Accessibility Skip to Global Navigation Skip to Local Navigation Skip to Content Skip to Search Skip to Site Map Menu

Alastair RothwellEmeritus Professor

ONZM ChM Otago FRACS FNZOA

Email alastair.rothwell@otago.ac.nz

Tel +64 3 364 1086
Fax +64 3 364 0909

Professional interests

Alastair qualified as an orthopaedic surgeon in 1973, and developed expertise in surgery for rheumatoid arthritis and hand and upper limb disorders, especially surgical restoration of upper limb and hand function for tetraplegia, for which he has gained international recognitiion.  As a result he has been a Visiting Professor or guest speaker at many national and international Conferences.

In 2006 he was made an Officer of the NZ Order of Merit for services to orthopaedic surgery.

Research interests

  • Rheumatoid Arthritis
  • Upper Limb surgery for tetraplegics
  • The New Zealand Joint Registry

Alastair has published numerous research and clinical papers on the above topics in a range of peer reviewed international journals, as well as podium presentations at national and international medical conferences.

New Zealand National Joint Registry

Founded in 1998. Collects data relating to all joint replacement procedures performed in New Zealand, including patient reported outcomes, followed for life of implant or patient. Continuous data analysis has resulted in numerous publications and presentations.

Further information on the NZ Joint Registry

Current role

  • Part time employment for Undergraduate and Postgraduate Teaching and research.

Previous role

  • Professor of Orthopaedic Surgery 1990 - 2006

^ Top of page

Publications

Snell, D. L., Hipango, J., Sinnott, K. A., Dunn, J. A., Rothwell, A., Hsieh, C. J., … Hooper, G. (2018). Rehabilitation after total joint replacement: A scoping study. Disability & Rehabilitation, 40(14), 1718-1731. doi: 10.1080/09638288.2017.1300947

Dunn, J. A., McNaughton, Q. K. M., Beadel, G. P., Simcock, J. W., Mohammed, K. D., & Rothwell, A. G. (2018). Accelerating rehabilitation times following deltoid-triceps surgery. Proceedings of the Tetrahand World Congress: Adding Quality to Life. (pp. 26). Retrieved from http://tetrahand2018.com/

Dunn, J. A., Mohammed, K. D., Beadel, G. P., Rothwell, A. G., & Simcock, J. W. (2017). A comparative outcome study of hamstring versus tibialis anterior and synthetic grafts for deltoid to triceps transfers. Journal of Hand Surgery (Am), 42(10), 833.e1-833.e9. doi: 10.1016/j.jhsa.2017.05.013

Simcock, J. W., Dunn, J. A., Buckley, N. T., Mohammed, K. D., Beadel, G. P., & Rothwell, A. G. (2017). Identification of patients with cervical SCI suitable for early nerve transfer to achieve hand opening. Spinal Cord, 55, 131-134. doi: 10.1038/sc.2016.128

Stamp, L. K., Haslett, J., Chapman, P., O'Donnell, J., Raja, R., Rothwell, A., Frampton, C., & Hooper, G. (2017). Rates of joint replacement surgery in New Zealand, 1999-2015: A comparison of rheumatoid arthritis and osteoarthritis. Journal of Rheumatology, 44(12), 1823-1827. doi: 10.3899/jrheum.170551

Journal - Research Article

Snell, D. L., Hipango, J., Sinnott, K. A., Dunn, J. A., Rothwell, A., Hsieh, C. J., … Hooper, G. (2018). Rehabilitation after total joint replacement: A scoping study. Disability & Rehabilitation, 40(14), 1718-1731. doi: 10.1080/09638288.2017.1300947

Dunn, J. A., Mohammed, K. D., Beadel, G. P., Rothwell, A. G., & Simcock, J. W. (2017). A comparative outcome study of hamstring versus tibialis anterior and synthetic grafts for deltoid to triceps transfers. Journal of Hand Surgery (Am), 42(10), 833.e1-833.e9. doi: 10.1016/j.jhsa.2017.05.013

Stamp, L. K., Haslett, J., Chapman, P., O'Donnell, J., Raja, R., Rothwell, A., Frampton, C., & Hooper, G. (2017). Rates of joint replacement surgery in New Zealand, 1999-2015: A comparison of rheumatoid arthritis and osteoarthritis. Journal of Rheumatology, 44(12), 1823-1827. doi: 10.3899/jrheum.170551

Simcock, J. W., Dunn, J. A., Buckley, N. T., Mohammed, K. D., Beadel, G. P., & Rothwell, A. G. (2017). Identification of patients with cervical SCI suitable for early nerve transfer to achieve hand opening. Spinal Cord, 55, 131-134. doi: 10.1038/sc.2016.128

Hider, P., Frampton, C., Theis, J.-C., Wilson, L., & Rothwell, A. (2016). Perioperative mortality in New Zealand related to hip and knee replacement surgery: Comparing administrative and registry data. New Zealand Medical Journal, 129(1432), 33-40. Retrieved from https://www.nzma.org.nz/journal

Dunn, J. A., Sinnott, K. A., Rothwell, A. G., Mohammed, K. D., & Simcock, J. W. (2016). Tendon transfer surgery for people with tetraplegia: An overview. Archives of Physical Medicine & Rehabilitation, 97(6, Suppl. 2), S75-S80. doi: 10.1016/j.apmr.2016.01.034

Hooper, G., Lee, A. J.-J., Rothwell, A., & Frampton, C. (2014). Current trends and projections in the utilisation rates of hip and knee replacement in New Zealand from 2001 to 2026. New Zealand Medical Journal, 127(1401). Retrieved from http://www.nzma.org.nz/journal

Sinnott, K. A., Dunn, J. A., Rothwell, A. G., Hall, A. S., & Post, M. W. M. (2014). The development of the NZ-based International Upper Limb Surgery Registry. Spinal Cord, 52(8), 611-615. doi: 10.1038/sc.2014.57

Wyatt, J. M., Hooper, G., Frampton, C., & Rothwell, A. (2014). Survival outcomes of cemented compared to uncemented stems in primary total hip replacement. World Journal of Orthopedics, 5(5), 591-596. doi: 10.5312/wjo.v5.i5.591

Dunn, J. A., Rothwell, A. G., Mohammed, K. D., & Sinnott, K. A. (2014). The effects of aging on upper limb tendon transfers in patients with tetraplegia. Journal of Hand Surgery (Am), 39(2), 317-323. doi: 10.1016/j.jhsa.2013.11.037

Inglis, T., Dalzell, K., Hooper, G., Rothwell, A., & Frampton, C. (2013). Does orthopedic training compromise the outcome in total hip arthroplasty? Journal of Surgical Education, 70(1), 76-80. doi: 10.1016/j.jsurg.2012.08.003

Hooper, G. J., Rothwell, A. G., Hooper, N. M., & Frampton, C. (2012). The relationship between the American Society of Anesthesiologists physical rating and outcome following total hip and knee arthroplasty: An analysis of the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Am), 94(12), 1065-1070. doi: 10.2106/JBJS.J.01681

Pearse, A. J., Hooper, G. J., Rothwell, A. G., & Frampton, C. (2012). Osteotomy and unicompartmental knee arthroplasty converted to total knee arthroplasty: Data from the New Zealand Joint Registry. Journal of Arthroplasty, 27(10), 1827-1831. doi: 10.1016/j.arth.2012.05.031

Graves, S. E., Rothwell, A., Tucker, K., Jacobs, J. J., & Sedrakyan, A. (2011). A multinational assessment of metal-on-metal bearings in hip replacement. Journal of Bone & Joint Surgery (Am), 93(Suppl. 3), 43-47. doi: 10.2106/JBJS.K.01220

Rolfson, O., Rothwell, A., Sedrakyan, A., Chenok, K. E., Bohm, E., Bozic, K. J., & Garellick, G. (2011). Use of patient-reported outcomes in the context of different levels of data. Journal of Bone & Joint Surgery (Am), 93(Suppl. 3), 66-71. doi: 10.2106/JBJS.K.01021

Hooper, G. J., Rothwell, A. G., Frampton, C., & Wyatt, M. C. (2011). Does the use of laminar flow and space suits reduce early deep infection after total hip and knee replacement? The ten-year results of the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 93-B(1), 85-90. doi: 10.1302/0301-620X.93B1.24862

Dunn, J. A., Hay-Smith, E. J. C., Whitehead, L. C., Keeling, S., & Rothwell, A. G. (2010). Upper limb reconstructive surgery uptake for persons with tetraplegia in New Zealand: A retrospective case review 2001-2005. Spinal Cord, 48(11), 832-837. doi: 10.1038/sc.2010.15

Rothwell, A. G., Hooper, G. J., Hobbs, A., & Frampton, C. M. (2010). An analysis of the Oxford hip and knee scores and their relationship to early joint revision in the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 92-B(3), 413-418. doi: 10.1302/0301-620x.92b3.22913

Pearse, A. J., Hooper, G. J., Rothwell, A., & Frampton, C. (2010). Survival and functional outcome after revision of a unicompartmental to a total knee replacement: The New Zealand National Joint Registry. Journal of Bone & Joint Surgery (Br), 92-B(4), 508-512. doi: 10.1302/0301-620X.92B4.22659

Hooper, G. J., Rothwell, A. G., Stringer, M., & Frampton, C. (2009). Revision following cemented and uncemented primary total hip replacement: A seven-year analysis from the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 91-B(4), 451-458. doi: 10.1302/0301-620X.91B4.21363

Fransen, M., Neal, B., Cameron, I. D., Crawford, R., Tregonning, G., Winstanley, J., … on behalf of the HIPAID Collaborative Group, including Rothwell, A., & Theis, J.-C. (2009). Determinants of heterotopic ossification after total hip replacement surgery. HIP International, 19(1), 41-46.

Hooper, G., Rothwell, A., & Frampton, C. (2009). The low contact stress mobile-bearing total knee replacement: A prospective study with a minimum follow-up of ten years. Journal of Bone & Joint Surgery (Br), 91-B(1), 58-63. doi: 10.1302/0301-620X.91B1

Sinnott, K. A., Brander, P., Siegert, R. J., Rothwell, A. G., & De Jong, G. (2009). Life impacts following reconstructive hand surgery for tetraplegia. Topics in Spinal Cord Injury Rehabilitation, 15(2), 90-97. doi: 10.1310/sci1502-90

Hooper, G. J., Hooper, N. M., Rothwell, A. G., & Hobbs, T. (2009). Bilateral total joint arthroplasty: The early results from the New Zealand National Joint Registry. Journal of Arthroplasty, 24(8), 1174-1177. doi: 10.1016/j/arth.2008.09.022

Dunn, J. A., Sinnott, K. A., Bryden, A. M., Connolly, S. J., & Rothwell, A. G. (2008). Measurement issues related to upper limb interventions in persons who have tetraplegia. Hand Clinics, 24(2), 161-168. doi: 10.1016/j.hcl.2008.01.005

Hosman, A. H., Mason, R. B., Hobbs, T., & Rothwell, A. G. (2007). A New Zealand national joint registry review of 202 total ankle replacements followed for up to 6 years. Acta Orthopaedica, 78(5), 584-591. doi: 10.1080/17453670710014266

Hock, B. D., O'Donnell, J. L., Taylor, K., Steinkasserer, A., McKenzie, J. L., Rothwell, A. G., & Summers, K. L. (2006). Levels of the soluble forms of CD80, CD86, and CD83 are elevated in the synovial fluid of rheumatoid arthritis patients. Tissue Antigens, 67(1), 57-60. doi: 10.1111/j.1399-0039.2005.00524.x

Thwaites, J. H., Mann, F., Gilchrist, N., Frampton, C., Rothwell, A., & Sainsbury, R. (2005). Shared care between geriatricians and orthopaedic surgeons as a model of care for older patients with hip fractures. New Zealand Medical Journal, 118(1214). Retrieved from http://journal.nzma.org.nz/journal/118-1214/1438/content.pdf

Gooding, A., Coates, M., & Rothwell, A. (2004). Cost analysis of traditional follow-up protocol versus MRI for radiographically occult scaphoid fractures: A pilot study for the Accident Compensation Corporation. New Zealand Medical Journal, 117(1201). Retrieved from http://journal.nzma.org.nz/journal/117-1201/1049/content.pdf

Everts, R. J., Chambers, S. T., Murdoch, D. R., Rothwell, A. G., & McKie, J. (2004). Successful antimicrobial therapy and implant retention for streptococcal infection of prosthetic joints. ANZ Journal of Surgery, 74, 210-214.

Sinnott, K. A., Dunn, J. A., & Rothwell, A. G. (2004). Use of the ICF conceptual framework to interpret hand function outcomes following tendon transfer surgery for tetraplegia. Spinal Cord, 42(7), 396-400.

Rothwell, A., Sinnott, A., Mohammed, K. D., Dunn, J. A., & Sinclair, S. (2003). Upper limb surgery for tetraplegia: A 10-year re-review of hand function. Journal of Hand Surgery (Am), 28A, 489-497.

Heaton, D. C., Robertson, R. W., & Rothwell, A. (2000). Iliopsoas haemophiliac pseudotumours with bowel fistulation. Haemophilia, 6, 41-43.

Rothwell, A. (1999). Development of the New Zealand Joint Register. Bulletin Hospital for Joint Diseases, 58(3).

Knight, P., & Rothwell, A. G. (1998). Intrasound vibration in the early diagnosis of scaphoid fracture. Journal of Hand Surgery (Am), 23A(2), 233-235.

Rothwell, A., & Sinclair, S. (1998). Options when brachioradialis sole available transfer in the tetraplegic. Journal of Bone & Joint Surgery (Br), 79 - B(V), 390.

Rothwell, A., & Sinclair, S. (1997). Upper limb surgery for tetraplegia. Tendon Operative Orthopaedics & Traumatology, 9, 199-212.

Rothwell, A. G., Cragg, K. J., & O'Neill, L. B. (1997). Hand function following silastic arthroplasty of the metacarpophalangeal joints in the rheumatoid hand. Journal of Hand Surgery (Am), 22B(1), 90-93.

Jagose, J. T., Bailey, R. R., & Rothwell, A. (1997). Alkaptonuria with ochronotic nephropathy and multiple joint replacement for ochronotic arthropathy. New Zealand Medical Journal, 110(1046), 235-236.

Rothwell, A., O'Neill, L. N., & Cragg, K. (1996). Sauve Kapandji procedure for the distal radioulnar joint: a simplified technique. Journal of Hand Surgery (Am), 21A, 771-777.

Elliott, J. M., Wilkinson, T. J., Hanger, H. C., Gilchrist, N. L., Sainsbury, R., Shamy, S., & Rothwell, A. (1996). The added effectiveness of early geriatrician involvement on acute orthopaedic wards to orthogeriatric rehabilitation. New Zealand Medical Journal, 109(1017), 72-73.

^ Top of page

Journal - Research Other

Lieber, R. L., Friden, J., Hobbs, T., & Rothwell, A. (2003). Analysis of posterior deltoid function one year after surgical restoration of elbow extension. Journal of Hand Surgery (Am), 28A, 288-293.

^ Top of page

Journal - Professional & Other Non-Research Articles

Rothwell, A. G. (2008). Dedication: Alan Maxwell Clarke (1932-2007). Hand Clinics, 24(2), ix-x. doi: 10.1016/j.hcl.2008.01.002

^ Top of page

Conference Contribution - Published proceedings: Abstract

Dunn, J. A., McNaughton, Q. K. M., Beadel, G. P., Simcock, J. W., Mohammed, K. D., & Rothwell, A. G. (2018). Accelerating rehabilitation times following deltoid-triceps surgery. Proceedings of the Tetrahand World Congress: Adding Quality to Life. (pp. 26). Retrieved from http://tetrahand2018.com/

Snell, D., Sinnott, A., Dunn, J., Hsieh, J. T., Rothwell, A., DeJong, G., & Hooper, G. (2017). Rehabilitation after joint replacement in New Zealand: A national survey [Plenary]. Proceedings of the New Zealand Rehabilitation Conference: Making an Impact: Putting Knowledge to Work in Rehabilitation. Retrieved from http://www.nzrehabconference2017.co.nz/nzrc17

Mohammed, K., Rothwell, A. G., & Frampton, C. (2013). SMR anatomic TSR with metal back glenoid: Results of the New Zealand Joint Registry. Proceedings of the 12th International Congress of Shoulder and Elbow Surgery (ICSES). Retrieved from http://www.myschedule.jp/icses2013/

Hooper, G., Rothwell, A., Martin, P., & Frampton, C. (2011). Revision of cemented and cementless total knee replacement: A comparison of survival rates and reason for revision from the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 93-B(Suppl. III), (pp. 375). [Abstract]

Hooper, G., Pearse, A., Rothwell, A., & Frampton, C. (2011). Osteotomy and unicompartmental knee replacement converted to total knee replacement: Data from the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 93-B(Suppl. III), (pp. 374). [Abstract]

Rothwell, A., Hooper, G., Frampton, C., & Hobbs, T. (2010). The relationship between Oxford 12 scores and early revision for primary hip and knee arthroplasty. Journal of Bone & Joint Surgery (Br), 92-B(Suppl. I), (pp. 223). [Abstract]

Hooper, G., Stringer, M., & Rothwell, A. (2009). Early revision for cemented & cement-less primary total hip arthroplasty: An analysis of the New Zealand Joint Registry. Journal of Bone & Joint Surgery (Br), 91-B(Suppl. II), (pp. 336-337). [Abstract]

More publications...