Orthopaedic Surgeon

Dr Mark Fleming

MBBCH, FCSorth(SA), MMED, FaOrthA

Hip and Knee Specialist

Personal, well-informed, care enabling you to recover from debilitating conditions of the hip and knee.

Since qualifying as an orthopaedic specialist in 2013, Dr Fleming performed 4 clinical fellowships working with some of Sydney's top orthopaedic specialists at St Vincents Private, The Mater, Sydney Private, Gosford Private, Concord Repatriation, Kareena Private, St George Private & public and Sutherland hospitals.

In 2018 Dr Fleming opened The Joint Institute offering up-to-date surgical techniques for patients with hip and knee conditions who wish to be treated in the private hospital system. Living locally in the Shire, Dr Fleming focuses his work at Kareena Private Hospital.

All team members at the Joint Institute believe their patient's well being always comes first, and aim to provide you with high-quality, patient-centred, informative, so you feel empowered during your recovery.

3rd Generation Orthopaedic Surgeon

Mark's interest in orthopaedic surgery started from a young age, discussing orthopaedic conditions with his father. (The now retired Professor of Hand Surgery at Baragwanath Hospital in Johannesburg).

Mark is the third generation orthopaedic surgeon in the Fleming family: Reginald James Fleming was the first surgeon in the family, he served during WWII in the desert in North Africa returning home to Johannesburg to work as a General and Orthopaedic Surgeon until his retirement. Reg worked tirelessly designing and trialling metal plates and nail prototypes for fixing fractures surgically. During the early days of orthopaedics most fractures were managed with traction and plaster-of-paris casts.

Mark assisted John, his father, with hand surgery throughout his medical training. He gravitated to orthopaedic surgery, starting orthopaedic training in the United Kingdom (2005), completing training in Cape Town in 2013 and Fellowship exams in Australia in 2016.

Mark and Anne-Louise welcomed their first child, John to the world in December 2017. Their second son Thomas was born in June of 2020. Georgie their daughter was born in December 2021. They live in the Shire and are intimately associated with the joys of the ocean, Mark is an avid surfer and fisherman.

Living Life to the Full

A surfer/golfer/ bike rider I have empathy for people who love their sport, getting out and enjoying the world.

Helping people return to the activities that bring joy and meaning to their lives, is one of the reasons I love being an orthopaedic surgeon.

In 2006 I rode my motorcycle unsupported overland from London to South Africa crossing through 3 deserts and 15 Countries following the original Paris-Dakar rallye route.

A trip of a lifetime, it reinforced my belief that tenacity and hard work leads to success.

The kindness and generosity of the communities through which I travelled reaffirmed the intrinsically good nature of all human beings.

Degrees

Royal College of Australasian Surgeons

2016 Gained Fellowship of the Royal Australasian College of Surgeons College of Medicine SA & SA Orthopaedic Association
2013 Master of Medicine - MMED
2013 Fellow of the college of SA Orthopaedic surgeons - FCSorth(sa)
2008 Orthopaedic Intermediate Surgical Examination - FCSorth(Int)
2007 General Surgical Primary Examinations
2001 Bachelor of surgery MBBCH

Published Studies/Papers

Interrater reliability assessment of MRI features identifying hazardous disc disruption on pre-reduction MRI in distractive-flexion cervical spine injuries: SAOJ, Nov 2014

Angular stable fixation of displaced distal third clavicle fractures with superior precontoured locking plates: Journal of Shoulder and Elbow Surgery 2014;1–5.

Total knee replacement for tri-compartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy: Arthroplasty Today 2015

Total Elbow Arthroplasty: outcomes after triceps-detaching and triceps-sparing approaches: Journal of Shoulder Elbow Surgery 2015 Mar 3, 339–47

How does pre-reduction MRI affect surgeons decision making in Flexion-Distraction injuries of the cervical spine? : South African Orthopaedic Journal, summer edition 2015, vol 14, no 4

Podium presentations

2016 Asia Pacific Knee Masters: What do Patients recall after clinical consultation? –The evidence regarding informed consent and ethical dilemmas in patient education

2015 Annual Orthopaedic Scientific meeting: Cyclic load displacements and load to failure results for acetabular anchors

2014 Annual Orthopaedic Scientific meeting: Is Patella clunk a thing of the past? A review of the first 100 Attune TKR’s performed by a single surgeon.

2014 Open minds Congress (Knee Arthroplasty in Asia Pacific region) Tranexamic acid in Total knee arthroplasty

2014 Orthocentre orthopaedic evening course - Distal third Clavicle fractures

2013 Registrar Congress: Vertebroplasty/Kyphoplasty

2012 Surgical Research Day, UCT

Prize winning paper- Behavioural study of how MRI affects surgeons' decision making in Distraction Flexion injuries of the Cervical spine at Groote Schuur Hospital

2012 SA Orthopaedic Association Congress :

Inter-observer reliability in determining the presence of hazardous disc disruption in flexion distraction injuries of the C-spine- an MRI study

2011 SA Orthopaedic Association : Angular Stable Plating of Displaced Lateral Third Clavicle Fractures

2011 SA Society for Surgery of the Hand : Ulnar Collateral Ligament of the Thumb – A New Technique for Reconstruction

2010 SA Orthopaedic Association : Subluxation of the Knee during Lengthening In Congenitally Short Femur and Proximal Femoral Focal Deficiency

POST GRADUATE INVITATION COURSES AND CONGRESSES

2023 Knee Society meeting Mornington Peninsula, Vic

2022 Knee Society meeting Queenstown, NZ

2019 Arthroplasty society meeting Adelaide

2016 Arthroplasty society meeting Manly NSW

2016(Italy) MORE Symposium for Hip And Knee joint replacement

2016(AU) Asia Pacific Knee replacement Masters Course (Faculty member)

2015(AU) AOA ASM

2015(AU) Lower Limb Revision Arthroplasty conference

2015(AU) AOA lower limb arthroplasty COE

2015(AU) Royal North Shore advanced shoulder arthroscopic cadaveric wet-lab

2014(AU) AOA ASM

2014(AU) International Congress of Joint Replacement

2014(AU) Open Minds Knee arthroplasty meeting

2013(AU) Royal North Shore Shoulder Symposium

2013(SA) UCT Registrar representative

2013(SA) Inaugural South African Hip Arthroscopy congress

2013(SA) Hand and upper limb congress

Arthritis and connective tissue disease

2012 (SA) Advanced Orthopaedic Trauma Symposium – Kwa-maritane

2012 (SA) Ponseti Instructional course –Instructed by Dr Pirani

2011 (SA) Limb Deformity Correction- Advanced Techniques Course

2010 (SA) Shoulder Masterclass - Instructed by Christian Gerber

2010 (SA) Limb Deformity Correction - Basic Principles Course

2010 (SA) Total Elbow Cadaver Workshop

2010 (SA) Paediatric Orthopaedic Trauma Symposium

2009 (SA) Advanced Knee Reconstruction, Biomet

2008 (SA) Biological Healing In The Knee –

Freddie Fu (Sports Science Institute, Cape Town)

2007 (SA) Advanced Knee Arthroscopy /ACL Reconstruction

Freddie Fu and Willem van der Merwe (Sports Science Institute)

2007 (SA) Intermediate Knee Arthroscopy (Sports Science Institute, Cape Town)

2007 (SA) AO Principles Of Fracture Management (Cape Town)

2005 (UK) Intermediate Knee Arthroscopy (Royal National Orthopaedic Hospital)

2003 (SA) Advanced Trauma Life Support (ATLS) – Wentworth Hospital

2003 (SA) Advanced Cardiac Life Support (ACLS) – Entabeni Hospital

2002 (SA) Basic Surgical Skills Course (Oxford Syllabus) – Groote Schuur Hospital

University of the Witwatersrand

2001 Bachelor of Medicine - MBBCh
2000 Member of the Student Executive Council