Dr Simon Talbot
Orthopaedic knee Surgeon
Simon is an experienced orthopaedic surgeon specialising in the treatment of knee conditions.
He completed his medical degree at Otago Medical School in New Zealand in 1994, followed by specialist training in orthopaedic surgery through the Royal Australasian College of Surgeons in 2004. In 2006 and 2007, he undertook additional fellowship training in knee surgery in Melbourne (with John Bartlett and Hayden Morris) and Belgium (with Jan Victor and Johannes Bellemans).
Since 2007, Simon has consulted at Suite 1/210 Burgundy Street in Heidelberg. He initially shared rooms with Mr John Bartlett. In 2014, Mr Bartlett retired from clinical practice and transferred the ongoing care of his patients to Simon.
Simon is also committed to his public appointment at Western Health, working across Western, Williamstown and Sunshine Hospitals. In the public system, he specialises in complex knee revision surgery and the reconstruction of traumatic knee injuries.
He places particular emphasis on open and honest communication with his patients. Appointments are scheduled to allow sufficient time to discuss all available options while minimising waiting times.
The majority of his practice involves the treatment of knee injuries and arthritis. If surgery is required, it is performed at Warringal Private Hospital, a fully equipped facility with an intensive care unit. Simon works with highly trained and experienced anaesthetists and surgical assistants. He uses the latest equipment, techniques and technology including personalised alignment techniques based on three dimensional CT imaging, computer navigated surgery and medial pivot knee replacements.
Common operations performed include:
- Knee arthroscopy (keyhole surgery)
- Anterior cruciate ligament reconstruction
- Patella stabilisation
- Total knee replacement
- Partial knee replacement
- Revision knee replacement
Simon bases his work on the highest professional and ethical standards. He is a member of several professional organisations, including the Royal Australasian College of Surgeons, the Australian Orthopaedic Association, the Asia Pacific Orthopaedic Association and the Australian Knee Society.
Simon regularly presents at national and international conferences and has a strong interest in research to improve patient outcomes and advance orthopaedic surgery. His current work focuses on improving the positioning of knee replacements using personalised three-dimensional planning, as well as developing the understanding of quadriceps malalignment.
Work History
Dr Simon Talbot finished his specialist orthopaedic training in 2004. Simon then undertook further training in knee surgery with fellowships in Melbourne (with John Bartlett and Hayden Morris) and Belgium. When John Bartlett retired, he handed over the ongoing care of his patients to Simon.
Simon performs surgery on a wide range of knee conditions including arthroscopic surgery, cruciate ligament reconstruction, patella stabilisations and knee joint replacement surgery. He performs over 500 knee operations each year, including more than 200 knee replacements and 100 ACL reconstructions.
Since completing his training in 2004, he has worked at the following hospitals:
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Grey District Hospital, West Coast, New Zealand 2005
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Melbourne Knee Fellowship Mr John Bartlett, Mr Hayden Morris 2006
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Western Health, Footscray, Sunshine and Williamstown 2006 – Ongoing
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Belgium Fellowship, Leuven Prof J. Bellemans, Dr J. Victor, Dr K. Brabants 2007
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Southern Health, Monash Clayton and Moorabin 2007 - 2009
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Alfred Health, Sandringham Hospital 2008 - 2011
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Warringal Private Hospital, Heidelberg 2007 – Ongoing
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St Vincent’s Private Hospital Kew 2011 – 2014
Publications
- Preoperative quadriceps malalignment is associated with poor outcomes after knee replacement which are avoided by external rotation of the femoral component
- Quadriceps tendon malalignment is an independent anatomical deformity which is the primary abnormality associated with lateral facet patellofemoral joint osteoarthritis
- Chronic lateral patella tracking is strongly associated with quadriceps external rotation in relation to the femoral shaft and not with wasting of the vastus medialis
- Long-Term Follow-Up of the Roux-Goldthwait Patellar Stabilization Procedure in a Predominantly Adult Population
- Augmented Reality Navigation Can Achieve Accurate Coronal Component Alignment During Total Knee Arthroplasty
- Patellar dislocation is associated with increased tibial but not femoral rotational asymmetry
- Effet plancher des auto-questionnaires pour l’évaluation des résultats des prothèses totales de genou
- Minimal important change and minimum clinically important difference values of the KOOS-12 after total knee arthroplasty
- The Ceiling Effects of Patient Reported Outcome Measures for Total Knee Arthroplasty
- The KOOS-12 Shortform Shows No Ceiling Effect, Good Responsiveness and Construct Validity Compared to Standard Outcome Measures after Total Knee Arthroplasty
- The KOOS-12 shortform shows no ceiling effect, good responsiveness and construct validity compared to standard outcome measures after total knee arthroplasty
- Sagittal stability and implant design affect patient reported outcomes following total knee arthroplasty.
- Coronal tibial alignment is linked to femoral rotational asymmetry: Implications for total knee arthroplasty surgery
- Femoral rotational asymmetry is a common anatomical variant
- Femoral Rotational Asymmetry
- Reducing Femoral Component Malrotation: Combining the Sulcus Line of the Trochlear Groove and Posterior Condylar Axis Reduces Femoral Malrotaton in Total Knee Arthroplasty by Compensatng for Femoral Asymmetry
- A novel web-support intervention to promote recovery following Anterior Cruciate Ligament Reconstruction: a pilot randomised controlled trial
- Averaging rotational landmarks during total knee arthroplasty reduces component malrotation caused by femoral asymmetry
- Combining the Sulcus line of the trochlear groove and the posterior condylar axis reduces femoral malrotation in total knee arthroplasty
- Combining the Sulcus Line and Posterior Condylar Axis Reduces Femoral Malrotation in Total Knee Arthroplasty
- Referencing the sulcus line of the trochlear groove and removing intraoperative parallax errors improve femoral component rotation in total knee arthroplasty
- Correcting parallax error to improve femoral component rotation in knee replacement
- Correcting parallax errors to improve femoral component rotation in knee replacement: improving on Whiteside's Line
- Correcting Parallax Errors to Accurately Isolate and Utilise the Rotational Alignment of the Trochlear Groove Improves Femoral Component Rotation in Knee Replacement
- Correcting Parallax Errors to Accurately Isolate and Utilise the Rotational Alignment of the Trochlear Groove Improves Femoral Component Rotation in Knee Replacement
- The sulcus line of the trochlear groove is more accurate than Whiteside's Line in determining femoral component rotation
- Use of a New High-Activity Arthroplasty Score to Assess Function of Young Patients With Total Hip or Knee Arthroplasty
- Bilateral peroneal compartment syndrome after horse riding
- The anterior surface of the femur as a new landmark for femoral component rotation in total knee arthroplasty
Presentations
- Forever Active Forum Melbourne 2018: Medial pivot anatomy
- Forever Active Forum Melbourne 2018: Medial pivot knee replacement techniques
- Forever Active Forum Melbourne 2018: Alignment techniques in knee replacement
- COKS Noosa 2017: Femoral Rotational Asymmetry
- IHKS Jakarta 2017: Femoral Rotational Asymmetry
- IHKS Jakarta 2017: Roux-Goldthwaite Procedure in Adults
- IHKS Jakarta 2017: Reducing femoral component malrotation during knee replacement
- EFORT Vienna 2016: Combining the sulcus line and the posterior condylar axis reduces femoral malrotation (registrar presented)
- COMOC Cape Town 2016: Combining the sulcus line of the trochlear groove and posterior condylar axis reduces femoral malrotation in TKA (registrar presented)
- APOA Melbourne 2016: Femoral rotation is the key
- APOA Melbourne 2016: Combining the sulcus line of the trochlear groove and posterior condylar axis reduces femoral malrotation in TKA
- AOA Melbourne 2014: Dorsal blocking wire improves the stability of K-wire construct for distal radius fractures
- AOA Brisbane 2015: Combining the sulcus line and posterior condylar axis reduces femoral malrotation in total knee arthroplasty
- AKS Byron Bay 2015: Combining the sulcus line and posterior condylar axis reduces femoral malrotation in total knee arthroplasty
- AKS Melbourne 2014: Correcting parallax errors to improve femoral component rotation in knee replacement
- ISTA Kyoto 2014: Correcting parallax errors to improve femoral component rotation in knee replacement
- AOA October 2014: Correcting parallax errors to improve femoral component rotation in knee replacement
- EFORT London 2014: Correcting parallax errors to improve femoral component rotation in total knee arthroplasty
- ESSKA Amsterdam 2014: The Sulcus Line of the Trochlear Groove Produces Accurate Femoral Component Rotation in a Large Clinical Series (Poster)
- ESSKA Amsterdam 2014: The Sulcus Line of the Trochlear Groove is More Accurate than Whiteside's Line (Poster)
- ESSKA Amsterdam 2014: Current Techniques for Determining Femoral Component Rotation During Total Knee Replacement Are Prone to Unnecessary Geometrical Errors (Poster)
- AOA Victoria Branch meeting Lorne 2014: Correcting parallax errors to improve femoral component rotation in total knee arthroplasty
- AOA Victoria Branch meeting Lorne 2014: The sulcus line of the trochlear groove produces accurate femoral component rotation in a large clinical series
- APOSSM meeting Christchurch Aug 2006: Assessment of femoral rotation using computer navigation
- NZOA 2003: Six to eleven-year follow-up of 151 THR using ABG1 femoral stems.
- NZOA 2003: Use of a High-Level Function Scoring System to Assess Comparative Function of Young Patients with Hip and Knee Replacements
- NZOA 1999: Review of periarticular tibial fractures treated with Ilizarov fixation
- NZOA 1999: Mean 4-year follow-up of 151 ABG femoral stems
Research Projects and Pioneering Techniques
- "Quadriceps Malalignment: A neglected anatomical driver of patellofemoral disease
Quadriceps malalignment is a concept that has developed out of research on three-dimensional anatomy performed by Dr Simon Talbot over the last few years.
Quadriceps malalignment describes a mismatch between the line of pull of the quadriceps muscle and the flexion axis of the knee. This creates an unbalanced force vector on the patella which leads to abnormal biomechanics. This can produce lateral patella osteoarthritis, recurrent patella instability and poor outcomes after knee replacement.
Accurately measuring this force vector and describing its clinical relevance it has changed the way we think about patellofemoral biomechanics and created several areas of controversy." Click Here to Know More About Quadriceps Malalignment - Development of a patient outcomes measure to assess the results of hip and knee replacement in highly functioning young patients. The resulting HAAS (High Activity Arthroplasty Score) has been translated into four languages.
- Improvement of the accuracy of positioning of knee replacements. Identified an error in the prior techniques for judging the rotational position of the femoral component of knee replacements. Developed Sulcus Line technique for measuring the position more accurately during surgery. The associated device has been patented and is in production (http://www.enztec.com/enztec-orthopaedic-instruments/knee-solutions/stag/). This has led to multiple publications and presentations and improved the accuracy of surgeons performing knee replacement.
- Currently assessing the clinical results from a large trial using a new generation of knee replacements known as medial pivot knees. The results are showing improved knee stability compared to previous designs and higher rates of patient satisfaction.
- Total knee replacement instrument design and assessment. Provided surgeon consultation to Advanced Surgical Design and Manufacture (ASDM, Sydney) in production of a completely new instrument set for the Active knee replacement.
Invited Conference Faculty Member
- Asia Pacific Orthopaedic Association (Melbourne, 2016)
- Indonesian Hip Knee Society (Jakarta, 2017)
- Forever Active Forum on the Future of Knee Replacements (Melbourne, 2018)
- In recent years he has presented at the Great Knee Debate (London), Personalized Arthroplasty Society (Rome), EFORT (London), EFFORT (Hamburg), International Society of Technology in Arthroplasty (Rome), London Knee Meeting, ISAKOS (Cancun and Shanghai), Asia Pacific Orthopaedic Association (Cairns) and regularly at the Australian Knee Society and Australian Orthopaedic Association meetings.
Courses & Conferences
- Australian Orthopaedic Association Victorian branch meeting, Lorne, 2014
- EFORT 2014, London, UK
- International Society for Technology in Arthroplasty (ISTA) 2014, Kyoto, Japan
- Australian Orthopaedic Association ASM, Melbourne, Australia
- Australian Knee Society 2014, Melbourne
- Basic AO course, Auckland 1999
- Smith and Nephew Winter Meeting, Surfers Paradise 2002
- Advanced AO Course2002, Queenstown
- NZOA Conference 1998, 1999, 2000, 2002, 2003
- NZ/Australia Foot and Ankle Meeting 2004, Queenstown
- APOSSM 2006
- Sydney CME April 2006
- Exeter Hip Arthroplasty Course May 2007, Exeter, UK
- ISAKOS FlorenceJune 2007, Italy
- Exeter Hip Symposium May 2007
- Innovative Concepts in Knee Joint Surgery March 2007, Munster
- Hip and Knee Revision Symposium October 2009, Gold Coast
- AOA Hobart 2008, Sydney 2012
- ISAKOS Osaka 2009, Japan
- ISAKOS Rio de Janeiro 2011, Brazil
- Melbourne Knee Fellowship Conference, 2011
Continuing Medical Education Recent Conferences Attended
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Combined Orthopaedic Knee Society (Noosa, 2017)
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Indonesian Hip Knee Society (Jakarta, 2017)
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ISAKOS (Shanghai, 2017)
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Australian Arthroplasty Association (Noosa, 2017)
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Australian Orthopaedic Association (Cairns, 2016)
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Australian Arthroplasty Society (Sydney, 2016)
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Asia Pacific Orthopaedic Association (Melbourne, 2016)
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Australian Knee Society (Byron Bay, 2015)
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Australian Orthopaedic Association (Brisbane, 2015)
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ImplantCast meeting (Mallorca, 2015)
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Australian Knee Society (Melbourne, 2015)
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ISAKOS (Rio de Janeiro, 2015)
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EFORT (London 2014)
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International Society Technology Arthroplasty (Kyoto, 2014)
Education
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St Andrew’s College, Christchurch 1983-88
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University of Otago Medical School 1989-94
Professional Organisations
- Australian Orthopaedic Association
- Australian Knee Society
- Asia Pacific Orthopaedic Association
- International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine
- Personalized Arthroplasty Society
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1/210 Burgundy Street,
Heidelberg, VIC 3084[javascript protected email address]
"Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner."