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Dr. Paul Thornton-Bott

BM MRCS FRCS FRACS FAOrthA Hip & Knee Joint Replacement Specialist

Dr. Paul Thornton-Bott Dr. Paul Thornton-Bott

Dr. Thornton-Bott is a fellowship trained Orthopaedic Surgeon with a subspecialty interest in Hip and Knee Joint Replacement surgery and Trauma Surgery.

He performs arthroscopic surgery and replacement surgery of the Knee, joint replacement surgery of the hip and has a particular interest and significant experience in Revision Joint Replacement of both hip and knee. He also performs certain foot and ankle surgeries and simple hand surgery, such as Carpal Tunnel Decompression. He has many years of experience in the management and trauma surgery of upper and lower limbs.

Orthopaedic Surgery has provided me with a remarkably privileged career. I have nearly 20 years of orthopaedic experience and never tire from the joy I get from being able to make such a difference to peoples’ lives, whether it be managing a simple fracture or giving them a new joint.

I use proven techniques to optimise patient outcomes including minimally invasive surgery, computer navigation, targeted pain control, early mobilisation and rapid recovery. This ensures my patients get the very best result from these life-changing operations, allowing them to get back to a pain free and active quality of life.

I have trained and practiced in some of the best orthopaedic hospitals in the world including The Nuffield Orthopaedic Centre and John Radcliffe Trauma Unit in Oxford, UK and The Mater Hospital in Sydney, where I have completed two lower limb joint replacement Fellowships. I have trained in all areas of orthopaedic and trauma surgery but I have extensive Fellowship training and experience in Hip and Knee surgery with an emphasis on primary and revision joint replacement surgery.

I have provided a public service to Shoalhaven Hospital in Nowra since 2015, both in emergency trauma and general orthopaedic surgery and can see both private and public patients in rooms in Nowra, Milton, Shellharbour and Sydney.

Areas of Interest

  • Joint Replacement Surgery (Arthroplasty) of the Hip and Knee.
  • Revision Arthroplasty for failed, or painful prosthetic joints.
  • Arthroscopic surgery of the knee.
  • Patient Centred Approach
  • Minimally Invasive Direct Anterior and Posterior Approach hip surgery.
  • Early Mobilization, targeted Pain control and Rapid recovery
  • Computer navigated and robot assisted surgery
  • Trauma: Fractures, special interest in Neck of Femur outcome.

Teaching and Research

I am actively involved in Medical Student, Junior doctor and Orthopaedic Registrar Training both in the Shoalhaven and in Sydney and I contribute to GP, ED and Nursing teaching locally as well.

I have a special interest in the Direct Anterior Approach to the hip and have been involved in the teaching of this technique as DAA Faculty with Cadaver training and travel both Nationally and Internationally to provide one-on-one proctoring to other surgeons wishing to learn this approach.

As a Specialist in the UK I was regularly involved in teaching and training of junior doctors and Medical Students.

Research is a very important aspect of Orthopaedic Surgery and I have been actively involved in research throughout my career. I have co-authored a substantial portfolio of clinical research and have presented many of these papers at meetings and conferences all over the world. I continue to attend such meetings to ensure my practice is kept up dated with the most current evidence based concepts and methods.

Training and Research

  • Long term results of alumina ceramic-on-ceramic bearings in cementless total hip arthroplasty: a minimum 15 year follow-up
    Paul Thornton-Bott, WL Walter, Stephen Tai, WK Walter
    Bone and Joint Journal Jan 2016

  • Direct Anterior Approach Total Hip Arthroplasty Without Traction Table: Early Results of the First 157 Cases
    P Thornton-Bott. W.L.    Walter, BA Zicat
    Bone and Joint Journal Jan 2016

  • The kinematic Relationship between sitting and standing posture and pelvic inclination and its significance to cup positioning in Total Hip Arthroplasty
    Selin Munir, Andrew Stephens, P Thornton-Bott
    Bone and Joint Journal Jan 2016

  • Alumina Ceramic on Ceramic Bearings in Cementless THA. A Minimum 10 Year Follow Up
    Eric Yeung; Paul Thornton Bott; Mark Jackson; William Walter; William Walter; and Bernard Zicat
    J Bone Joint Surg Br 2011 93-B Supp II: 127.

  • Patient Obesity: A Growing Concern of Successful Total Knee Arthroplasty
    E. Yeung. P. Thornton Bott. W.L.Walter.
    Seminars in Arthroplasty. 2010 June; 21(2):87-91

  • Ceramic on Ceramic Bearings: Only For the Hard of Hearing & Those Living alone? – Opposers
    Patient Obesity: A Growing Concern of Successful Total Knee Arthroplasty
    E. Yeung. P. Thornton Bott. W.L.Walter.
    Seminars in Arthroplasty. 2010 March ;21(1):27-32

  • History of Hip Arthoplasty
    Rishi Chana, Paul Thornton-Bott
    Book Chapter in
    Tribology and Bearing Surfaces in Total Joint Replacements
    Ed. Robert M Streicher Jan 2010

  • Short-Term Outcome in Total Knee Replacement After Soft-Tissue Release and Balancing
    Unitt L, Sambatakakis A, Johnstone D, Briggs TW; Balancer Study Grp.
    J. Bone Joint Surgery [Br] 2008 ;90(2):159-65

  • Interobserver Variation in the Measurement of Patellar Height after Total Knee Arthroplasty
    B.A. Rogers, P. Thornton-Bott P. S.R. Cannon, T.W.R. Briggs.
    J. Bone Joint Surgery [Br] 2006;88-B484-8

  • Late Presentation of a Lacerated Achilles Tendon.
    R. Chau, P. Thornton-Bott, R. Sharp.
    Injury Extra 2007;38[8]: 255-257

  • Pseudo-Patella Baja following Soft Tissue Balancing in Total Knee Arthroplasty.
    P.J. Thornton-Bott. L. Unitt, D.J. Johnstone, A. Sambatakakis.
    Ann R Coll Surg Eng 2005; 87: 484.

Presentations

Late Failure in Third Generation Alumina Ceramic Bearings.
Podium Presentation
P. Thornton-Bott, Selin Munir, A/Prof. William L. Walter, Bernard A. Zicat, and William K. Walter.
AOA ASM
Conference Centre Brisbane - Oct 2015


The Direct Anterior Approach to the Hip, Off-Table. How I Do It.
Podium Presentation
AOA COE
The Grand Hyatt, Melbourne - July 2015


Computerised Reports of Osteolysis in Ceramic on ceramic Total Hip Arthroplasty: True Lysis, Stress Shielding or Cysts?
P. Thornton-Bott, Sebastain Fung, Selin Munir, A/Prof. William L. Walter, Bernard A. Zicat, and William K. Walter.
Podium Presentation
Arthroplasty Associaltion of Australia ASM
Sheraton, Noosa NSW - May 2015


Long-Term Results of Alumina-on-Alumina Ceramic Bearings in Cementless Total Hip Arthoplasty: Have We Cured Osteolysis?
P. Thornton-Bott, Stephen M. Tai, Selin Munir, A/Prof. William L. Walter, Bernard A. Zicat, and William K. Walter.
Podium Presentations:-
AOA ASM
Exhibition & Conference Centre, Melbourne. - October 2014
NSWAOA ASM
Marriott Hotel, Sydney. August 2014
The Mater Hospital AIMS Research Day. August 2014
The Poche Centre, Sydney
International Society for Technology in Arthroplasty
Kyoto, Japan. - September 2014. (WL Walter)


Direct Anterior Approach Total Hip Arthroplasty without traction table; Early results of the first 157 cases.
P Thornton-Bott, S Tai, WL Walter, BA Zicat.
Podium Presentation:-
AOA ASM
Exhibition & Conference Centre, Melbourne. - October 2014
E-Poster:-
International Society for Technology in Arthroplasty
Kyoto, Japan. - September 2014.


Vastus Lateralis Aponeurosis Flap Augmentation of Failed Posterior Repair in Total Hip Arthroplasty for Dislocation.
P. Thornton-Bott, R. Chana, W.K. Walter, W.L. Walter.
Podium Presentation European Hip Society Conference
Marriott Hotel, Milan, Italy - June 2012


Alumina Ceramic on Ceramic Bearings in Cementless Total Hip Arthroplasty.
A Minimum of 10 Year Follow-Up
Yeung E, Thornton-Bott P, Jackson M, Walter W.L, Walter W.K, Zicat B.
Podium Presentation EFORT Congress, Madrid, Spain, May 2010.


Interobserver Variation in the Measurement of Patellar Height after Total Knee Arthroplasty
B.A.Rogers, P. Thornton-Bott P. S.R. Cannon, T.W.R. Briggs.
Podium Presentation SICOT Int. Conference, Istanbul, Sep.’05.


Pseudo-Patella Baja following Soft Tissue Balancing in Total Knee Arthroplasty.
P.J. Thornton-Bott. L. Unitt, D.J. Johnstone, A. Sambatakakis.
Poster Presentation EFORT Congress, Lisbon , Portugal. June ‘05.
Podium Presentation BOA Congress, Birmingham. Sep. 05
Podium Presentation BASK Meeting, Slough March ‘06
Podium Presentation EFORT Congress, May ‘07


Qualifications

  • BM Bachelor of Medicine and Surgery- Southampton UK’
  • MRCS Member of the Royal College of Surgeons UK
  • FRCS Fellow of The Royal College of Surgeons UK (Trauma and Orthopaedics)
  • FRACS Fellow of the Royal Australasian College of Surgeons
  • FAOrthA Fellow of the Australian Orthopaedic Association
  • Fellowship in Advanced Adult Reconstructive Surgical Techniques, The Mater Hospital, Sydney
  • Fellowship in Direct Anterior Approach to the Hip, The Mater Hospital Sydney

Registration

I am a registered medical practitioner with Australian Health Practitioner Regulation Agency (AHPRA).

Memberships

  • Australian Medical Association
  • Shoalhaven Medical Association
  • Australian Orthopaedic Association
  • American Academy of Hip and Knee Surgeons AAHKS

Personal

I am married, with 3 children and enjoy spending as much time with them as possible. I enjoy relaxing overlooking the Shoalhaven River and enjoying the local area and beaches. I split my time between Sydney and the South Coast with children heavily into sports making our time very busy.

Book a Consultation
Dr. Paul Thornton-Bott
  • The Mater Hospital, Sydney, North Sydney
  • Shellharbour Private Hospital
  • Nowra Private Hospital
  • Shoalhaven District Memorial Hospital
  • The Royal College of Surgeons
  • Royal College of Surgeons of Edinburgh
  • Royal Australasian College of Surgeons (RACS)
  • Australian Orthopaedic Association (AOA)
  • American Academy of Orthopaedic Surgeons (AAOS)
  • Medical Board of Australia
  • General Medical Council
  • Oxford University Hospitals NHS Foundation Trust
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