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Counties Manukau Health Orthopaedics

Public Service, Orthopaedics


What is the Orthopaedic Department?
This department 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 also 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.

Orthopaedic Services Provided by Counties Manukau Health
Orthopaedic services provided are outpatient clinics and inpatient (ward) care.

Outpatient clinics see all general orthopaedic conditions and skeletal trauma for people in the Counties Manukau area. Paediatric surgery, rheumatoid surgery, muscle skeletal tumours and spinal disorders such as scoliosis and kyphosis are seen and treated for people in all regions.  The Orthopaedic Department works in close liaison with the Department of Plastic and Reconstructive Surgery, the Department of Rheumatology and with the Auckland Spinal Unit in Ōtara.


Referral Expectations

Acute Patients - Middlemore Hospital

If you have an urgent problem requiring immediate care you will be referred to the Emergency Care Department at Middlemore Hospital. 


Elective Inpatients - Middlemore Hospital   Manukau Surgery Centre 
Outpatients - Manukau SuperClinic™ Module 1

Your GP will send us a letter explaining your condition. We will make an appointment time for you, based on your health need, and send it directly to you. For urgent needs e.g. serious infections or malignant tumours you will be seen right away. For other conditions e.g. painful arthritis that makes movement difficult, you will be seen within 6 months. 

You will be seen in the outpatient clinic by specialist doctors who will discuss treatment options and recommendations with you.  If surgery is required you will be added to the waiting list.

 To clinic visits you need to bring with you:

  1. Any letters or reports from your doctor or other 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


There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health.  If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.

To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.

For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.

Services / Procedures / Treatments

  • Arthroscopy (Keyhole Surgery)

    Over the last 30 years a large number of orthopaedic procedures on joints have been performed using an arthroscope, where a fibre optic telescope is used to look inside the joint. With this type of keyhole surgery, fine instruments can be introduced through small incisions (portals) to allow surgery to… More

  • Fracture Clinics

    These clinics are run by the Orthopaedic Department for patients who have sustained an injury that has already been treated and further follow-up of that injury is required to monitor progress.… More

  • General Outpatient Clinics

    These clinics are for patients who have been referred by their doctor for an orthopaedic opinion on a specific concern.… More

  • Joint Replacement

    Joint replacement surgery is commonly required to treat joints which are worn out from  arthritis or other forms of joint disease including rheumatoid arthritis.… More

  • Orthopaedic Tumour Service

    The Orthopaedic Tumour Service investigates, diagnoses and treats tumours which occur in bone and soft tissues (e.g.… More

  • Osteotomy

    The division of a crooked or bent bone to improve alignment of the limb. … More

  • Pre-Admission Clinic (Elective Inpatient)

    A week or two prior to your elective surgery you will be seen in a pre-admission clinic.… More

  • 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.… More

  • Specialty Clinics

    These are clinics for specific parts of the body or specific conditions.… More

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Visiting Hours

Visiting times are between 2pm and 8pm. Visitors are restricted to two at a time.

Children are welcome, but must be supervised by an adult.

Contact Details

This page was last updated at 9:41AM on February 15, 2022. This information is reviewed and edited by Counties Manukau Health Orthopaedics.