Leading knee surgeon
As a leading knee surgeon Dr Gray completed 2 accredited Australian Association of Orthopaedic fellowships: a hip and knee fellowship and a paediatric orthopaedic fellowship. He then left Australia to seek world renowned training at the Royal Infirmary of Edinburgh to learn complex hip & knee surgery and limb reconstruction.
Only one orthopaedic surgeon is chosen each year to this training in this academic, high volume centre. For more information on his training click here. This training means he can provide simple to complex knee surgery.
Minimally invasive computer navigated & robotic assisted knee replacement
Dr Hamish Gray is a leading knee surgeon with expertise in patient-specific knee surgery. Computer navigated knee replacement takes the guess work out of partial and total knee replacements, decreasing human errors during bone cutting. It provides real-time 3D images of your knee and the surgical instruments during surgery. Robotic assisted surgery is a further development of this technology and allows for even greater accuracy and reduced soft tissue damage. The surgery is performed entirely by Dr Gray. His goal is to ensure the long-term success of your joint replacement and avoid infection, failure and repeat surgery.
Robot Assisted Knee replacement
Kinematic alignment is a method to place the knee in the optimal position for joint and ligament function. The surgeon needs to choose the depth, angle, and rotation of the bone cuts for the best prosthesis position. Technology, particularly robotic assisted surgery, allows this to be done accurately and efficiently.
Complex primary knee replacement surgeon
Severe osteoarthritis, rheumatological conditions such as rheumatoid arthritis, neurological conditions and knees affected by previous trauma and surgery lead to bones and soft tissues which are not amenable to standard total knee replacement components and techniques. In these cases, more complex devices are required and both surgery and recovery are more challenging. But your best knee replacement is still the first replacement done meticulously to the highest standard.
Dr Gray trained in the internationally renowned centre for knee and hip surgery, the Royal Infirmary of Edinburgh. It was in this world leading centre he learnt the techniques required for these highly complex conditions. The Australian Joint Registry is a world-renowned data set looking at long term outcomes & complications of joint surgery. Whilst short term outcomes are important, joint replacement failure in the long-term needing revision surgery is a serious issue, and more complex and risky surgery. Use of this registry guides this Dr Gray's decisions.
Dr Gray will talk with you about which non-operative or operative approach is suitable for you. We ask all our joint replacement patients to submit data to the registry to ensure our data set remains an international benchmark for long term outcomes. More information can be found here.
ACL repair and reconstruction
Anterior Cruciate Ligament [ACL] tears are one of the most common injuries. For some it can be managed non-operatively. For others repair or reconstruction are preferred. High quality surgery with a low rate of failure needs individualised assessment. In this time of financial strain understanding your occupation, return to work needs and the demands of your lifestyle is very important.
An understanding of the mechanics involved in your sport (especially pivoting movements), your desired level of return to sport, and your commitment to detailed and prolonged rehabilitation program guides Dr Gray's treatment approach.
ACL injuries in Children and Adolescents
Children and adolescents have a different injury pattern & surgical approach to adult ACL injuries. Prevention is the best approach; with prevention programs needing to be embedded within schools and clubs. However, we are seeing increasing numbers of children and adolescents with this injury due to involvement in sports with pivoting movements.
Dr Gray has a paediatric orthopaedic fellowship in addition to his knee fellowships. He can provide assessment and shared decision making on conservative versus surgical management. He will work with your team to ensure pre and post rehabilitation care for this special group of patients.
Complex Revision surgery
Dr Gray is highly experienced & trusted as he has a strong foundation of training in world renowned centres. Only one orthopaedic surgeon is selected to do the complex hip and knee fellowship and limb reconstruction fellowship at the Royal Infirmary of Edinburgh each year. Dr Gray was selected in 2011.
Knee replacements and reconstructions may need to be re-done. This is called a revision. This can be due to failure of the first surgery due to malposition, mechanical failure, infection, or trauma.
Revision procedures require careful assessment and planning to address multiple issues. You need a highly qualified team including infectious disease specialists, physicians, anaesthetists, intensive care doctors, rehabilitation & allied health professionals. Dr Gray regularly performs revisions and accepted referrals from GPs and other specialists to do so.
Sports Injuries of Knee
- ACL injury assessment for operative or non-operative treatment
- Paediatric and adolescent ACL injuries, including elite athletes
- Knee multi-ligament surgery
- Meniscus repair
- Reattachment of hamstring tendon
- Reattachment of quadriceps tendon
If you would like your privacy protected during your attendance please ring ahead so we can streamline your visit to our rooms.
Knee Trauma and Fractures
Fractures of the tibia, tibial plateau, and distal femur can all be managed by Dr Gray. Transfers from public hospitals can be facilitated.
Infections
Urgent investigation and treatment of the infections of the knee joint with knee replacement or other implants
Your treating doctor needs to contact Dr Gray directly as soon as possible when infection or fracture of a prosthesis is identified, including superficial infections of skin.
Non-operative care
It is sometimes said that "the good surgeons know how to operate, better ones know when to operate and the best surgeons know when not to operate".
When the decision is made not to operate Dr Gray can co-ordinate the treatment plan on the Sunshine Coast. This may including physical therapy, pain relief & rehabilitation. Pain relief option can include injections steroids, hyaluronic acid and platelet-rich plasma.