Orthopaedic Surgeon in Busselton: Dr Ryan du Sart Now Consulting Weekly

Chronic Ankle Instability: When a Sprain Keeps Coming Back

Fri, 04 Sep 2026 02:15:00 GMT

By Dr Ryan du Sart - Orthopaedic Surgeon | South West WA

Most people can name the first time they rolled their ankle. Far fewer can name the fifth. By then it has stopped feeling like an injury and started feeling like a personal quirk, the ankle that goes on gravel, the one you strap before footy, the one you think about on a ladder.

That pattern has a name. It is called chronic ankle instability, and it is one of the more commonly overlooked orthopaedic problems in adults who stay active.

Why one bad sprain can turn into many

The ligaments on the outside of the ankle, particularly the anterior talofibular ligament and the calcaneofibular ligament, work like guide ropes. They hold the joint in line when the foot lands on an uneven surface.

When those ligaments tear, they do not always heal back to their original length. They can heal long and slack. The rope is still attached, but there is slack in it. The ankle then has a little more movement than it should, and each unexpected step on a rut, a kerb or a football boot has a bit more room to go wrong.

This is why the second sprain often takes less force than the first, and the third less again.

Signs it is instability, not just a weak ankle

Instability tends to show itself in patterns rather than in one dramatic moment. Common signs include:

The ankle rolling on flat ground or minor uneven surfaces
A sense that the joint gives way or cannot be trusted
Ongoing swelling or aching after activity, long after the original injury
Avoiding certain surfaces, sports or footwear without really deciding to
Relying on strapping or a brace to feel confident

Persistent pain at the front or inside of the ankle can also point to associated damage to the joint surface, which sometimes accompanies repeated sprains.

Why it is worth assessing rather than managing

Repeat sprains are not only inconvenient. Each episode places abnormal load through the cartilage of the ankle joint, and over time that load can contribute to post-traumatic ankle arthritis. Assessment is about protecting the joint you have, not simply settling the current episode.

An orthopaedic assessment usually involves a discussion of your injury history, an examination of ankle movement and stability, and imaging where it is useful. X-rays can show bony changes, and MRI can show ligament quality and any damage to the cartilage surface.

Treatment starts before surgery

For many people, structured non-operative care resolves the problem. That typically means physiotherapy focused on strength and balance retraining, activity modification for a period, and bracing or taping during higher risk activity. Proprioception work matters here, since instability is partly a control issue and not purely a structural one.

Surgery is considered when the instability persists despite that work, when the ligaments are damaged beyond what conservative care can address, or where there are signs the joint itself is being affected.

What ankle ligament reconstruction involves

The procedure aims to restore normal ligament tension rather than simply patch the damage. Through an incision on the outer ankle, the damaged ligaments are identified, shortened back to their anatomical position and reattached to the fibula using strong sutures and bone anchors. Where a ligament is too weak to repair, a tendon from around the ankle or foot can be used to reconstruct it. Dr du Sart discusses this possibility before surgery rather than during it.

Ankle arthroscopy, or keyhole inspection of the joint, is sometimes performed at the same time to address bone spurs, loose fragments or cartilage damage found alongside the instability.

Recovery in realistic terms

Recovery is staged and requires patience. The first two weeks generally involve elevation and no weight through the operated foot, with crutches or a knee scooter for mobility. A cast is typically used for the first two weeks, followed by a CAM boot with partial weight bearing through to around five weeks. Physiotherapy usually begins at the two week mark and continues well beyond the boot coming off.

Return to work depends on the job. Standing and walking roles commonly need six to eight weeks, and physically demanding work can take considerably longer. Return to sport is generally discussed in months rather than weeks. Driving timeframes differ depending on whether the left or right ankle was operated on and the type of vehicle.

These are general timeframes only. Your own recovery depends on the extent of the injury, the work done, and how rehabilitation progresses.

Getting an ankle assessed

Dr Ryan du Sart is an orthopaedic surgeon consulting regularly in Bunbury and Busselton, with a special interest in foot and ankle surgery. Referrals are made through your GP, who can assess the ankle, arrange imaging where appropriate, and refer on if a specialist opinion is warranted.

If your ankle has rolled more than once and you have started planning around it, that is worth a conversation.

For personalised advice about ankle instability, speak with your orthopaedic specialist.

ACL Injuries: What Happens Next, and When Reconstruction Is Considered

Mon, 03 Aug 2026 16:00:23 GMT

ACL Injuries: What Happens Next, and When Reconstruction Is Considered

It often happens in a single second. A change of direction on a netball court, an awkward landing at footy training, a ski that keeps turning when the rest of the body does not. There is a pop, then a sensation that something inside the knee has shifted. Within a few hours the knee is swollen and difficult to bend, and walking feels unreliable.

Anterior cruciate ligament injuries are among the most common significant knee injuries seen in Australian sport, and they affect people well beyond elite level. Weekend players, tradespeople, teenagers in school sport and adults returning to exercise after a break all present with them. The good news is that ACL injuries are well understood, and there is a clear pathway from diagnosis to treatment. Understanding that pathway can make an anxious few weeks considerably easier.

What the ACL actually does

The ACL is one of four main ligaments in the knee. It runs diagonally through the centre of the joint and connects the thigh bone to the shin bone. Its job is to stop the shin sliding forward and to control rotation, which is why it matters most during pivoting, cutting and landing rather than during straight-line walking.

This explains something patients often find confusing. It is entirely possible to walk reasonably well on a torn ACL, particularly once the initial swelling settles, and then find the knee gives way the moment there is a twist or a sidestep. A knee that feels acceptable in a straight line is not evidence that the ligament is intact.

How these injuries usually happen

Most ACL injuries are non-contact. The typical mechanism is a sudden deceleration, a pivot on a planted foot, or landing from a jump with the knee rolling inward. A direct blow to the knee can also do it, but it is less common than people assume.

Signs that warrant assessment include an audible pop at the time of injury, rapid swelling within the first few hours, a feeling of the knee giving way, and difficulty putting weight through the leg. A knee that locks or cannot be straightened may indicate an associated meniscal injury, which changes the urgency of assessment.

Diagnosis usually begins with a clinical examination, which is often more informative than patients expect. An MRI is commonly used to confirm the ACL injury and, importantly, to look at the meniscus and cartilage, because ACL tears frequently occur alongside other damage inside the joint.

Not every ACL tear needs surgery

This surprises many patients. The decision to reconstruct an ACL is based on the person, not the scan alone.

Factors that inform the discussion include age, activity demands, occupation, whether the knee is functionally unstable in daily life, and whether there are associated meniscal or cartilage injuries that need addressing. Someone whose knee feels stable during walking, cycling and swimming, and who does not want to return to pivoting sport, may do well with a structured rehabilitation program alone. Someone who plays cutting and pivoting sports, or whose knee gives way during ordinary activity, is more likely to be a candidate for reconstruction.

Where surgery is planned, there is usually value in a period of rehabilitation beforehand. Restoring range of motion, reducing swelling and rebuilding quadriceps strength before an operation tends to make the rehabilitation afterwards more straightforward.

What reconstruction involves

An ACL cannot reliably be stitched back together, so the ligament is reconstructed rather than repaired. A graft is used to create a new ligament, most commonly taken from the patient's own hamstring, quadriceps tendon or patellar tendon. Graft choice is discussed individually and depends on factors including sport, previous surgery and body type.

The procedure is performed arthroscopically through small incisions, with tunnels prepared in the bone so the graft can be positioned along the path of the original ligament and fixed in place. Any meniscal injury is usually addressed during the same operation. Most patients go home the same day or the following day.

Recovery takes time, and that is normal

The operation is the short part of the process. Rehabilitation is where the outcome is largely determined, and it is measured in months rather than weeks.

Early rehabilitation focuses on swelling, straightening the knee and reactivating the quadriceps. Strength work builds progressively from there, with running typically reintroduced in the middle stages and sport-specific cutting, pivoting and landing work later. Return to pivoting sport is generally considered around nine to twelve months, and it depends on strength, control and confidence rather than the date on the calendar.

Patients should contact their surgical team if they develop a fever, increasing wound redness or discharge, calf pain or swelling, or a sudden loss of movement in the knee.

Starting the conversation

If your knee has given way, swollen rapidly after an injury, or feels unreliable when you change direction, the first step is a GP appointment. Your GP can examine the knee, arrange imaging where appropriate, and refer you for specialist assessment if needed. Dr Ryan du Sart consults regularly in Bunbury and Busselton, and urgent cases can be prioritised where appropriate.

For personalised advice about ACL injuries, speak with your orthopaedic specialist.

Shoulder Replacement Surgery: What Patients in Bunbury and Busselton Need to Know

Mon, 06 Jul 2026 23:33:58 GMT

Shoulder Replacement Surgery: What Patients in Bunbury and Busselton Need to Know

By Dr Ryan du Sart - Orthopaedic Surgeon | South West WA

For people living with ongoing shoulder pain, simple movements like reaching for a top shelf, getting dressed, or sleeping on one side can become genuinely difficult. When conservative treatments such as physiotherapy, injections, and activity modification no longer provide relief, shoulder replacement surgery may be raised as an option worth discussing with a specialist.

What Is Shoulder Replacement Surgery?

Shoulder replacement involves replacing damaged parts of the shoulder joint with prosthetic components, usually made from metal and plastic. The shoulder is a ball-and-socket joint, and over time, conditions such as osteoarthritis, rotator cuff damage, or previous fractures can wear down the surfaces that allow smooth, pain-free movement.

There are two main types of shoulder replacement. A total shoulder replacement maintains the joint's normal anatomy, replacing the ball and socket in their original positions. A reverse total shoulder replacement switches the position of the ball and socket, which can be a better option for patients with significant rotator cuff damage, as it allows the deltoid muscle to take on more of the work the rotator cuff would normally do. Your surgeon will assess your scans, your shoulder's specific condition, and your goals before recommending which approach suits you.

Who Might Need This Procedure?

Shoulder replacement is generally considered for patients who have ongoing pain and reduced function that hasn't responded to non-surgical care over a reasonable period. Common underlying causes include advanced osteoarthritis, rheumatoid arthritis, large or irreparable rotator cuff tears, and complex fractures of the upper arm bone affecting the joint.

Patients often describe the same pattern: pain that disrupts sleep, difficulty with overhead tasks, and a gradual loss of confidence in using the arm normally. This is precisely the kind of pattern an orthopaedic surgeon can help assess, weighing up imaging findings, examination, and the patient's own priorities for movement and pain relief.

What Does the Procedure Involve?

Shoulder replacement is performed under anaesthetic and generally takes between one and two hours, depending on complexity. The damaged joint surfaces are removed and replaced with prosthetic components designed to restore movement and reduce pain. Most patients stay in hospital for one to a few nights, depending on their recovery and any other health considerations.

As with any surgery, there are risks involved, and these will be discussed individually based on your health history and the specific procedure recommended. Your surgeon will walk through what to expect at each stage, so there are no surprises on the day.

Recovery and Getting Back to Normal

Recovery from shoulder replacement is a gradual process, generally involving a structured rehabilitation program with a physiotherapist. Most patients use a sling for support in the early weeks, with movement and strengthening exercises introduced progressively as healing allows. Many patients are able to return to light daily activities within the first few weeks, with continued improvement over the following months.

Every recovery looks a little different depending on the individual, the type of replacement performed, and how closely rehabilitation guidance is followed. Your surgical team will give you a personalised recovery plan and stay involved throughout.

Speak With Your Specialist

If shoulder pain is starting to affect your sleep, your work, or the things you enjoy doing, it's worth raising with your GP. They can assess your symptoms, arrange any necessary imaging, and refer you to an orthopaedic surgeon if appropriate. Dr Ryan du Sart consults regularly in Bunbury and Busselton, offering assessment and treatment for a range of shoulder, hip, knee, and foot and ankle conditions.

For personalised advice about shoulder replacement, speak with your orthopaedic specialist.

Understanding Rotator Cuff Repair: What Patients in the South West Need to Know

Wed, 03 Jun 2026 11:01:38 GMT

Understanding Rotator Cuff Repair: What Patients in the South West Need to Know

By Dr Ryan du Sart - Orthopaedic Surgeon | South West WA

Shoulder pain that limits how you reach, lift, or sleep is hard to ignore - and for many people, a rotator cuff tear is the reason behind it. If you've been told you have a rotator cuff injury and surgery has been mentioned as a possibility, it's reasonable to have questions about what that actually involves, what recovery looks like, and whether it's the right path for you.

This post covers the basics: what the rotator cuff is, how tears are assessed and treated, and what to expect if surgery is recommended.

What is the rotator cuff?

The rotator cuff is a group of four muscles and their tendons that wrap around the shoulder joint. Together, they hold the ball of the upper arm firmly in the shoulder socket and allow you to raise and rotate your arm. When one or more of these tendons are torn - either through an acute injury like a fall, or gradually through wear over time - the shoulder can become painful, weak, and difficult to use overhead.

Tears range from partial to full thickness, and not all of them require surgery. An orthopaedic assessment, combined with imaging such as an MRI or ultrasound, helps establish the extent of the tear and what treatment is appropriate.

When is rotator cuff repair surgery considered?

Surgery is not the first option for every rotator cuff tear. Many people improve with a structured physiotherapy program, activity modification, and time. However, surgery may be considered when:

Conservative management over several months has not produced meaningful improvement. The tear is large or involves complete tendon detachment. Pain is significantly affecting sleep, work, or day-to-day function. The patient is active, relatively young, or has high physical demands from their lifestyle or occupation.

The decision to proceed with surgery is made on an individual basis, taking into account the size and type of the tear, your age and activity level, your goals, and how the shoulder is responding to non-surgical management.

What does rotator cuff repair surgery involve?

Most rotator cuff repairs are performed arthroscopically - using small incisions and a camera inserted into the shoulder joint rather than a large open incision. This approach allows the torn tendon to be reattached to the bone using small anchors, while also allowing the surgeon to assess and address any other issues in the joint at the same time.

The procedure is typically performed under general anaesthetic and takes one to two hours, depending on the complexity. Most patients go home the same day or after one night in hospital.

What does recovery involve?

Recovery from rotator cuff repair takes time, and understanding this from the outset is important. The repaired tendon needs to heal back to the bone before the shoulder can be loaded again - a process that takes several weeks. The general recovery pathway looks like this:

Weeks 1-6: The arm is kept in a sling. Movement is limited to gentle, guided exercises to prevent stiffness without stressing the repair. Weeks 6-12: As healing progresses, the sling is gradually phased out and physiotherapy focuses on restoring range of motion. 3-6 months: Strengthening work begins in earnest. Most patients notice meaningful improvement in pain and function during this period. 6-12 months: Return to heavier activities or sport typically occurs within this window, depending on individual progress and the nature of the original tear.

Recovery varies between patients and is influenced by the size of the repair, the quality of the tendon tissue, and how consistently physiotherapy is followed.

Considering rotator cuff surgery in the South West?

Dr Ryan du Sart consults regularly in Bunbury and Busselton and manages a range of shoulder conditions, including rotator cuff tears. If shoulder pain is affecting your quality of life and you would like an orthopaedic assessment, speak with your GP about a referral. Your GP can assess your symptoms, arrange appropriate imaging, and refer you if specialist input is warranted.

For personalised advice about rotator cuff repair, speak with your orthopaedic specialist.

Understanding Hip Replacement: What Patients in Bunbury and Busselton Should Know

Tue, 05 May 2026 07:02:16 GMT

Understanding Hip Replacement: What Patients in Bunbury and Busselton Should Know

By Dr Ryan du Sart - Orthopaedic Surgeon | South West WA

Hip pain that limits your daily life is more than an inconvenience. When walking to the letterbox, getting in and out of a car, or sleeping through the night becomes difficult, it is worth understanding what your options are. Hip replacement is one of the most commonly performed orthopaedic procedures in Australia, and for many patients, it is the point at which things genuinely begin to improve. This post explains what hip replacement involves, who it may be appropriate for, and what the process looks like from consultation through to recovery.

What is a hip replacement?

A hip replacement - also called a total hip arthroplasty - involves removing the damaged surfaces of the hip joint and replacing them with prosthetic components. The ball of the femur (thigh bone) and the socket of the pelvis are both replaced, typically with a combination of metal, ceramic, and polyethylene materials designed to replicate normal joint movement.

The procedure is most commonly performed to treat end-stage osteoarthritis of the hip, though it may also be considered for other conditions including avascular necrosis, inflammatory arthritis, or fracture. Not everyone with hip arthritis will need or benefit from surgery. The decision depends on the severity of symptoms, how much function has been lost, and whether conservative treatments have been adequately trialled.

Is hip replacement the right option for you?

Conservative management is always the starting point. Physiotherapy, weight management, activity modification, and pain relief can help manage symptoms for a significant period. When these approaches are no longer providing adequate relief and quality of life is being affected, a specialist opinion is appropriate.

At a consultation, your orthopaedic surgeon will review your history, examine your hip, and assess your imaging. The conversation will cover your symptoms, your goals, and what you can realistically expect from surgery. It is not a one-way discussion. Patients are encouraged to ask questions and take time to consider their options.

What does the procedure involve?

Hip replacement is performed under general or spinal anaesthesia and typically takes one to two hours. The surgical approach - the direction from which the hip is accessed - varies depending on the patient's anatomy and the surgeon's technique. Your surgeon will explain which approach is planned for you and why.

Most patients stay in hospital for two to four days following a hip replacement, though this varies. Mobilisation begins early - often the day of surgery - with the support of physiotherapy. A walking frame or crutches are used initially, and patients progress to walking independently as their strength and confidence builds.

What does recovery look like?

Recovery from hip replacement is gradual, and the timeline varies between individuals. Most patients are moving around the house independently within two to four weeks. Returning to driving, light activity, and low-impact exercise typically occurs over the following weeks to months, guided by surgical clearance and physiotherapy progress.

There are some restrictions in the early period following surgery - particularly around hip precautions, which your surgical team will explain in detail. These are designed to protect the joint while the soft tissues heal.

Pain is expected in the initial recovery period and is managed with a combination of medications. Most patients find that pain reduces steadily over the first few weeks. Swelling can persist for longer.

Your surgeon and nursing team are the right people to contact if something does not feel right during recovery.

If hip pain is affecting your daily life and you are wondering whether a specialist opinion is the right next step, speak with your GP. They can arrange imaging, review your history, and refer you if appropriate.

Consult Locally in Bunbury or Busselton

Dr Ryan du Sart is an experienced orthopaedic surgeon providing personalised joint care in Bunbury and Busselton, with a strong focus on patient outcomes, education, and modern surgical techniques.

�� (08) 9779 9767
�� www.ryandusart.com.au
�� Serving patients across the South West of Western Australia

Now Consulting Weekly in Busselton: Improving Access to Orthopaedic Care in the South West

Wed, 01 Apr 2026 02:36:27 GMT

Now consulting regularly in Busselton

For many patients living in Busselton, Dunsborough, Margaret River, and the surrounding South West communities, accessing specialist orthopaedic care has historically meant planning around a trip - time off work, arranging transport, and a day spent travelling rather than recovering.

That changes now.

Dr Ryan du Sart is pleased to announce that he is now consulting regularly at 20 Prince Street, Busselton - bringing specialist orthopaedic care directly to patients across the South West.

What this means for South West patients

Orthopaedic conditions don't wait for a convenient time. A painful knee, a shoulder that won't settle, a foot or ankle problem affecting daily life - these things impact work, sleep, and quality of life every day they go unaddressed. The barrier of distance shouldn't be the reason a patient delays seeking care.

With regular consulting sessions now available in Busselton, patients across the region can expect:

Faster access to specialist assessment without lengthy delays
Less disruption to work, family, and daily routines
The flexibility to attend the location most convenient to them - Busselton or Bunbury
The same standard of specialist care, closer to home

What Dr du Sart treats

Dr Ryan du Sart is an orthopaedic surgeon providing assessment and management across a broad range of conditions including hip and knee replacement, foot and ankle conditions, sports injuries, and shoulder conditions.

Whether you are managing a long-standing joint problem, recovering from a sports injury, or have been told you may need surgical intervention - specialist input earlier almost always leads to better outcomes.

How to access care

A referral from your GP or treating health professional is the starting point. Once referred, patients can attend consulting sessions at either the Busselton or Bunbury rooms - whichever is most convenient.

Consulting locations

Busselton - 20 Prince Street, Busselton WA 6280

Bunbury - 6 Higgins Street, South Bunbury WA 6230

Referrals are welcome via usual GP pathways.

Rotator Cuff Injuries: Diagnosis, Treatment, and Recovery

Tue, 06 Jan 2026 08:10:03 GMT

The shoulder is the most mobile joint in the human body —but with that mobility comes a higher risk of injury. At the core of shoulder stability is the rotator cuff , a group of muscles and tendons essential for lifting, reaching, and rotating the arm.

Rotator cuff injuries are one of the leading causes of shoulder pain, particularly in people over 40 , athletes, tradies, and anyone performing frequent overhead activities. With early diagnosis and the right treatment plan, many patients return to full function—whether through non-operative care or surgical repair.

What Is the Rotator Cuff?

The rotator cuff consists of four key muscles and their associated tendons:

Supraspinatus
Infraspinatus
Subscapularis
Teres minor

These muscles stabilise the shoulder joint and enable controlled arm movement. Injuries to the rotator cuff can range from inflammation and degeneration (tendinopathy) to partial or full-thickness tears .

�� Clinical Insight : Studies estimate that rotator cuff tears affect 20–30% of adults over age 60 , and that rate increases with age [1].

Causes of Rotator Cuff Injury

Degenerative wear and tear (age-related tendon breakdown)
Acute trauma , such as a fall or lifting a heavy load
Repetitive strain , especially in athletes or manual workers
Subacromial impingement , where tendons are compressed under the acromion (part of the shoulder blade)

Symptoms of Rotator Cuff Injury

Dull or aching pain in the shoulder
Pain that worsens at night or when lying on the affected side
Difficulty lifting the arm or reaching overhead
Weakness when rotating or lifting objects
Clicking or catching sensations with movement

Symptoms may develop gradually or follow a specific injury. Left untreated, rotator cuff tears can worsen, affecting shoulder stability and long-term function.

Diagnosing a Rotator Cuff Injury

The first step is a clinical assessment by an orthopaedic surgeon. Dr Ryan du Sart evaluates:

Shoulder range of motion
Strength and function
Pain with specific movements

Imaging May Include:

Ultrasound – to assess tendon integrity
X-ray – to detect bone spurs or joint narrowing
MRI – for detailed evaluation of tendon tears or degeneration

�� Best Practice : Imaging helps differentiate between tendinopathy, partial tears, and complete tendon ruptures , guiding the most appropriate treatment plan [2].

Treatment Options

Non-Surgical Management

Many rotator cuff injuries—particularly tendinopathy or partial tears—can be managed successfully without surgery.

Conservative treatment may include:

Activity modification to avoid aggravating movements
Physiotherapy to restore strength and shoulder mechanics
Anti-inflammatory medication or pain relief
Corticosteroid injections for short-term inflammation and pain control

These measures are often effective in improving function and reducing pain in less severe injuries.

Surgical Treatment

Surgery may be recommended when:

There is a full-thickness tear or significant tendon damage
Symptoms do not improve with conservative care
There is functional weakness or loss of motion affecting daily life
The tear is acute and linked to trauma in younger, active patients

Surgical options include arthroscopic rotator cuff repair , where small incisions and a camera are used to visualise the shoulder and reattach the torn tendon to the bone. This minimally invasive technique reduces soft tissue disruption and promotes faster healing compared to traditional open surgery.

Dr du Sart will guide you through the surgical decision-making process and ensure the approach is tailored to your specific goals and lifestyle.

Recovery After Surgery

Recovery from rotator cuff surgery is a gradual process and involves several phases:

Weeks 0–6:

Immobilisation with a sling
Early passive movement under physiotherapy supervision
Pain relief and wound care

Weeks 6–12:

Begin active range of motion exercises
Restore flexibility and shoulder mechanics
Start gentle strengthening work

Months 3–6:

Return to light work or daily activities
Continued strengthening and functional retraining
Return to sport or overhead work by 6 months , depending on healing and activity level

�� Evidence-Based Insight : A 2022 meta-analysis reported over 85% success rates for arthroscopic rotator cuff repairs, especially when physiotherapy is properly followed [3].

Shoulder Care Close to Home

Dr Ryan du Sart offers comprehensive care for shoulder injuries, from diagnosis through to post-operative rehabilitation. Whether you’re dealing with new shoulder pain or have been managing ongoing symptoms, expert assessment can help clarify your options and restore your shoulder health.

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, WA

References

Yamamoto A, Takagishi K, et al. Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg. 2010;19(1):116–120.
Seitz AL, et al. Clinical practice guidelines for the management of rotator cuff disorders. Br J Sports Med. 2019;53(6):305–310.
Saccomanno MF, et al. Clinical outcomes and retear rates after rotator cuff repair using a single-row vs double-row technique: a meta-analysis. J Shoulder Elbow Surg. 2022;31(2):351–362.

Robotic Knee Replacement | Dr Ryan du Sart Orthopaedic Surgeon Bunbury

Fri, 05 Dec 2025 07:00:01 GMT

Knee arthritis and joint pain can make everyday tasks—walking, climbing stairs, or exercising—more difficult.
When pain persists despite non-surgical care, knee replacement surgery may be considered. In recent years, robotic-assisted techniques have become an important tool for orthopaedic surgeons in planning and performing these procedures.

What Is Robotic Knee Replacement?

Robotic-assisted knee replacement is a procedure in which the surgeon uses a computer-guided system to help plan and guide surgery.
It does not mean that a robot performs the operation; the surgeon remains in complete control at all times.

The robotic technology assists by creating a 3-dimensional model of the patient’s knee. This model helps the surgeon plan how much bone to remove and where to position the implant based on the individual’s anatomy.

How It Works

Before surgery, imaging is used to build a digital map of the joint.
During the procedure, the robotic arm or guidance system provides information in real time, helping the surgeon carry out the plan with a high level of accuracy.

This guidance can assist with consistent alignment and balance of the knee replacement components.

Potential Benefits

Research has shown that robotic-assisted knee replacement can offer a number of potential benefits compared with traditional techniques.
These may include:

Greater accuracy in implant positioning and alignment
Individualised surgical planning
Preservation of healthy bone and soft tissue
Potential for improved joint balance and function

It is important to note that outcomes vary between individuals.
Suitability for robotic-assisted surgery depends on each person’s joint health, anatomy, and overall medical condition.

Who Might Be Suitable

Robotic knee replacement may be appropriate for some patients with significant knee arthritis or damage who have not responded to non-surgical management such as physiotherapy, weight management, or medications.

A thorough assessment is required to determine the most appropriate treatment approach for each person.

Recovery and Rehabilitation

Recovery following robotic knee replacement is similar to other forms of knee replacement.
Patients are usually encouraged to begin gentle movement soon after surgery, supported by a physiotherapist.
Rehabilitation and adherence to recovery instructions play a major role in long-term outcomes.

Discussing Your Options

If knee arthritis is limiting your mobility or quality of life, it may help to learn more about the options available.
You can speak with your GP about a referral to Dr Ryan du Sart , Orthopaedic Surgeon, who consults from his rooms in South Bunbury, Western Australia .

During your consultation, Dr du Sart can assess your symptoms, review imaging, and discuss whether robotic-assisted knee replacement—or another treatment—may be appropriate for you.

Disclaimer:
Information in this article is general in nature and is not a substitute for professional medical advice.
Suitability for surgery varies between individuals. Patients should seek a consultation with a qualified medical practitioner before making decisions about treatment.

Understanding Bunions: When to Seek Help and What Treatment Options Are Available

Mon, 03 Nov 2025 06:28:08 GMT

If you’ve noticed a bump forming at the base of your big toe or pain that makes it difficult to wear certain shoes, you might be dealing with a bunion — a common but often misunderstood foot condition.

Bunions can start small but tend to worsen over time, gradually changing the alignment of your toe and affecting the way you walk. The good news? Modern orthopaedic treatments — including advanced surgical options — can relieve pain and restore function so you can get back on your feet comfortably.

What Is a Bunion?

A bunion (or hallux valgus ) is a bony bump that forms when the big toe drifts towards the smaller toes. This shift puts pressure on the joint, leading to inflammation, pain, and swelling.

Over time, the deformity can become more noticeable and may make it hard to find comfortable footwear. In some cases, bunions can also cause corns, calluses, or overlapping toes.

Why Bunions Develop

There’s no single cause of bunions — but several factors can increase your risk:

Family history: Bunions often run in families due to inherited foot structure.
Footwear: Tight or narrow shoes, especially those with pointed toes or high heels, can worsen existing deformities.
Flat feet or joint laxity: Certain foot shapes place more stress on the big toe joint.
Arthritis: Degenerative or inflammatory joint changes can also contribute to bunion formation.

When to See a Specialist

You don’t need to wait until your bunion becomes severe to seek help.
Consider seeing a specialist if you experience:

Ongoing pain or swelling around the big toe joint
Difficulty finding shoes that fit comfortably
Restricted movement of your big toe
A visible change in toe alignment

Addressing bunions early can help prevent long-term joint damage and improve your comfort during daily activities.

Treatment Options

Bunion treatment depends on how advanced the deformity is and how much it affects your lifestyle.

Non-surgical options may include:

Wearing wider, supportive footwear
Using padding or orthotics to reduce pressure
Taking anti-inflammatory medication as needed
Using ice or rest for short-term symptom relief

If these measures no longer control your symptoms or the bunion continues to progress, surgical correction may be recommended.

Modern bunion surgery focuses on realigning the bones and restoring normal joint function. Procedures are often performed as day surgery, and many patients can bear weight on their foot soon after. Recovery times vary depending on the complexity of the correction, but most people return to normal activities within weeks to months.

The Benefits of Specialist Care

Seeing an orthopaedic foot and ankle specialist ensures you receive an accurate diagnosis and a treatment plan tailored to your needs. Dr Ryan du Sart uses evidence-based techniques and modern surgical approaches to achieve long-lasting results and faster recovery for his patients.

He will assess your bunion, discuss conservative and surgical options, and guide you through what to expect before and after treatment.

How to Book an Appointment

Dr Ryan du Sart consults at Brecken Health Care in South Bunbury .
To see Dr du Sart, simply ask your GP for a referral — it’s a quick and easy process.

Early assessment can make a big difference in managing bunion pain and preventing further joint changes. If your bunion is affecting your comfort or mobility, talk to your GP about a referral today.

Book Your Appointment Today

Your first appointment is the start of your recovery journey—and we’re here to help make it a confident one.

�� Call (08) 9779 9767
�� Book Online at www.ryandusart.com.au
�� South Bunbury & Busselt o n, WA

Preparing for Your First Visit with Dr Ryan du Sart

Wed, 03 Sep 2025 07:00:58 GMT

Your guide to getting the most out of your orthopaedic consultation in Bunbury or Busselton.

Booking your first appointment with an orthopaedic surgeon can feel overwhelming—especially if you're dealing with ongoing joint pain, an injury, or have been told you might need surgery. At Dr Ryan du Sart’s clinics in Bunbury and Busselton , we want you to feel supported, informed, and confident from the very first step.

This guide will walk you through what to expect during your consultation and how to prepare—so you can make the most of your visit.

Who Is Dr Ryan du Sart?

Dr Ryan du Sart is a specialist orthopaedic surgeon with a special interest in joint replacement , foot and ankle conditions , sports injuries , and minimally invasive surgery . He consults across the South West of WA, offering expert orthopaedic care tailored to your individual goals and needs.

�� Consulting Rooms : Bunbury and Busselton
�� www.ryandusart.com.au
�� Call: (08) 9779 9767

W hy It’s Helpful to Prepare for Your Appointment

Taking time to prepare helps you:

Feel less anxious about your consultation
Ensure all your medical information is available for review
Make the most of your time with Dr du Sart
Get answers to the questions that matter most to you

Before Your Appointment: What to Bring

To streamline your visit, please bring:

✅ Referral letter from your GP or specialist

✅ Imaging and reports (X-ray, MRI, CT scans)
✅ Completed patient forms , if provided in advance
✅ Medication list , including prescriptions and supplements
✅ Private health insurance details , if applicable
✅ Loose-fitting clothing so the affected joint can be easily assessed
✅ A list of questions or concerns you’d like to discuss

�� Tip: Write your symptoms down beforehand—including when they started, what aggravates them, and how they’ve affected your daily life.

What to Expect During Your Consultation

Your first visit with Dr du Sart typically includes:

1. Medical History: A discussion about your symptoms, past injuries, general health, and any previous treatments or therapies.

2. Physical Examination: An assessment of your joint’s range of motion, strength, stability, and function.

3. Review of Imaging: If you've brought scans or reports, Dr du Sart will go through these with you to help explain what’s happening inside the joint.

4. Diagnosis and Treatment Plan : You’ll receive a clear explanation of your condition, along with tailored recommendations. These may include:

Non-surgical options like physiotherapy, medication, or activity modification
Injections, bracing, or other supportive care
Surgical treatment (if necessary), with information about risks, recovery, and expected outcomes

5. Surgical Planning (If Applicable)

If surgery is being considered, Dr du Sart will explain:

What the procedure involves
Recovery timeframes and rehabilitation
How to prepare before and after surgery
Use of technology (e.g. robotic-assisted surgery, mymobility® app)

Questions You May Want to Ask

What is causing my pain or limitation?
Are there conservative options I can try before surgery?
What are the risks and benefits of surgical treatment?
How long is recovery time?
Will I need physiotherapy?
What lifestyle changes should I make before/after treatment?

Asking questions helps ensure you’re comfortable and informed about your next steps.

Streamlining Your Experience

Dr du Sart’s team aims to make your experience as smooth as possible. You’ll meet friendly staff and may be introduced to other health professionals involved in your care (e.g. physiotherapists or surgical coordinators).

We also provide resources like:

The mymobility® app to support your recovery depending on the type of surgery you’ve had
Information sheets on conditions like knee replacement, ankle surgery, or bunions
Ongoing support before and after surgery

When You Should Book an Appointment

If you’re experiencing:

Persistent joint, foot, or ankle pain
Limited movement or stiffness
Recurrent injuries or instability
A recent sports injury
Worsening arthritis symptoms

...it may be time to consult a specialist.

Why Patients Choose Dr du Sart

Patient-first approach with a strong emphasis on education and long-term outcomes
Expertise in minimally invasive and robotic-assisted joint surgery
Local care with state-of-the-art support in Bunbury and Busselton
A focus on making your orthopaedic journey as smooth and stress-free as possible

Book Your Appointment Today

To book your consultation or find out more:

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, Western Australia

Taking the first step toward recovery starts with the right support. Let’s make it a confident one—together.

Bunion Surgery: What Patients Need to Know

Mon, 04 Aug 2025 06:30:00 GMT

Bunions (hallux valgus) are a common and often progressive foot condition that can cause significant discomfort, footwear challenges, and interference with daily activities. While early management focuses on non-surgical options, bunion surgery becomes necessary for many patients when pain and deformity worsen despite conservative care.

This guide will help you understand when to consider surgery, what’s involved, and what recovery looks like.

What Is a Bunion?

A bunion is a bony bump that develops at the base of the big toe , causing the toe to drift toward the second toe. This misalignment can lead to joint inflammation, swelling, pain, and difficulty finding comfortable shoes.

Contributing Factors:

Genetics and inherited foot shape
Poorly fitting shoes , particularly narrow or high-heeled styles
Flat feet or hypermobility
Arthritis and joint degeneration
A related condition, the bunionette , affects the outer edge of the foot at the fifth toe .

�� Clinical Insight : Bunions are more common in women and can affect up to 23% of adults aged 18–65 , and over 35% in people aged 65 and older [1].

When Should You Consider Surgery?

Surgery may be appropriate when:

Pain persists despite using orthotics or changing footwear
Your bunion limits your ability to walk, work, or enjoy activities
There is increasing deformity, stiffness, or joint instability
Other toes (e.g. the second toe) are becoming affected
You’re experiencing skin irritation or pressure sores

Delaying surgical intervention can increase the risk of toe deformities, chronic pain, or irreversible joint damage .

Dr Ryan du Sart’s Approach to Bunion Surgery

Dr du Sart performs minimally invasive (keyhole) bunion surgery , which uses smaller incisions and targeted correction, resulting in:

Less disruption to soft tissue
Lower post-operative pain and swelling
Faster recovery than traditional open techniques

Procedure Overview:

Tiny incisions are made near the base of the big toe
A burr is used to perform precise osteotomies (bone cuts) of the 1st metatarsal and proximal phalanx
Bones are realigned to correct the deformity
Zero-profile screws are used for fixation, minimising hardware prominence
Soft tissue balancing and joint alignment are refined for better long-term function

This technique is suitable for most patients with mild to moderate bunion deformities and delivers both cosmetic and mechanical improvements.

�� Evidence-Based Outcome : Studies have shown that minimally invasive bunion surgery is associated with high patient satisfaction, quicker return to footwear, and lower complication rates compared to traditional open procedures [2].

Benefits of Minimally Invasive Bunion Surgery

✅ Smaller incisions and minimal scarring

✅ Shorter recovery time and less swelling
✅ Less post-operative discomfort

✅ Early return to shoes and daily activity

✅ Improved joint mechanics and long-term alignment

Recovery After Bunion Surgery

Post-Operative Care

Walking is permitted immediately in a surgical shoe
Elevation is key during the first 1–2 weeks to manage swelling
Crutches may be used initially for support
Transition to supportive sneakers typically occurs at 3 weeks
Gentle mobility and toe-strengthening exercises begin early

Return to Activity

Light desk-based work: 2–3 weeks
Standing or walking jobs: 4–6 weeks
Heavy physical activity or sport: 8–12 weeks
Full recovery: 6–12 months , depending on healing and activity level

Driving

Right foot: Wait 6 weeks minimum
Left foot (automatic car): May return sooner with surgeon clearance

�� Tip : Most patients report a significant reduction in pain and improvement in foot shape and function within 8–12 weeks .

Is Bunion Surgery Right for You?

The decision to proceed with surgery is highly individual. During your consultation, Dr du Sart will:

Assess your medical history, symptoms, and functional limitations
Review any imaging (e.g. X-rays)
Discuss your lifestyle, footwear needs, and activity goals
Explain surgical options and expected recovery

A Personalised Approach, Close to Home

Dr Ryan du Sart consults in Bunbury and Busselton , providing modern orthopaedic foot and ankle care to patients throughout the South West region. From initial diagnosis to post-operative rehabilitation, his approach is tailored to ensure the best possible outcome for each individual.

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, WA

References

Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res. 2010;3(1):21.
Redfern D, Perera A, Dagneaux L. Minimally invasive surgery for hallux valgus: A systematic review and meta-analysis. EFORT Open Rev. 2020;5(8):512–520.

Shoulder Arthritis: Managing Pain and Improving Mobility

Wed, 02 Jul 2025 06:45:00 GMT

Shoulder arthritis is a progressive condition that can interfere with daily tasks like reaching, dressing, sleeping, and even simple lifting movements. While it receives less attention than hip or knee arthritis, it can significantly impact function, comfort, and independence —especially in older adults.

At Dr Ryan du Sart’s orthopaedic practice in Bunbury and Busselton, we help patients manage shoulder arthritis using a personalised approach focused on pain relief, movement preservation, and surgical intervention when needed.

What Is Shoulder Arthritis?

Shoulder arthritis occurs when the cartilage lining the shoulder joint wears away , causing the bones to rub against each other. This leads to pain, inflammation, stiffness, and eventually, reduced range of motion. Over time, shoulder arthritis can significantly limit function, making it harder to perform daily tasks such as washing hair, reaching for items on shelves, or sleeping comfortably.

There are several types of shoulder arthritis, including:

Osteoarthritis (degenerative wear and tear)
Rheumatoid arthritis (inflammatory)
Post-traumatic arthritis (after injury)
Cuff tear arthropathy (from massive, chronic rotator cuff tears)

�� Clinical Note : Shoulder osteoarthritis affects approximately 16% of adults over the age of 65 , and incidence increases significantly after 70 [1].

Common Symptoms

Deep or aching shoulder pain
Pain that worsens with activity or at night
Limited range of motion
Stiffness and difficulty with overhead tasks
Weakness, especially with lifting or rotating the arm
A grinding, catching, or popping sensation

Symptoms typically progress gradually. Many patients mistakenly assume their pain is due to ageing—but early diagnosis can lead to better outcomes .

Non-Surgical Management

For many patients, shoulder arthritis can be effectively managed without surgery—especially in the early to moderate stages.

Lifestyle and Activity Modifications

Avoid heavy lifting or repetitive overhead activities
Use the non-affected arm for demanding tasks
Modify workstations or daily routines to reduce joint stress

Medications

Paracetamol or Panadol Osteo for mild to moderate pain
NSAIDs (e.g. ibuprofen, meloxicam) if tolerated
Topical anti-inflammatory gels as a local pain relief option

Always consult your GP to ensure medications are safe for your health profile.

Physiotherapy

Gentle range-of-motion exercises to reduce stiffness
Strength training of shoulder and scapular muscles
Postural correction and functional movement retraining

�� Evidence Insight : A 2021 review confirmed that structured physiotherapy significantly improves pain and function in early-stage glenohumeral OA [2].

Cortisone Injections

Cortisone injections can reduce inflammation and provide short-term relief (weeks to months)
Most effective in moderate cases or when flare-ups occur
Typically offered no more than 3 times per year

When Is Surgery Considered?

Surgery may be considered if:

Pain limits sleep, daily activity, or work
Imaging shows severe cartilage loss or joint changes
You’ve trialled conservative care without improvement
There is a large or irreparable rotator cuff tear

Shoulder Arthroscopy

A minimally invasive “clean out” procedure to remove loose bodies, smooth damaged cartilage, or address bursitis. Suitable for mild to moderate arthritis or diagnostic purposes.

Shoulder Replacement Surgery

When arthritis is advanced, joint replacement may be the most effective treatment. Options include:

Total Shoulder Replacement (TSR) : Ideal when the rotator cuff is intact
Reverse Shoulder Replacement (RSR) : Used when rotator cuff function is compromised

�� Outcomes Insight : Both procedures have shown over 90% satisfaction rates for reducing pain and improving function when performed at the right stage [3].

Recovery After Surgery

First 2–6 weeks : Sling use, wound care, and pain management
Weeks 6–12 : Begin active movement and structured physiotherapy
Months 3–6 : Regain strength, range of motion, and functional capacity
Full recovery may take 4–6 months , with improvements continuing for up to a year

Dr du Sart’s patients receive a detailed rehab plan and support throughout the recovery journey.

Shoulder Pain Isn’t Just “Getting Older”

Too many patients live with treatable shoulder arthritis, assuming it’s a normal part of ageing. But shoulder arthritis is a diagnosable and manageable condition , and there are evidence-based strategies that can help.

If your shoulder pain is affecting sleep, work, or quality of life—it’s time to explore your options.

Orthopaedic Shoulder Care in the South West

Dr Ryan du Sart provides comprehensive shoulder assessments and personalised treatment options, with a focus on patient education and long-term outcomes.

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, WA

References

Chillemi C, et al. Epidemiology and risk factors of degenerative shoulder diseases. Musculoskelet Surg. 2011;95(Suppl 1):S49–S59.
Thomas T, et al. Effectiveness of conservative treatment strategies in glenohumeral osteoarthritis: a systematic review. Physiother Theory Pract. 2021;37(8):893–903.
Bohsali KI, et al. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–2292.

When Is Shoulder Replacement Surgery Necessary?

Tue, 03 Jun 2025 07:00:59 GMT

Chronic shoulder pain, stiffness, and loss of function can have a profound effect on your independence, sleep, and quality of life. For many patients, shoulder pain builds gradually over time and is often related to degenerative conditions like arthritis or long-standing rotator cuff injuries.

While many shoulder conditions can be managed with conservative treatment, shoulder replacement surgery may become necessary when pain persists, mobility declines, and other treatments no longer provide relief.

In this article, we’ll explore the key signs that it may be time to consider shoulder replacement, what the procedure involves, and how to take the next step.

What Is Shoulder Replacement Surgery?

Shoulder replacement (arthroplasty) involves removing damaged parts of the shoulder joint and replacing them with prosthetic components. It is a highly effective treatment for advanced arthritis and rotator cuff-related degeneration , providing substantial pain relief and restoring function.

There are two main types:

Total Shoulder Replacement (Anatomic): Replaces both the humeral head (ball) and glenoid (socket). Suitable when the rotator cuff tendons are intact .
Reverse Total Shoulder Replacement: Reverses the ball-and-socket configuration. Indicated for massive rotator cuff tears, cuff tear arthropathy , or complex arthritis. This design shifts movement mechanics to the deltoid muscle , compensating for rotator cuff dysfunction.

�� Evidence Insight : According to a 2020 registry review, shoulder replacements have over 90% satisfaction rates and can last 15–20 years in many patients [1].

Signs It May Be Time for Shoulder Replacement Surgery

Severe, Persistent Shoulder Pain: Pain that disrupts sleep, limits daily activities, or is present at rest may signal the need for surgical intervention.
Advanced Shoulder Arthritis: X-rays and imaging may show joint space narrowing, bone-on-bone contact, bone spurs, or structural deformity of the joint, confirming arthritis progression.
Stiffness and Limited Range of Motion: When conservative treatments no longer restore mobility, and everyday tasks like dressing, reaching overhead, or washing your hair become difficult, surgery may be the next step.
Failed Non-Surgical Treatments: If medications, physiotherapy, injections, and activity modification no longer provide lasting relief, surgical intervention may offer more effective long-term outcomes.
Large or Irreparable Rotator Cuff Tears: In cases where the rotator cuff is severely torn or no longer functioning (cuff tear arthropathy), a reverse shoulder replacement may be recommended to restore stability and function.

When to Talk to a Specialist

If shoulder pain has become a daily limitation, early referral for an orthopaedic evaluation is recommended. Dr Ryan du Sart will assess:

Joint condition via physical exam and imaging
Muscle integrity and rotator cuff status
Your lifestyle, activity level , and treatment goals

�� Clinical Note : Early assessment can often delay or optimise the timing of surgery. A 2021 study found patients undergoing surgery at the appropriate stage reported better functional outcomes and fewer complications [2].

What Does Recovery Look Like?

Shoulder replacement is a major procedure, but outcomes are generally very positive when performed at the right time and followed by structured rehabilitation.

Recovery timeline:

0–6 weeks: Shoulder supported in a sling; early physiotherapy to maintain motion
6–12 weeks: Gradual increase in active movement and strength
3–6 months: Return to light daily activities and driving
6–12 months: Full recovery for most patients, including return to recreation and improved sleep

Dr du Sart and his team will support you throughout your recovery with tailored rehab plans and regular follow-up.

Why Choose Dr Ryan du Sart

Dr du Sart is an experienced orthopaedic surgeon with a patient-first approach, offering shoulder replacement surgery to patients throughout the South West of WA. With consulting rooms in Bunbury and Busselton , he provides local access to advanced orthopaedic care without the need to travel far from home.

His focus is on:

Evidence-based, personalised treatment
Minimally invasive and joint-preserving techniques where possible
Long-term outcomes and quality of life

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, WA

References

Australian Orthopaedic Association National Joint Replacement Registry. Annual Report 2020 .
Saltzman BM, et al. Impact of surgical timing on outcomes in shoulder arthroplasty for osteoarthritis: A matched cohort study . J Shoulder Elbow Surg. 2021;30(5):1127–1135.

Your Surgery Day: A Step-by-Step Guide

Fri, 02 May 2025 07:00:55 GMT

By Dr Ryan du Sart – Orthopaedic Surgeon, South West WA

If you're preparing for orthopaedic surgery with Dr Ryan du Sart, it’s completely natural to feel a mix of anticipation and nerves. Understanding what will happen on the day of your procedure can ease anxiety, help you feel more confident, and ensure a smooth experience from arrival to discharge.

Whether you're undergoing a joint replacement , arthroscopy , or foot and ankle surgery , this step-by-step guide outlines what to expect on your surgery day.

1. Before You Arrive

In the days leading up to your procedure, you’ll receive detailed instructions from Dr du Sart’s team, including:

Admission time and hospital location
Fasting guidelines (typically no food or drink 6–8 hours prior to surgery)
Medications to pause or continue
What to bring: comfortable clothing, your hospital paperwork, Medicare and private health details

If you’re using the mymobility® app, ensure your phone is charged and accessible—you’ll be able to track recovery milestones post-operatively.

2. Hospital Check-In

Upon arrival at the hospital:

You’ll check in with the admissions team
A nurse will confirm your details, check vital signs, and prepare you for theatre
An anaesthetist will meet with you to discuss your anaesthetic plan (general, spinal, or local)
Dr du Sart will review the procedure with you and answer any last-minute questions

You’ll be asked to change into a surgical gown and remove any jewellery, nail polish, or contact lenses.

3. Heading to the Operating Theatre

When it’s time for your surgery:

You’ll be taken to the pre-operative area
A member of the surgical team will guide you into the operating theatre
Anaesthesia is administered under close monitoring
Dr du Sart will perform your surgery using modern, evidence-based techniques tailored to your condition

Surgery times vary by procedure—for example, a knee arthroscopy may take under an hour, while a joint replacement can take 1.5–2 hours.

4. Waking Up in Recovery

After surgery, you’ll be taken to the post-anaesthesia care unit (PACU) where:

Nurses will monitor your vital signs, pain, and surgical site
You may have a drip (IV) in place, and possibly a bandage, splint, or brace
Pain will be managed using medications as needed

Once you’re fully awake and stable, you’ll be transferred to your hospital room.

5. After Surgery: Your Hospital Stay

Depending on your procedure, you may:

Go home the same day (day surgery or minor procedures), or
Stay overnight (e.g. for joint replacement or ligament repair)

While in hospital:

You’ll be encouraged to move (usually with assistance) as soon as possible
Physiotherapists will visit to begin rehabilitation exercises
You’ll receive post-operative instructions , including pain relief, wound care, and activity restrictions

For joint replacements, the use of the Game Ready® system may also help reduce swelling and discomfort during the early recovery phase.

6. Going Home and Recovery

Before discharge:

You’ll be given a summary of your procedure
Discharge instructions and follow-up appointments will be arranged
Prescriptions for pain relief or anti-inflammatories will be provided
You’ll receive guidance on when to resume walking, showering, and normal activities

Expect a follow-up review with Dr du Sart typically 10–14 days after surgery. Depending on the surgery you’ve had you may be referred to the mymobility® app. This app will help guide your daily recovery with customised exercises, reminders, and educational content.

Tips for a Smooth Experience

✅ Organise transport home in advance
✅ Arrange support for cooking, cleaning, and mobility if needed
✅ Follow medication and fasting instructions exactly
✅ Ask questions —our team is here to help
✅ Keep moving (within limits) after surgery to support circulation and healing

You’re in Expert Hands

Dr Ryan du Sart is committed to delivering high-quality orthopaedic care using modern, minimally invasive techniques and technology. With clinics in Bunbury and Busselton , we aim to make your surgical experience as safe, comfortable, and well-supported as possible.

�� (08) 9779 9767
�� www.ryandusart.com.au
�� South Bunbury & Busselton, WA

Surgery can be a l ife-changing step toward pain relief and restored mobility. With the right preparation and support, your journey starts with confidence—and ends with better movement.