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Nick Gormack - Hip & Knee Orthopaedic Surgeon

Private Service, Orthopaedics

Today

Description

Mr Nick Gormack is a New Zealand trained orthopaedic surgeon. In addition to his private practice in Auckland (consulting locations on left) Nick is also an orthopaedic consultant at Middlemore Hospital.
 
Nick performs arthroscopic surgery of the hip and knee, along with joint replacement and revision surgery of the hip and knee.
 
Nick has a special interest in the management of sports injuries and arthritis-related conditions of the hip and knee.
 
What is Orthopaedics?
This is an area that deals with conditions of the musculoskeletal system (disorders of bones and joints of the limbs and spine). The specialty 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

For patients
For health professionals

Fees and Charges Description

Mr Gormack is a Southern Cross Affiliated Provider, NIB first provider, and holds an ACC contract (No charge for ACC accepted patients)

Hours

Mon – Thu 8:30 AM – 5:00 PM
Fri 8:30 AM – 4:00 PM

Procedures / Treatments

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.
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.
Arthroscopy (keyhole surgery)

Many orthopaedic procedures on joints are performed using an arthroscope, where a fibreoptic 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 fibreoptic 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.
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.
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.

Anterior Cruciate Ligament (ACL) Reconstruction

The anterior cruciate ligament (ACL) is a strong, stabilising ligament running through the centre of the knee between the femur (thigh bone) and tibia (shin bone). When the ACL is torn, frequently as the result of a sporting injury, arthroscopic surgery known as ACL Reconstruction is performed. The procedure involves replacement of the damaged ligament with tissue grafted from elsewhere, usually the patellar or hamstring tendon. The ends of the grafted tendon are attached to the femur at one end and the tibia at the other using screws or staples. For more information about ACL Reconstruction please click here.

The anterior cruciate ligament (ACL) is a strong, stabilising ligament running through the centre of the knee between the femur (thigh bone) and tibia (shin bone).

When the ACL is torn, frequently as the result of a sporting injury, arthroscopic surgery known as ACL Reconstruction is performed. The procedure involves replacement of the damaged ligament with tissue grafted from elsewhere, usually the patellar or hamstring tendon. The ends of the grafted tendon are attached to the femur at one end and the tibia at the other using screws or staples.

For more information about ACL Reconstruction 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

Meniscal Repair Surgery

The menisci are two circular strips of cartilage that form a cushioning layer between the ends of the femur (thigh bone) and tibia (shin bone) in the knee joint. Together the medial and lateral menisci, on the inside and outside of the knee, respectively, act as shock absorbers and distribute the weight of the body across the knee joint. The menisci can become torn through injury or damaged from age-related wear and tear and may require surgery. The most common meniscal surgery is partial meniscectomy in which the torn portion of the meniscus is cut away so that the cartilage surface is smooth again. In some cases meniscal repair is carried out, in this case the torn edges of the meniscus are sutured together. Both procedures are performed arthroscopically. For more information please click here for meniscal tears and click here for meniscal transplant surgery.

The menisci are two circular strips of cartilage that form a cushioning layer between the ends of the femur (thigh bone) and tibia (shin bone) in the knee joint. Together the medial and lateral menisci, on the inside and outside of the knee, respectively, act as shock absorbers and distribute the weight of the body across the knee joint.

The menisci can become torn through injury or damaged from age-related wear and tear and may require surgery.

The most common meniscal surgery is partial meniscectomy in which the torn portion of the meniscus is cut away so that the cartilage surface is smooth again.
In some cases meniscal repair is carried out, in this case the torn edges of the meniscus are sutured together.
Both procedures are performed arthroscopically.

For more information please click here for meniscal tears and click here for meniscal transplant surgery.

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.

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.

Public Transport

Ascot Office Park: Greenlane train stop is across the motorway bridge. You can walk across the bridge and come through the gates next to Pronto Cafe and then walk down to our building at the far end.

Parking

PARKING AT ASCOT OFFICE PARK

Mr Gormack is located on Level 2, Building C, 95 Ascot Office Park.

Limited parking is available underneath the building. Please park in the black and yellow ‘ORTHOPAEDICS’ car parks only.

Turn left from when you come in the driveway to take the ramp down to the basement parking. Orthopaedics car parks are situated in front of the first lift. Go through the car park and take the first right and turn right again (look for the big black and yellow signs).

IF THESE PARKS ARE FULL, YOU CAN PARK IN THE PAY CAR PARK ACROSS THE ROAD OR IN THE ELLERSLIE RACECOURSE CAR PARK

 

 

Accommodation

Novotel Auckland Ellerslie is situated next to our office at the Ascot Office Park.

Contact Details

This page was last updated at 12:13PM on May 15, 2024. This information is reviewed and edited by Nick Gormack - Hip & Knee Orthopaedic Surgeon.