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Mr Wolfgang Heiss-Dunlop – Upper Limb Orthopaedic Surgeon

Private Service, Orthopaedics

Description

Mr Wolfgang Heiss-Dunlop is an upper limb orthopaedic surgeon with a special interest in the following areas:
  • Hand & Wrist Surgery
  • Peripheral Nerve Surgery
  • Elbow Surgery
  • Shoulder Surgery (Rotator Cuff Repair & Shoulder Instability)
  • Open & Arthroscopic Upper Limb Surgery
 
What is Orthopaedics?
 
This is an area that deals with conditions of the musculo-skeletal system (disorders of bones and joints of the limbs and spine). The speciality covers a range of different types of conditions starting with congenital (conditions which children are born with) through to degenerative (conditions relating to the wearing out of joints). The field of orthopaedics covers trauma where bones are broken or injuries are sustained to limbs.
Other conditions that sit under the spectrum of orthopaedics are metabolic conditions, neurological and inflammatory conditions.

Consultants

Referral Expectations

You need to bring with you:

  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 Description

  • Southern Cross Health Society Affiliated Provider for consultations

 

  • nib Health Partner

Procedures / Treatments

Arthroscopy (keyhole surgery)

Many orthopaedic examinations and treatments of joints are performed using an arthroscope, a narrow tube containing a fibre optic telescope that is inserted into the joint through a small incision. The arthroscope is connected to a video camera and images of the interior of the joint can be seen on a TV monitor. 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 (sometimes known as "keyhole" surgery) is less painful than open surgery and decreases the risk of healing problems. Arthroscopy allows access to parts of the joints which cannot be accessed by other types of surgery.

Many orthopaedic examinations and treatments of joints are performed using an arthroscope, a narrow tube containing a fibre optic telescope that is inserted into the joint through a small incision. The arthroscope is connected to a video camera and images of the interior of the joint can be seen on a TV monitor.

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 (sometimes known as "keyhole" surgery) is less painful than open surgery and decreases the risk of healing problems.  Arthroscopy allows access to parts of the joints which cannot be accessed by other types of surgery.

Hand Surgery - Arthritis

Arthritis is a condition in which a joint and the surrounding tissue become swollen and painful. If surgery is necessary, it may involve replacement of the joint with an artificial joint or removal or repair of swollen or damaged tissue.

Arthritis is a condition in which a joint and the surrounding tissue become swollen and painful. If surgery is necessary, it may involve replacement of the joint with an artificial joint or removal or repair of swollen or damaged tissue.

Hand Surgery - Injuries

Damage to tendons, nerves, joints and bones in the hand may require surgical repair. In some cases, tissue may be transferred from a healthy part of your body to the injured site (grafting).

Damage to tendons, nerves, joints and bones in the hand may require surgical repair. In some cases, tissue may be transferred from a healthy part of your body to the injured site (grafting).

Dupuytren’s Contracture

This condition occurs when there is abnormal thickening of the deep tissue between the palm of your hand and your fingers. This thickening occurs very gradually and will start to make your fingers curl toward your palm. If this condition gets to the stage where it significantly limits your hand function, surgery may be recommended. This usually involves removal of the thickened tissue, allowing you to straighten your fingers again.

This condition occurs when there is abnormal thickening of the deep tissue between the palm of your hand and your fingers. This thickening occurs very gradually and will start to make your fingers curl toward your palm.

If this condition gets to the stage where it significantly limits your hand function, surgery may be recommended. This usually involves removal of the thickened tissue, allowing you to straighten your fingers again.

Carpal Tunnel Release

Surgery to relieve carpal tunnel syndrome involves making an incision (cut) from the middle of the palm of your hand to your wrist. Tissue that is pressing on the nerve is then cut to release the pressure.

Surgery to relieve carpal tunnel syndrome involves making an incision (cut) from the middle of the palm of your hand to your wrist. Tissue that is pressing on the nerve is then cut to release the pressure.

Rotator Cuff Repair

Several small incisions (cuts) are made in the shoulder through which is inserted a small telescopic instrument with a tiny camera attached (arthroscope). The surgeon is then able to remove any bony spurs or inflamed tissue and mend torn tendons of the rotator cuff group.

Several small incisions (cuts) are made in the shoulder through which is inserted a small telescopic instrument with a tiny camera attached (arthroscope). The surgeon is then able to remove any bony spurs or inflamed tissue and mend torn tendons of the rotator cuff group.

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.

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.
Soft Tissue (muscles, tendons and ligaments)

In many cases tendons will be lengthened to improve the muscle balance around a joint or tendons will be transferred to give overall better joint function. This occurs in children with neuromuscular conditions but also applies to a number of other conditions. Most of these procedures involve some sort of splintage after the surgery followed by a period of rehabilitation, normally supervised by a physiotherapist.

In many cases tendons will be lengthened to improve the muscle balance around a joint or tendons will be transferred to give overall better joint function.
This occurs in children with neuromuscular conditions but also applies to a number of other conditions.
Most of these procedures involve some sort of splintage after the surgery followed by a period of rehabilitation, normally supervised by a physiotherapist.
Osteotomy

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.

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

Level 2, Building C
Ascot Office Park
95 Ascot Avenue
Remuera
Auckland 1051

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Street Address

Level 2, Building C
Ascot Office Park
95 Ascot Avenue
Remuera
Auckland 1051

Postal Address

PO Box 74446
Greenlane
Auckland 1546

This page was last updated at 3:40PM on May 14, 2024. This information is reviewed and edited by Mr Wolfgang Heiss-Dunlop – Upper Limb Orthopaedic Surgeon.