RESS

ABOUT US

Knee RecoveryMission Statement: 
To foster innovative, wrap-around, patient-centered care built on trust.

Restorative Elective Surgery Services, or RESS, is a joint venture between St. Georges Hospital, Forte Health Hospital, Motus Health Physiotherapy and The Surgeon’s Collective. RESS was founded in 2017 to provide surgical, hospital, rehabilitation, vocational and navigation services to injured patients. Each of the offered service pathways is funded for the patient and has surgical and non-surgical options.

The programme is aimed at reducing delays in receiving treatment, improving clinical quality standards across treatment providers, fostering improved communication between health providers, and improving long term health and physical outcomes for patients.

A robust Clinical Governance framework enhances the patient treatment journey, ensuring that clinical practices are founded upon both research findings and expertise within the field.

RESS believes that their care pathways offer a streamlined patient treatment experience, and are continuing to improve the service based on individual patient need.  New Zealanders deserve access to the right treatment at the right time, and RESS believes their model of care will help deliver a sustainable healthcare system for the future of all New Zealanders.

    

 

THE CARE PATHWAYS

Knee Injuries

Anterior Cruciate Ligament - The ACL is tissue inside the knee that connects the thigh bone to the shin bone. Most ACL injuries occur whilst playing sports such as basketball, football, skiing and tennis. Symptoms include knee swelling, instability and pain. Treatment may include surgery and physiotherapy. 

Post Traumatic Osteoarthritis – The most common form of arthritis in the knee.  It can occur, over time, after a significant knee injury such as a major ligament injury or fracture.  PTOA is often a painful condition which may limit your movement and affect daily activities. 

Patella Femoral Dislocation - A patella femoral dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. Often the kneecap will automatically return to the normal position but is still painful with bending and straightening of the knee. Sometimes however, the knee is partly bent, painful and swollen, the patella is also often felt and seen out of place. Complications may include a patella fracture. 

Multi Ligament Trauma - A multi-ligament knee injury involves two or more of the major knee ligaments, namely the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), the lateral collateral ligament, the posteromedial corner, and the posterolateral corner. These injuries happen because of significant force and may occur in sporting environments or due to high velocity trauma such as a motorbike accident or a rugby tackle. 

Meniscal tears - The meniscus (cartilage in the knee) can tear from acute trauma or as the result of degenerative changes that happen over time.  Tears are noted by how they look, as well as where the tear occurs in the meniscus. Common tears include bucket handle, flap, and radial. Acute meniscus tears often happen during sports and may be eligible for the RESS programme, not all require surgery but may require a surgical opinion about the best rehab management.  

Shoulder Injuries

The shoulder complex consists of the collar bone (clavicle), shoulder blade (scapula), upper arm (humerus) as well as muscles, tendons, ligaments.  Injury to these structures can cause pain, swelling within the joint (often termed bursitis), stiffness and a limitation in ability to work and manage daily activities. Physiotherapy can assist in regaining full range of motion and returning to work or sport. In some cases, surgery may be indicated.  

Fractures: This can include a fracture (broken bone) of the collar bone (clavicle), shoulder blade (scapula), or upper arm bone (humerus). Typically, this type of injury occurs due to a fall, direct blow, or a high-impact accident. 

Fractures: This can include a fracture (broken bone) of the collar bone (clavicle), shoulder blade (scapula), or upper arm bone (humerus). Typically, this type of injury occurs due to a fall, direct blow, or a high-impact accident. 

Shoulder dislocation- occurs when the upper arm bone (humerus) pops out of the shoulder socket (glenoid). This can happen due to a sudden impact or force, such as a fall onto an outstretched arm, a sports injury, or a car accident. Shoulder dislocations are relatively common, especially among young adults and athletes. 

AC Joint dislocation- is also known as a shoulder separation, happens when the collarbone (clavicle) separates from the acromion, which is a part of the shoulder blade (scapula). This typically occurs due to a sudden impact or fall onto the shoulder, commonly seen in sports injuries, car accidents, or direct blows to the shoulder. 

Shoulder tendon rupture- refers to the tearing or complete separation of one or more tendons in the shoulder joint. The tendons in the shoulder play a crucial role in stabilizing the joint and facilitating movement of the arm. Shoulder tendon ruptures can occur due to various reasons, including trauma, overuse, degenerative changes, or sudden forceful movements. 

Lumbar Spine Injuries

Lower back fracture- also known as a lumbar spine fracture, occurs when one or more of the vertebrae in the lower back region break. These fractures can result from traumatic events such as falls, car accidents, or sports injuries. 

Disc prolapse- commonly known as a herniated or burst disc, occurs when the soft, gel-like center of an intervertebral disc in the spine protrudes through the tough outer layer and presses on nearby nerves. This can lead to various symptoms, including pain, numbness, tingling, or weakness, which may radiate down one or both legs. This condition most frequently affects the lumbar spine, causing what's commonly referred to as sciatica.