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Hindfoot Rotationplasty with Calcaneo-Sacral Fixation: a Case Study

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Hindfoot Rotationplasty with Calcaneo-Sacral Fixation: a Case Study Gazettethe THE NEWSLETTER OF THE AUSTRALIAN ORTHOTIC PROSTHETIC ASSOCIATION INC. Volume 12 - Issue 2 / June 2012 Prosthetic management of hemipelvectomy with tibia- hindfoot rotationplasty with calcaneo-sacral fixation: a case study IN THIS ISSUE President’s Report 3 Office and Membership Report 3 The Extra Ordinary General Meeting: 4 3D reconstruction demonstrating Summary of Outcome Anterior View calcaeno-sacral fixation and the new thigh segment (Kong et al., 2008). Member Biography: Louise Puli 4 The AOPA Strategic and Operational Plan: 7 Progress Report Prosthetic management of hemipelvectomy with 8-9 tibia-hindfoot rotationplasty with calcaneo-sacral fixation – a case study State Section Reports 10-11 Report on the recent review of the NSW Prosthetic 13 Limb Scheme Consultation with DVA: Mobility and Functional 13 Posterior-Lateral Support Guidelines View AOPA PEG recipient calls for volunteers 15 AOPA Member Consultation: Preliminary notification 15 Worksafe orthotic & prosthetic: policy changes 15 President’s Report Office and Membership Report As health reform progresses, the efficient and It’s hard to believe that half the year has disappeared already. The Office accountable means by which the nation’s health has been busy this last quarter progressing key areas that impact many care needs are addressed is still in a degree of flux. Association members. We have submitted a request for review to the The manner in which professions define themselves Australian Bureau of Statistics (ABS) regarding the Australian and New and demonstrate their ability to provide essential, Zealand Standard Classification of Occupations (ANZSCO) codes. These cost effective benefits for specific client groups, will codes are used to define occupations and occupational areas. They provide continue to determine shifts in professional ‘territory’ key statistics in workforce reform, and other workforce decisions, such as for many years to come. Public and private, rural and Immigration. The recent removal of orthotist/prosthetists from the immigration urban elements of our profession need to expand department’s Skilled Occupations List (SOL), which governs skilled in order to ensure continued access to professional migration, was in part due to projected workforce growth according to the orthotic and prosthetic services. ANZSCO code. The AOPA has submitted our concerns with the orthotist/ prosthetist classification, descriptors and key professional tasks. These will The AOPA National Council continues to correspond be addressed in the 2012 review, whilst a possible reclassification may be with some members who have concerns relating considered in future minor reviews. to the recent increase in membership fees. Considerable thought and discussion was given The AOPA Office and executive committee has also been heavily involved to the increase in AOPA Office capacity that was in the review of the recently released EnableNSW documents. Three Rivers minimally and reasonably required in this time of Consulting released their report of findings regarding the EnableNSW reform. The Association had significantly increased Prosthetic Limb Service. These were published on the EnableNSW website all other means of revenue generation and simultaneously with the new, draft Guidelines for PLS Funding. The AOPA limited options remained to meet these essential fully supports the recommendations made by Three Rivers Consulting demands. The AOPA Office continues to update the and looks forward to the development of an action plan for roll out and membership on developments, provide informed implementation. The response from AOPA regarding the draft Guidelines analysis and advise on proposed actions. for PLS Funding and Interim Services is available on the website and we encourage all NSW members to be familiar with AOPA’s stance regarding this The AOPA National Council and Office monitor the draft. Further detail of these consultations is provided in this edition. larger picture and designate available resources towards initiatives that are likely to ensure long term The EO in conjunction with Jackie O’Connor (AOPA Vice-president) has formal recognition and growth of our profession. begun consultation with Worksafe (Victoria) regarding the registration of Individuals amongst the wider membership are orthotist/prosthetists to provide clinical services with Worksafe. Worksafe vital contributors to this process, often alerting the falls under the Health Services Group which incorporates TAC, and much National Council to risks and opportunities as they of their new P&O policies will reflect TAC policies. We have been afforded arise. Demonstrating our professional indispensability an opportunity to provide feedback regarding these policies and have had and acting within an interdisciplinary context will positive and collegial meetings to date. Further information from Worksafe is greatly influence opportunities for growth that can provided in this edition. occur at the local level. One such way is to become involved with your Medicare Local advisory group In recent weeks you will have received your membership renewal notice. The as they work to identify how service gaps can most membership fee has increased to reflect the member vote for increased fees efficiently be met, whilst providing a referral link at the Extraordinary General Meeting (EGM) on May 3rd 2012. All fees have between GPs and the local allied health services. We increased proportionately, including the minimum part-time fee. The National are currently not formally linked in with online care Council has permitted a grace period for membership renewals this year, with plans and access to E-health records and referral an extension of the early-bird deadline to the 31st July 2012. CPD logs must systems, however our visibility, integration and local be updated and meet the minimum 30 points in order for the membership leadership in this area will prove invaluable. The renewal to be processed. Please visit the website and review your CPD log Office will provide further information and updates on status. To access your CPD record, log in using your member number for the roll-out of the Medicare Local scheme, which will your Username and your surname in upper case as your Password commence on the 1st July 2012. (ie. 927, SMITH). th Members Number The National Council are currently working through Our membership statistics as of the 7 the tasks that fall directly under the 2011/12 May 2012 are outlined in the table below. Full time 230 Strategic and Operational Plan, the details of We are pleased to report an increase Part time 32 which are outlined in this edition of the Gazette. As in membership numbers. We welcome Student 30 always, the Association is grateful for contribution student members Shane Grant, Zoe Leave of absence 21 from volunteer members and I encourage anyone Johnson, Hannah Ozturk, Matthew Retired 8 interested in furthering the profession to ensure their Quigley, Edward Levy, Emma Robinson, Life 7 and Amy-Beth Seeley and full members Total practicing names are listed on the ‘Volunteer Register’ held by 262 the Office. We will be making contact with volunteers Emily Duke, Sonia Singh, Karyn Duff, members* Total Members 328 as some of these projects begin to expand and Kate Perlstein, Natalie Hobbs, and Lynne progress. Tait to the Association. * Based on ABS census 2006, AOPA members represent 76% of the profession Richard Dyson-Holland We look forward to a productive second President, The AOPA Inc. half of the year and the progression of major Association tasks. [email protected] Please continue to make your enquiries to the Office via phone or email. Leigh Clarke and Sue Laksassi Executive Officer and Administration Officer, The AOPA Inc. [email protected] The Gazette / Volume 12 - Issue 2 / June 2012 / 3 The Extraordinary Member General Meeting: Biography: Summary of Outcome Louise Puli On the 3rd May 2012 the membership gathered across all states for an Please welcome to the stage Extraordinary General Meeting (EGM). This meeting was conducted Miss Louise Puli, a hardworking via teleconference, with a total of 11 sites and more than 80 members AOPA National Council member attending. A total of 80 votes were placed including proxies. This for the state of Victoria. Louise is represented 30% of the membership with voting rights. A single a clinician at the Royal Children’s motion was presented to the membership during this meeting: Hospital and has demonstrated unbelievable commitment by preparing a member biography for “We move to accept a change to the AOPA membership fee to the Gazette all the way from Cambodia! $620- GST inclusive, commencing 30th June 2012, and changes to all other membership fees that are calculated in reference to 1. What made you interested in P&O as a career? this fee (such as early bird and part time membership fees)”. I had no idea what I wanted to do upon graduating High This motion was proposed following National Council endorsement School… I chose P&O because it sounded so fascinating and at the March meeting to increase staff hours. Specifically, increasing varied – enough to keep me interested and not get bored! I love the Executive Officer by 8 hours per week (bringing the total to the ‘hands on’ nature of P&O, the behind the scene design and 23) and the Administrative Officer by 6 hours per week (bringing mechanical aspects of our profession. the total to 26), bringing our staff weighting to approximately 1.3 2. Tell us a bit about your clinical background, where you’ve FTE. The total cost of making these changes was projected to worked and what roles you’ve undertaken? be approximately $35,000 per annum. Therefore, the Honorary Treasurer and National Council called for membership dues to be I began my career at Sydney Children’s Hospital – a hospital increased by approximately 30% to fund the increase in staff hours. for kids situated by the beach, that’s hard to beat! I returned to With recent changes in practice, including the introduction of a Melbourne 3.5 years ago when I received a permanent position at National Congress to increase revenue, the Association’s finances the Royal Children’s Hospital.
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