He specialises in primary (initial) total hip replacement surgery (arthroplasty), partial hip replacement surgery, and revision hip replacement surgery.
In a total hip replacement, the head of the thighbone (femoral head) and the damaged socket (acetabulum) are both removed and replaced with metal, plastic, or ceramic components.
Dr Genon uses the minimally-invasive Direct Superior Approach (DSA) when performing hip replacement surgery. This muscle sparing approach for total hip replacement was developed to minimise damage to the soft tissues and muscles that are critical to the proper function of your hip and leg. The Direct Superior Approach was developed to allow the surgeon to avoid cutting key muscle groups, with the most important being the Iliotibial band and muscles referred to as external rotators.
The aim of the DSA is to attain both a better early and long-term recovery. This is achieved by; the smaller incision, muscle-sparing approach, low dislocation rates, and a low incident of damage to the sensory nerves of the thigh. The scar is usually out of view when you see yourself facing a mirror.
Dr Genon uses periarticular injection (PAI) (also known as local infiltration analgesia), which involves administering local anaesthetic and analgesics (pain relief) into the tissue of the surgical field prior to surgery. Several studies have validated the benefit of PAI on post-operative pain relief.
At the completion of a hip replacement surgery, a “Pain Buster” will be left in the hip. This is a simple balloon filled with local anaesthetic which drips into the hip for the first 2-3 days after surgery.
This technology aims to improve the accuracy and alignment of the joint implant being used during hip replacement surgery, which is known to improve the implant’s longevity and also help to produce a more consistent ligament and soft tissue balance.
The robot builds a plan based on 3-dimensional imaging of the patient’s anatomy taken a couple of weeks prior to surgery. The robot assists the surgeon in making precise bone cuts formulated from the scans. The surgeon has to show the robot where all parts of the patient’s relevant anatomy is in space. The surgeon also controls all of the robotic instruments by hand in real time. But the robot will tell the surgeon if where he or she is heading is even minutely divergent from the plan.
Yes. He consults and operates in both the private and public hospital systems and maintains a busy public hospital roster, which confers the benefit of maintaining up-to-date surgical skills.
Many people with conditions seen by Dr Genon are best managed without surgery. All surgery carries risks. Dr Genon takes a conservative approach to surgery and will exhaust all non-invasive options available before considering surgery, or as guided by the scientific evidence. He is considerate and respectful and will take the time to listen to you, and to jointly determine the best course of action.
For those that need surgery, Dr Genon is an advocate of ‘short-stay’ joint replacement. He aims to give all patients early and rapid return-to-function through the use of minimally-invasive surgical techniques and the most advanced technology available. Some of Dr Genon’s hip replacement patients may be discharged on the day of their operation if they meet certain criteria and wish to do so. He reminds his patients that it is not a race, but that patients will be discharged when considered safe to go home from both a surgical and allied health point-of-view.