We offer patients access to the robotic NAVIO Surgical System for total and partial knee replacement surgery. Our hospital was the first in Australia to offer the NAVIO System as a treatment option.
Distributed by global medical technology specialists, Smith & Nephew, the NAVIO system is a handheld tool that provides our orthopaedic surgeons with accurate and precise robotic guidance when operating on the knee and inserting an implant.
The NAVIO robot offers patients suffering with knee pain, often a result of osteoarthritis, the potential to experience a number of benefits including:
- Reduced knee pain
- Quicker rehabilitation and recovery
- Improved knee mechanics
- Lower risk of complications
- Shorter hospital stay.
NAVIO’s emerging technology also affords a surgeon several advantages. Other robotic technology requires a large robotic arm which can cause sterility issues or interfere with the orthopaedic surgeon, whereas the NAVIO robot avoids any such complications with its miniaturised hand-held system.
Our surgeons use the NAVIO system with a well-established implant supplied and maintained by Smith & Nephew, which has a five-year track record of successful clinical outcomes recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), unlike other new and unproven prostheses.
Patients who are interested in the NAVIO Surgical System and whether they are suitable for treatment are encouraged to contact 08 8362 7788.
We specialise in preventative care, treatment and rehabilitation for a range of ailments, injuries and conditions of the hip, knee, foot, ankle, shoulder, elbow, wrist and hand. Our fact sheets are designed to provide you with a brief overview and basic understanding of the range of ailments, injuries and conditions relevant to the upper and lower limbs.
Learn about condition symptoms, non-operative and surgical treatment options, risks and complications, recovery times, and much more. Please keep in mind that treatment methods and outcomes vary from patient to patient. Each individual patient has specialised requirements that may be different to the information provided on the fact sheets.
Preparing for your hospital admission
Please complete the admission forms (preferably during your orthopaedic consultation and /or hospital booking) using a ballpoint pen. Should you need assistance in completing the forms please speak to your surgeon’s personal assistant. Once completed return these forms to your surgeon’s personal assistant. If you are unable to complete these forms whilst at sportsmed, please return them (using the enclosed reply paid envelope) at your earliest convenience and a minimum of two weeks before your admission. Additionally:
- Obtain an up-to-date list of current medications from your GP. Please bring this list with you to all appointments and to the hospital on the day of your admission.
- Ensure you bring along any current x-rays or scans (USB, CD, films) relevant to your surgery to the hospital on the day of your admission.
- Follow your admitting surgeon’s instructions regarding admission date and time, fasting and medication instructions prior to surgery.
- Please contact your health fund before admission to check your level of cover and clarify any excesses or co-payments that are payable prior to or on admission.
- If you are a self-insured patient, a base estimate has been provided by your surgeon’s personal assistant, and is payable prior to admission. Please refer to your Informed Financial Consent form which covers the financial consequences.
- Workers compensation, third party and public liability patients require a letter of approval from the relevant insurer prior to admission.
How to return forms
Completed forms can be delivered to sportsmed in a number of ways:
No postage stamp is required. Please allow two weeks for delivery. Please post completed forms to:
Level 1, 32 Payneham Road
Stepney, SA 5069
08 8362 0071
If the forms are faxed please remember to bring the originals with you on the day of your admission.
Forms can be hand delivered to our orthopaedics team at:
Level 1, 32 Payneham Road
Stepney, SA 5069
If for any reason you are unable to return the completed forms within the time required, please contact your surgeon’s personal assistant or one of our staff on 08 8362 7788.
Before your surgery
Pre-admission clinic and pre-operative appointments
You may be asked to attend a pre-admission appointment or clinic depending on the type of surgery you will be undergoing. Your surgeon’s personal assistant will arrange for you to be contacted by the pre admission nurse.
The appointments/clinics are staffed by experienced nurses who will:
- Talk to you about your care before and after surgery
- Commence discharge planning to help you plan for your return home and rehabilitation
- Answer any questions you may have about your surgery and your hospital stay
- Pre-admission clinics/appointments help you know what to expect from your surgery and your hospital stay. They help ensure your admission on the day of your surgery is well planned and relaxed as possible.
Pre-operative surgery preparation
To minimise the risk of infection after your surgery, you may be requested to clean your operative site with the E-Z chlorhexidine scrub provided, the night before and morning of your surgery WHILE SHOWERING.
- Clean your hands prior to opening scrub packet
- Open scrub packet, discard the plastic nail cleaner and wet the sponge
- In the shower use the sponge to wash the operative site first then the remainder of the limb followed by the rest of your body, then rinse off
- Pat dry the skin with a clean towel/paper towel and discard sponge
- Repeat procedure on the morning of your surgery.
For further information please contact our Infection Control Coordinator from Tuesday to Friday from 8.30am – 4:30pm on 08 8130 1100 (extension 3154) or alternatively speak to one of our nursing staff.
It is our aim that your surgical expectations are met and best outcomes are achieved.
Referral to a consultant physician and/or anaesthetist prior to admission
Some patients will be referred to a consultant physician and/or anaesthetist for a pre-operative review.
The purpose of this review is to assess your suitability for surgery and to reduce any potential health risks and complications associated with your proposed surgical procedure.
The nominated physician and/or anaesthetist is well known to our facility and is highly regarded, experienced and thorough in assessing patients.
The physician and/or anaesthetist will provide a summary and recommendations to your surgeon and relevant nursing personnel to ensure that the best possible preparation is arranged. The physician and/or anaesthetist will also be available to visit and treat you in the hospital should the need arise post-operatively.
Your surgeon’s personal assistant will arrange an appointment at a mutually convenient time.
Your completed Patient Health History form, if available, will also be provided to the physician and/or anaesthetist in preparation for your consultation.
Patient weight and body mass safety
sportsmed specialises in the provision of orthopaedic surgery and for safety reasons, there are some restrictions on patient admission in relation to weight and body mass index (BMI).
If your BMI is over 35 you are classified as being severely obese and your risk of post-operative complications may be increased. If you develop significant complications you may require a transfer to a hospital which has an Intensive Care Unit (ICU). It may be in your interest to consider:
- Sleep studies
- Weight loss
- Deferring surgery until your weight is reduced.
If you are concerned about your weight or BMI, please discuss this with your surgeon as alternative hospital arrangements may be available.
Patients that weigh more than 150kg cannot be admitted to sportsmed due to equipment weight safety limits. Patients with high weight or BMI may need access to a specialised bariatric unit available at other hospitals.
We have a dedicated Infection Control Coordinator who works with staff to help reduce and prevent infections.
Infection control is an important part of your hospital stay and involves many aspects such as standard and transmission based precautions, aseptic technique, safe handling of sharps and other waste, environmental cleaning, appropriate use of antibiotic therapy, prevention and management of infections and processing of medical devices.
We encourage all patients to direct visitors to utilise our hand sanitiser stations positioned across the facility.
For more about information on preventing infections and hand hygiene, please speak to our nursing staff or request an Infection Control brochure.
Day of admission and surgery
On the day of your surgery and hospital admission, please arrive at the hospital reception at the time designated by your surgeon. Please bring all current medications in original packaging along with all current and relevant x-rays and scans (USB, CD, films).
Unless your surgeon or anaesthetist gives you special instructions, do not eat anything six hours prior to your admission. Do not chew gum or suck on sweets. Water may be taken up to two hours prior to your admission (max one glass per hour). Prescribed medication can be taken with a sip of water as directed by your doctor.
What to bring with you
Please wear comfortable, loose fitting clothes and avoid high heel shoes and jewellery. If you wear glasses or contact lenses please ensure that you bring along a glasses case or a container for storing these items. Please do not bring any valuables, apart from money, or a credit card required for payment of your account.
If you have a medical power of attorney, advanced care directive and/or a living will, please bring these with you the day of your admission.
Remove all piercings, make-up and nail polish. Wedding rings can be removed/taped prior to surgery.
To assist you in your preparation, please see the below checklist.
Please ensure that you bring the following with you to hospital:
- Medicare card
- Private health membership card
- DVA card (if applicable)
- Claim number (for workers’ compensation patients) and contact details for your case manager
- Pharmaceutical benefits and pension card (if applicable)
- Your current medication in original containers
- Up-to-date list of all current medications from your GP
- A list of any known allergies
- Any relevant x-rays (USB, CD, films) and medical reports
- Glasses, hearing aid and reading material if desired
- Any legal documents relating to your health care such as a Medical Power of Attorney, Advanced Care Directive and/or a Living Will.
- Favourite toy, games, DVDs, iPad etc. (children and adolescents)
- Pyjamas and/or dressing gown.
Planning for going home
Your surgeon will advise you the length of time you will be in hospital. Try and plan your surgery for a time when you will have someone at home to assist you when you are discharged.
If you are having day surgery you will require a responsible adult to accompany you home from hospital and stay overnight. You will not be admitted unless you have a known and responsible person accompanying you home.
Your surgical procedure
When you are admitted, a nurse will assist in preparing you for surgery by undertaking any necessary checks and discussing plans for your care whilst in hospital. If you have any questions regarding your surgery please speak to one of our nurses.
Your nurse will advise you of the name of your anaesthetist and the estimated time of your surgery.
In preparation for your surgery you will need to shower (if you haven’t already done so) and change into a hospital gown. In most cases, unless otherwise advised by our staff, please leave your underpants on. Your nurse will prepare the area or limb on which the surgery will be conducted and paint it with antiseptic lotion. Some patients may be given an anti-microbial sponge with instructions to use on the area of surgery prior to admission.
Your anaesthetist will see you prior to your surgery, either in your room or in the theatre suite. They will discuss the type of anaesthetic with you and any associated risks.
A hospital nurse will escort you to the theatre where a theatre nurse will meet you and check all your details.
Following your surgery you will be transferred into recovery, a special observation area where you will be closely monitored by our staff while you wake up from your anaesthetic.
Depending on your surgery you may have:
- An intravenous drip (iv)
- A dressing, bandage or plaster
- A wound drain to drain any excess fluid/blood (this will reduce swelling and help healing)
- Oxygen mask and/or plastic nasal specs in your nose.
When you are comfortable, the recovery staff will arrange for you to be transferred back to your room.
Close observational unit
In some circumstances it is medically appropriate for patients to be nursed in an area where closer observation is required. In most cases this will be discussed with you at the time of admission and you will be shown the area. The duration of time you are nursed in this Close Observational Unit is usually overnight on the day of your surgery, then you will be transferred back to a private room.
Pain relief and medications
Pain relief medication will be provided to you by your nurse either through an injection, tablet or patient controlled analgesia (PCA). You will be asked to assess your pain/comfort level from a scale of one to ten.
The aim is to relieve the pain sufficiently for you to rest, move around and perform your exercises comfortably. Do not wait until your pain is unbearable before requesting medication.
It is important to take your tablets for pain relief regularly as this will provide an even control of your pain. Some pain relief can cause constipation in some people. If you are experiencing any problems with this, please speak to one of our nurses.
If you are feeling sick or nauseous please alert our staff as they may be able to provide you with medication to help. Some patients may also require antibiotics. Where appropriate, regular use of ice packs on the surgical area during your hospitalisation and at home can reduce swelling and pain levels.
On the day of your discharge you will be provided with some pain relief or a prescription for them. Don’t forget to take your medications with you.
Discharge and going home
Your surgeon will advise when you will be going home, and of any special requirements, once you are home.
Occasionally patients may need to be discharged to a rehabilitation hospital. Your surgeon and our nursing team will discuss this further with you prior to your discharge. Discharge time is 10am. This assists us to prepare for new patients. Please discuss any alternative arrangements with the nursing staff on admission.
Our nursing staff will provide you with instructions for your ongoing care and safety, as well as telephone numbers for emergencies.
Sickness certificates are provided at this time, if required. If you do require a certificate, please advise our staff prior to your discharge.
If you are discharged within 24 hours of your surgery, ensure that you have a responsible adult stay with you overnight after your procedure.
The medication that was used to put you to sleep will be active in your body for the next 24 hours so you may feel sleepy. This will wear off over the next 24 hours.
During this period you should NOT:
- Drive a car
- Drink alcohol
- Make important decisions or sign any paperwork
- Travel alone on public transport
- Use hazardous machinery
- Engage in sports, heavy lifting or work
If you are flying, please contact your airline before your surgery to check their medical requirements. Many airlines require a medical flight clearance.
To assist you in your preparation for discharge, please ensure that you:
- Check all the cupboards, drawers and bathroom for your belongings
- Ask for the return of any valuables that may have been locked away
- Collect medications that you brought from home and any new ones or scripts
- Take all your x-rays
- Received and understood discharge instructions.
If you have any questions about your discharge, please speak to one of our nursing staff.
When surgery is recommended you will be given a comprehensive financial estimate from your surgeon’s personal assistant for the operation, attending surgeon, his assistant, anaesthetist and incidental charges at the time of booking.
Please ensure that you ask any questions you may have about the fees and charges before your surgery. While we make every effort to provide you with a detailed and accurate estimate prior to your admission, additional expenses may be incurred.
All private health funds and patients including uninsured are welcome at sportsmed.
Medicare does not cover any private hospital fees.
Private health insurance
Depending on your coverage, private health funds will rebate some/all of the cost associated with hospital services.
With regards to private health insurance it is important to remember the following:
- Some levels of cover require you to pay an excess, a co-payment or both, which you will be required to pay on admission
- Your level of cover may also require you to pay a private room fee, as sportsmed only offers private rooms
- Some levels of cover have restrictions or excluded services
- Most health funds have waiting periods that exclude certain cover during a set period of time after the cover is initially taken out or changed
- Pre-existing ailment rules apply and your cover may be subject to these rules.
We ask that all excess payments are settled on admission via EFTPOS, Visa Card, Mastercard or cash. Please ensure you confirm your daily limit with your bank if using a bank debit card.
You will be required to complete and sign a health insurance claim form on admission. We will send your account directly to the health fund.
In the event a claim form is not signed prior to your discharge, a form will be sent to you for completion. We ask that you complete this form and return to us as soon as possible. If you choose not to complete the form then your private health fund may choose not to cover your claim and you will be responsible for the outstanding amount.
While we make every effort to provide you with a detailed and accurate estimate prior to your admission, additional expenses may be incurred.
All liability for expenses associated with hospitalisation lie with the patient. Please ensure that you confirm with your private health fund, workers’ compensation/third party provider or the Department of Veterans’ Affairs regarding your level of cover so you know exactly what costs you may be expected to pay.
You will not receive an account from us unless there are particular costs not covered by your private health fund. These accounts will be forwarded to you upon receipt of payment from the health fund.
In the event your claim is rejected by your private heath fund for any reason, sportsmed will seek to recover any outstanding amount directly from you.
If you do not have private health insurance and require surgery you have two options available:
- Pay for your surgery yourself (self-insured); or
- Join a waiting list at a public hospital.
Workers’ Compensation or Third Party
Prior to admission we require written approval from your workers’ compensation or third party provider confirming that all costs will be covered. Your claim number must be included on the written approval. Written approval is required for each admission. Just because you may have been covered under a claim for a previous admission does not automatically mean you will be covered for your next admission.
All liability for expenses associated with hospitalisation lies with the patient. Please ensure that you confirm with your private health fund your level of cover so you know exactly what excess you may be expected to pay. In the event this prior written approval is not received, your surgery will be cancelled. If the surgery proceeds, you will be financially responsible for all costs incurred.
Department of Veterans’ Affairs
If you have a Department of Veterans’ Affairs (DVA) Gold Card you will be fully covered for your hospital expenses. For patients with a DVA White Card, you will require authorisation from the DVA prior to your hospital admission.
Australian Defence Force
Written approval from the Australian Defence Force is required prior to admission. This approval must contain your defence force approval number and your enlisted personnel identification number.
All costs must be paid in Australian currency. You will be required to pay the estimated surgical costs on admission. You will receive an account for the balance should any additional costs be incurred. It is your responsibility to claim paid costs back from your overseas insurer.
Any possible surgeon gap fee is payable on admission.
Depending on the nature of your surgery you may receive additional accounts, some of which may be payable upon your admission/discharge, from the following:
- Surgeon’s assistant
- STD and mobile phone calls (if you have used the phone in your room during admission) •
- Crutches, walking sticks and other aids
- Slings, braces, stockings
- Boarder fees
- Debt recovery costs
- Ambulance transfer fees.
Established agreements with many of these professionals are designed to reduce gaps. Your surgeon’s personal assistant or booking officer will explain what additional costs, if any, you may expect.
Transfers to and from sportsmed hospital by ambulance may not be covered by your private health fund. Patients will be responsible for ambulance costs if they are not covered by your private health fund.
A prosthesis is an artificial substitute for a diseased joint or implanted medical device. A gap may apply to some prosthesis. You should discuss with your surgeon the prosthesis available and the gap payment. If prostheses with a gap are chosen to be the best suited, the gap must be paid on admission to hospital.
Anaesthetists that work at sportsmed are independent practitioners and as such set their own fees. For this reason fees between individuals do vary slightly and a gap payment may be required. Prior to your admission we recommend that you contact the anaesthetist’s office to clarify the amount payable. We will provide you with the contact details during your booking process. All self-insured patients must pay the estimated surgical cost on admission. Any remaining balances and costs will be sent to patients following discharge from our hospital.
Payments made on admission can be paid in person at hospital reception as follows:
- Bank cheque
- Money order
- Credit card (VISA or Mastercard) – EFTPOS
- Through direct deposit. Please allow a minimum of three days prior to admission. Please contact 08 8130 1251 for bank account details. Accounts received from other providers must be paid to them directly.
Interest and Debt Recovery
In the event that your sportsmed hospital account remains outstanding for more than 60 days, we reserve the right to charge interest at the Reserve Bank of Australia cash rate plus 3%, calculated daily. If payment remains outstanding and debt recovery action is required, you will incur the full cost of all collection expenses.
Account enquiries should be directed to the relevant provider. Accounts from sportsmed will display the relevant provider on the top left of the account (e.g. sportsmed hospital or physiotherapy).
- Hospital: 08 8130 1251
- Orthopaedic Surgeons: 08 8130 1254
- Physiotherapy (including Massage and Exercise Physiology): 08 8362 8122
- Medical (including Diet and Nutrition and Psychology): 08 8362 8111
- Podiatry: 08 8130 1222.