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DSM staff profile

Professor David Gwynne-Jones

PositionClinical Leader, Orthopaedic Department, Dunedin Hospital
DepartmentDepartment of Surgical Sciences (Dunedin)
QualificationsMA(Cantab) BM BCh(Oxon) MD (Otago) FRCS FRACS (Orth)
Research summaryOrthopaedic surgery especially hip and knee arthroplasty, orthopaedic services delivery
Teaching
  • Convenor Musculoskeletal module Advanced Learning in Medicine (ALM) 5
  • Trainee interns
  • Orthopaedic trainees
  • Arthroplasty Fellows
ClinicalOrthopaedic surgery subspecialising in hip and knee arthroplasty

Research

My main research interest lies in clinical orthopaedic surgery. Within this large field my interests have included lower limb arthroplasty, carpal tunnel syndrome, tendon injuries and screening of hip dysplasia.

My MD thesis Managing the Demand for Elective Orthopaedic Surgery: Challenges, Strategies, and Results in New Zealand comprises 37 publications looking at drivers of demand, improving non-operative management of hip and knee osteoarthritis, prioritisation tools, improving perioperative management and long term outcomes of hip and knee replacement.

Additional details

David's role is both clinical and academic.

Publications

Roxburgh, B. H., Campbell, H. A., Cotter, J. D., Reymann, U., Williams, M. J. A., Gwynne-Jones, D., & Thomas, K. N. (2021). The absolute and relative reliability of hand-held dynamometry in patients with severe lower-limb osteoarthritis scheduled for total joint replacement surgery. International Journal of Research in Exercise Physiology, 16(2), 81-91. Retrieved from https://ijrep.org

Wilson, R. A., Gwynne-Jones, D. P., Sullivan, T., & Abbott, J. H. (2021). Total hip and knee arthroplasty are highly cost-effective procedures: The importance of duration of follow-up. Journal of Arthroplasty. Advance online publication. doi: 10.1016/j.arth.2021.01.038

Roxburgh, B. H., Campbell, H. A., Cotter, J. D., Reymann, U., Williams, M. J. A., Gwynne-Jones, D., & Thomas, K. N. (2021). Cardiopulmonary exercise testing in severe osteoarthritis: A crossover comparison of four exercise modalities. Anaesthesia, 76, 72-81. doi: 10.1111/anae.15162

Chua, J., Hansen, P., Briggs, A. M., Wilson, R., & Gwynne-Jones, D. (2020). Stakeholders’ preferences for osteoarthritis interventions in health services: A cross-sectional study using multi-criteria decision analysis. Osteoarthritis & Cartilage Open. Advance online publication. doi: 10.1016/j.ocarto.2020.100110

Gwynne-Jones, D. P., & Memon, A. (2020). Acetabular liner dissociation: A comparative study of two contemporary uncemented acetabular components. Arthroplasty Today, 6(3), 354-359. doi: 10.1016/j.artd.2020.04.016

Roxburgh, B. H., Campbell, H. A., Cotter, J. D., Reymann, U., Williams, M. J. A., Gwynne-Jones, D., & Thomas, K. N. (2021). Cardiopulmonary exercise testing in severe osteoarthritis: A crossover comparison of four exercise modalities. Anaesthesia, 76, 72-81. doi: 10.1111/anae.15162

Journal - Research Article

Roxburgh, B. H., Campbell, H. A., Cotter, J. D., Reymann, U., Williams, M. J. A., Gwynne-Jones, D., & Thomas, K. N. (2021). The absolute and relative reliability of hand-held dynamometry in patients with severe lower-limb osteoarthritis scheduled for total joint replacement surgery. International Journal of Research in Exercise Physiology, 16(2), 81-91. Retrieved from https://ijrep.org

Journal - Research Article

Wilson, R. A., Gwynne-Jones, D. P., Sullivan, T., & Abbott, J. H. (2021). Total hip and knee arthroplasty are highly cost-effective procedures: The importance of duration of follow-up. Journal of Arthroplasty. Advance online publication. doi: 10.1016/j.arth.2021.01.038

Journal - Research Article

Chua, J., Hansen, P., Briggs, A. M., Wilson, R., & Gwynne-Jones, D. (2020). Stakeholders’ preferences for osteoarthritis interventions in health services: A cross-sectional study using multi-criteria decision analysis. Osteoarthritis & Cartilage Open. Advance online publication. doi: 10.1016/j.ocarto.2020.100110

Journal - Research Article

Gwynne Jones, J. H., Wilson, R. A., Wong, J. M. Y., Abbott, J. H., & Gwynne-Jones, D. P. (2020). The outcomes of non-operative management of patients with hip and knee osteoarthritis triaged to a physiotherapy-led clinic at minimum 5-year follow-up and factors associated with progression to surgery. Journal of Arthroplasty, 35, 1497-1503. doi: 10.1016/j.arth.2020.01.086

Journal - Research Article

Gwynne-Jones, D. P., & Gray, A. R. (2020). Cemented or uncemented acetabular fixation in combination with the Exeter Universal cemented stem: Long-term survival to 18 years. Bone & Joint Journal, 102-B(4), 414-422. doi: 10.1302/0301-620X.102B4.BJJ-2019-0656.R1

Journal - Research Article

Gwynne-Jones, D. P., & Memon, A. (2020). Acetabular liner dissociation: A comparative study of two contemporary uncemented acetabular components. Arthroplasty Today, 6(3), 354-359. doi: 10.1016/j.artd.2020.04.016

Journal - Research Article

Gwynne-Jones, D. P., Gwynne-Jones, J. H., & Wilson, R. A. (2020). The functional outcomes of patients with knee osteoarthritis managed nonoperatively at the Joint Clinic at 5-year follow-up: Does surgical avoidance mean success? Journal of Arthroplasty, 35, 2350-2356. doi: 10.1016/j.arth.2020.04.087

Journal - Research Article

Gwynne-Jones, D. P., Sullivan, T., Wilson, R., & Abbott, J. H. (2020). The relationship between preoperative Oxford Hip and Knee Score and change in health-related quality of life after total hip and total knee arthroplasty: Can it help inform rationing decisions? Arthroplasty Today, 6, 585-589. doi: 10.1016/j.artd.2020.04.009

Journal - Research Article

Gwynne-Jones, D. P., Wilson, R., & McEwan, C. (2020). National Referral Prioritization tool for first specialist assessment: Results of a pilot study in orthopaedic surgery. ANZ Journal of Surgery, 90, 1738-1742. doi: 10.1111/ans.16002

Journal - Research Article

Merrett, A., Keys, J., Crane, C., & Gwynne Jones, D. (2020). Non-resident orthopaedic admissions to Dunedin Hospital 1997 to 2017 and Southland Hospital 2011 to 2017. New Zealand Medical Journal, 133(1514), 41-48. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Article

Abbott, J. H., Ward, A. L., Crane, C., Chapple, C. M., Stout, K., Hutton, L., … Harcombe, H., Ribeiro, D. C., & Gwynne Jones, D. (2019). Implementation of a 'Joint Clinic' to resolve unmet need for orthopaedic services in patients with hip and knee osteoarthritis: A program evaluation. BMC Musculoskeletal Disorders, 20(1), 324. doi: 10.1186/s12891-019-2702-1

Journal - Research Article

Fowler, A.-K., Gray, A. R., & Gwynne-Jones, D. P. (2019). Hybrid fixation for total hip arthroplasty showed improved survival over cemented and uncemented fixation: A single centre survival analysis of 2156 hips at 12-18 years. Journal of Arthroplasty, 34(11), 2711-2717. doi: 10.1016/j.arth.2019.06.031

Journal - Research Article

Abbott, J. H., Hobbs, C., Gwynne-Jones, D., on behalf of the MOA Trial Team. (2018). The ShortMAC: Minimum important change of a reduced version of the Western Ontario and McMaster Universities osteoarthritis index. Journal of Orthopaedic & Sports Physical Therapy, 48(2), 81-86. doi: 10.2519/jospt.2018.7676

Journal - Research Article

Gwynne-Jones, D. P., Gray, A. R., Hutton, L. R., Stout, K. M., & Abbott, J. H. (2018). Outcomes and factors influencing response to an individualised multidisciplinary chronic disease management program for hip and knee osteoarthritis. Journal of Arthroplasty, 33(9), 2780-2786. doi: 10.1016/j.arth.2018.04.011

Journal - Research Article

Gwynne-Jones, D. P., Hutton, L. R., Stout, K. M., & Abbott, J. H. (2018). The Joint Clinic: Managing excess demand for hip and knee osteoarthritis referrals using a new physiotherapy-led outpatient service. Journal of Arthroplasty, 33(4), 983-987. doi: 10.1016/j.arth.2017.11.034

Journal - Research Article

Anitelea, T., Iosua, E., Ebramjee, A., & Gwynne-Jones, D. (2017). The outcomes of patients returned to general practitioner after being declined hip and knee replacement. New Zealand Medical Journal, 130(1464), 25-32. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Article

Gwynne-Jones, D. P., Lash, H. W. R., James, A. W., Iosua, E. E., & Matheson, J. A. (2017). The Morscher Press Fit Acetabular component: An independent long term review at 18 -22 years. Journal of Arthroplasty, 32(8), 2444-2449. doi: 10.1016/j.arth.2017.02.052

Journal - Research Article

Gwynne-Jones, D. P., Martin, G., & Crane, C. (2017). Enhanced recovery after surgery for hip and knee replacements. Orthopaedic Nursing, 36(3), 203-210. doi: 10.1097/nor.0000000000000351

Journal - Research Article

Houlder, E. L., Millier, M. J., Highton, J., Gwynne-Jones, D., Stamp, L. K., & Hessian, P. A. (2017). Expression of the genes facilitating methotrexate action within subcutaneous rheumatoid nodules. Clinical & Experimental Rheumatology, 35(6), 943-947.

Journal - Research Article

Lim, C. S., Lees, D., & Gwynne-Jones, D. P. (2017). Functional outcome of acute Achilles tendon rupture with and without operative treatment using identical functional bracing protocol. Foot & Ankle International, 38(12), 1331-1336. doi: 10.1177/1071100717728687

Journal - Research Article

Gwynne-Jones, D. P., Iosua, E. E., & Stout, K. M. (2016). Rationing for total hip and knee arthroplasty using the New Zealand Orthopaedic Association score: Effectiveness and comparison with patient-reported scores. Journal of Arthroplasty, 31(5), 957-962. doi: 10.1016/j.arth.2015.11.022

Journal - Research Article

Gwynne-Jones, D., & Iosua, E. (2016). Rationing of hip and knee replacement: Effect on the severity of patient-reported symptoms and the demand for surgery in Otago. New Zealand Medical Journal, 129(1432), 59-66. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Article

Harcombe, H., Davie, G., Derrett, S., Abbott, H., & Gwynne-Jones, D. (2016). Equity of publicly-funded hip and knee joint replacement surgery in New Zealand: Results from a national observational study. New Zealand Medical Journal, 129(1442), 8-18. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Article

English, J. H. J., & Gwynne-Jones, D. P. (2015). Incidence of carpal tunnel syndrome requiring surgical decompression: A 10.5-year review of 2,309 patients. Journal of Hand Surgery (Am), 40(12), 2427-2434. doi: 10.1016/j.jhsa.2015.07.029

Journal - Research Article

Gwynne-Jones, D. (2013). Quantifying the demand for hip and knee replacement in Otago, New Zealand. New Zealand Medical Journal, 126(1377). Retrieved from http://www.nzma.org.nz/journal

Journal - Research Article

Wyatt, M. C., Gwynne-Jones, D. P., & Veale, G. A. (2012). Lamb boning: An occupational cause of carpal tunnel syndrome? Journal of Hand Surgery (E), 38(1), 61-66. doi: 10.1177/1753193412446885

Journal - Research Article

Gwynne Jones, D., Sims, M., & Handcock, D. (2011). Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical function bracing protocol. Foot & Ankle International, 32(4), 337-343. doi: 10.3113/FAI.2011.0337

Journal - Research Article

Kieser, D. C., Gwynne-Jones, D., & Dreyer, S. (2011). Displaced tibial intercondylar eminence fractures. Journal of Orthopaedic Surgery, 19(3), 292-296.

Journal - Research Article

Gwynne-Jones, D. P., Garneti, N., Wainwright, C., Matheson, J. A., & King, R. (2009). The Morscher Press Fit acetabular component: A nine- to 13- year review. Journal of Bone & Joint Surgery (Br), 91-B(7), 859-864. doi: 10.1302/0301-620X.91B7.22013

Journal - Research Article

Gwynne-Jones, D., Garneti, N., & Wyatt, M. (2009). Closed tibialis anterior tendon rupture: A case series. Foot & Ankle International, 30(8), 758-762. doi: 10.3113/FAI.2009.0758

Journal - Research Article

Gwynne Jones, D. P., & Hartnett, N. I. (2008). Aberrant radial artery seen in the carpal tunnel at carpal tunnel decompression: Case report. Journal of Hand Surgery (Am), 33A, 885-887. doi: 10.1016/j.jhsa.2008.02.005

Journal - Research Article

Gwynne Jones, D. P., Savage, R. L., & Highton, J. (2008). Alendronate-induced synovitis. Journal of Rheumatology, 35(3), 537-538.

Journal - Research Article

Gwynne-Jones, D. P., Draffin, J., Vane, A. G. S., Craig, R. A., & McMahon, S. F. (2008). Failure strengths of concentric and eccentric implants for hamstring graft fixation. ANZ Journal of Surgery, 78, 177-181. doi: 10.1111/j.1445-2197.2007.04397.x

Journal - Research Article

Gwynne-Jones, D., Lyall, P., Hung, N. A., & Meikle, G. (2008). Accidental human injection of Excenel RTUTM: Ceftiofur hydrochloride in cottonseed oil. Clinical Toxicology, 46, 908-910. doi: 10.1080/15563650801955278

Journal - Research Article

Craig, R. A., Gwynne-Jones, D. P., Oakley, A. P., & Dunbar, J. D. (2007). Iliotibial band Z-lengthening for refractory trochanteric bursitis (greater trochanteric pain syndrome). ANZ Journal of Surgery, 77, 996-998.

Journal - Research Article

Gwynne Jones, D. P. (2006). Bilateral palmaris profundus in association with bifid median nerve as a cause of failed carpal tunnel release. Journal of Hand Surgery (Am), 31A, 741-743.

Journal - Research Article

Gwynne Jones, D. P., Dunbar, J. D., & Theis, J.-C. (2006). Late presenting dislocation of sonographically stable hips. Journal of Pediatric Orthopaedics B, 15, 257-261.

Journal - Research Article

Gwynne Jones, D. P., Locke, C., Pennington, J., & Theis, J.-C. (2006). The effect of sagittal laxity on function after posterior cruciate-retaining total knee arthroplasty. Journal of Arthroplasty, 21(5), 719-723.

Journal - Research Article

Gwynne Jones, D. P., Vane, A. G. S., Coulter, G., Herbison, P., & Dunbar, J. D. (2006). Ultrasound measurements in the management of unstable hips treated with the Pavlik harness: Reliability and correlation with outcome. Journal of Pediatric Orthopaedics, 26(6), 818-822.

Journal - Research Article

Gwynne-Jones, D. P., Penny, I. D., Sewell, S. A., & Hughes, T. H. (2006). Basal thumb metacarpal osteotomy for trapeziometacarpal osteoarthritis. Journal of Orthopaedic Surgery, 14(1), 58-63.

Journal - Research Article

Gwynne Jones, D. (2005). Non-resident orthopaedic admissions to Dunedin Hospital, New Zealand: 1997 to 2004. New Zealand Medical Journal, 118(1217). Retrieved from http://journal.nzma.org.nz/journal/118-1217/1531/content.pdf

Journal - Research Article

Gwynne Jones, D., Savage, R., & Highton, J. (2005). Synovitis induced by alendronic acid can present as acute carpal tunnel syndrome. BMJ, 330, 7482, 74. doi: 10.1136/bmj.330.7482.74

Journal - Research Article

Gwynne-Jones, D. P. (2005). Displaced olecranon apophyseal fractures in children with osteogenesis imperfecta. Journal of Pediatric Orthopaedics, 25(2), 154-157.

Journal - Research Article

Gwynne-Jones, D. P., Theis, J. C., Jeffery, A. K., & Hung, N. A. (2005). Long-term follow-up of a recurrent multifocal desmoid tumour treated with tamoxifen: A case report. Journal of Orthopaedic Surgery, 13(2), 174-177.

Journal - Research Article

Pai, V. S., Gwynne-Jones, D. P., & Theis, J.-C. (2005). Femoral elastic nailing in the older child: Proceed with caution. Injury Extra, 36, 185-189.

Journal - Research Article

Townshend, D. N., Taylor, P. K., & Gwynne-Jones, D. P. (2005). The outcome of carpal tunnel decompression in elderly patients. Journal of Hand Surgery (Am), 30A, 500-505.

Journal - Research Article

Vane, A. G. S., Gwynne Jones, D. P., Dunbar, J. D., & Theis, J.-C. (2005). The diagnosis and management of neonatal hip instability: Results of a clinical and targeted ultrasound screening program. Journal of Pediatric Orthopaedics, 25(3), 292-295.

Journal - Research Article

Pennington, J., Gwynne-Jones, D. P., & McIntyre, S. (2003). Clinical pathways in total knee arthroplasty: A New Zealand experience. Journal of Orthopaedic Surgery, 11(2), 166-173.

Journal - Research Article

Gwynne-Jones, D. P., Robertson, P. A., Lunt, B., & Jackson, S. A. (2000). Radiation exposure during fluoroscopically assisted pedicle screw placement. Spine, 25, 5-9.

Journal - Research Article

Gwynne-Jones, D. P., & Stott, N. (1999). Deep musculoskeletal infection with community acquired methicillin resistant staphylococcus aureus: an emerging problem. Journal of Pediatric Orthopaedics, 19, 413-416.

Journal - Research Article

Gwynne-Jones, D. P., & Stoddart, J. R. (1998). Radiation use in the orthopaedic theatre a prospective audit. Australian & New Zealand Journal of Surgery, 68, 782-784.

Journal - Research Article

Gwynne Jones, D. P. (1996). Accidental self inoculation with oil based veterinary vaccines. New Zealand Medical Journal, 109(1030), 363-365.

Journal - Research Article

Falk, G. L., Gwynne-Jones, D., & Gray, J. G. (1989). Efficacy of tamoxifen as the primary treatment of operable breast cancer in the high risk patient. Australian & New Zealand Journal of Surgery, 59, 543-545.

Journal - Research Article

Buhler, M., Chapple, C. M., Stebbings, S., Adams, J., Gwynne-Jones, D., & Baxter, G. D. (2020). Splinting for thumb carpometacarpal osteoarthritis: Protocol for a feasibility randomized controlled trial. Physical Therapy Reviews, 25(3), 196-204. doi: 10.1080/10833196.2020.1763662

Journal - Research Other

Gwynne-Jones, D. P., Gwynne Jones, J. H., & Wilson, R. A. (2020). Response to letter to the editor on 'The functional outcomes of patients with knee osteoarthritis managed non-operatively at the Joint Clinic at 5 year follow up: Does surgical avoidance mean success?'. Journal of Arthroplasty, 35(10), 3060-3061. doi: 10.1016/j.arth.2020.05.054

Journal - Research Other

Gwynne-Jones, D., & Hooper, G. (2019). The projected burden of knee osteoarthritis in New Zealand: Healthcare expenditure and total joint provision. New Zealand Medical Journal, 132(1506), 101-103. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Other

Williams, A., Arnold, B., & Gwynne-Jones, D. P. (2019). Mycobacterium bovis infection of total hip arthroplasty after intravesicular Bacillus Calmette-Guérin. Arthroplasty Today, 5, 416-420. doi: 10.1016/j.artd.2019.08.004

Journal - Research Other

Irving, A. K., Gwynne-Jones, D., Osipov, V., & Nicholson, M. L. (2012). Juxta-articular myxoma of the palm. Journal of Surgical Case Reports, 6, 12. doi: 10.1093/jscr/2012.6.12

Journal - Research Other

Quinlan, J. F., North, J., Clarke, D. A., & Gwynne-Jones, D. P. (2009). Radiation-induced osteonecrosis of the hips following genital-preserving surgery and chemoradiotherapy. New Zealand Medical Journal, 122(1297). Retrieved from http://journal.nzma.org.nz/journal

Journal - Research Other

Gwynne Jones, D. P., Hodgson, B. F., & Hung, N. A. (2004). Bilateral, uncemented total hip arthroplasty in osteopetrosis. Journal of Bone & Joint Surgery (Br), 86-B(2), 276-278.

Journal - Research Other

Gwynne Jones, D. P., & Theis, J.-C. (1997). Acute compartment syndrome due to closed muscle rupture. Australian & New Zealand Journal of Surgery, 67(4), 227-228. doi: 10.1111/j.1445-2197.1997.tb01950.x

Journal - Research Other

Gwynne Jones, D. P., & Villar, R. N. (1994). The externally rotated leg: Anterior dislocation of the hip. Journal of Accident & Emergency Medicine, 11, 204-205. doi: 10.1136/emj.11.3.204

Journal - Research Other

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