incision (cut) is made on the front of the knee to allow the surgeon access to the knee joint. The damaged and painful areas of the thigh bone (femur) and lower leg bone (tibia), including the knee joint, are removed and replaced with metal and plastic parts.

For elderly patients joint replacement surgery is commonly required to treat damaged joints from wearing out, arthritis or other forms of joint disease including rheumatoid arthritis. In these procedures the damaged joint surface is removed and replaced with artificial surfaces normally made from metal (chromium cobalt alloy, titanium), plastic (high density polyethelene) or ceramic which act as alternate bearing surfaces for the damaged joint.
These operations are major procedures which require the patient to be in hospital for several days and followed by a significant period of rehabilitation. The hospital has several ways of approaching the procedure for replacement and the specifics for the procedure will be covered at the time of assessment and booking of surgery.
Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation.

Hip replacement
An incision (cut) is made on the side of the thigh to allow the surgeon access to the hip joint. The diseased and damaged parts of the hip joint are removed and replaced with smooth, artificial metal ‘ball’ and plastic ‘socket’ parts.

Knee replacement
An incision (cut) is made on the front of the knee to allow the surgeon access to the knee joint. The damaged and painful areas of the thigh bone (femur) and lower leg bone (tibia), including the knee joint, are removed and replaced with metal and plastic parts.
Total Knee Replacement

This is a surgical procedure performed on a knee joint that has become painful and/or impaired because of disease, injury or wear and tear. In total knee replacement, artificial materials (metal and plastic) are used to replace the following damaged surfaces within the knee joint: the end of the thigh bone (femur) the end of the shin bone (tibia) the back of the kneecap (patella) This operation is a major procedure which requires you to be in hospital for several days and will be followed by a significant period of rehabilitation. Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation. For more information about total knee replacement please click here.

This is a surgical procedure performed on a knee joint that has become painful and/or impaired because of disease, injury or wear and tear.
In total knee replacement, artificial materials (metal and plastic) are used to replace the following damaged surfaces within the knee joint:

  • the end of the thigh bone (femur)
  • the end of the shin bone (tibia)
  • the back of the kneecap (patella)

This operation is a major procedure which requires you to be in hospital for several days and will be followed by a significant period of rehabilitation. 
Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation.
For more information about total knee replacement please click here.

High Tibial Osteotomy

This procedure is used when osteoarthritic damage to the cartilage on one side of the knee has caused the angle of the knee joint to change so that most of the body's weight is borne by the affected side, adding to the wear on that side. High Tibial Osteotomy involves reshaping and realignment of the bone so that weight becomes more evenly distributed between the inside and outside of the knee, thereby reducing the workload on the damaged side. You will probably have to stay in hospital for several days after surgery followed by up to 6 months rehabilitation. For more information about osteotomy please click here.

This procedure is used when osteoarthritic damage to the cartilage on one side of the knee has caused the angle of the knee joint to change so that most of the body's weight is borne by the affected side, adding to the wear on that side.
High Tibial Osteotomy involves reshaping and realignment of the bone so that weight becomes more evenly distributed between the inside and outside of the knee, thereby reducing the workload on the damaged side.
You will probably have to stay in hospital for several days after surgery followed by up to 6 months rehabilitation.
For more information about osteotomy please click here

Orthopaedic Deformities

Orthopaedic deformities can be congenital or acquired as the result of injury, infection or tumour. Resulting in crooked limbs or discrepancies in limb length, such deformities can affect appearance and function and can often cause significant pain. Osteotomy is the division of a crooked or bent bone to improve alignment of the limb. These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

Orthopaedic deformities can be congenital or acquired as the result of injury, infection or tumour. Resulting in crooked limbs or discrepancies in limb length, such deformities can affect appearance and function and can often cause significant pain.

Osteotomy is the division of a crooked or bent bone to improve alignment of the limb. These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

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Contact Details

Urgent appointments available

Lvl 2, Building C, Ascot Office Park, 93-95 Ascot Avenue
Remuera
Ōrākei
Auckland 1040

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Street Address

Lvl 2, Building C, Ascot Office Park, 93-95 Ascot Avenue
Remuera
Ōrākei
Auckland 1040

This page was last updated at 8:27PM on September 11, 2024. This information is reviewed and edited by Jarome Bentley - Orthopaedic Surgeon.