Facebook Pixel Code
Courtesy of Susy Bleasby Art  |  susybee.com  |  @susysbee_art
Division of Orthopaedics

Programs and services

Bone Health ClinicBaby Hip Clinic  | Complex Spine clinic | Fracture Clinic  | Hip Follow-up Clinic  |  Limb Reconstruction Clinic  | Musculoskeletal Tumour Clinic | Orthopaedic Clinic | Clubfoot Clinic  | Scoliosis Clinic

Bone Health Clinic 

This clinic is a weekly multidisciplinary clinic that runs with participation from orthopaedics, endocrinology and clinical genetics, with a focus on genetic bone diseases. We look after patients with osteogenesis imperfecta, inherited rickets and skeletal dysplasias.

Baby Hip Clinic

The Baby Hip Clinic at SickKids is an inter-professional clinic that includes an orthopaedic surgeon, a physiotherapist practitioner, a senior secretary, fellows, residents, orthotists, clinic nurses and administrators. The clinic is designed to assess and treat babies with Developmental Dysplasia of the Hip (DDH). Babies with dislocated hips are ideally seen at the earliest available clinic date.

 All other babies are ideally seen around six weeks of age. Patients requiring treatment in a Pavlik Harness will be seen every one to four weeks to check progress and adjust the harness for growth. An orthotist will apply the harness and full treatment in the harness usually lasts 12-16 weeks. Patients requiring monitoring typically return to clinic four weeks after the initial appointment. Patients requiring operative management will be followed in a surgeon’s regular clinic.

Upon completion of treatment, babies are monitored and return to clinic in intervals of six months to three years (see Hip Follow-up clinic below). For location and more see Baby Hip Clinic.

Complex Spine Clinic 

This clinic occurs once a month under the direction of orthopaedics and neurosurgery. 

Fracture Clinic

Our interprofessional clinic is devoted to the assessment and treatment of paediatric fractures. Referrals are triaged Monday to Friday, to determine your child’s plan of care. Based on the referral information, you will be given an appointment in our clinic, or instructed to follow up with your family doctor. Typically, we see upper and lower extremity fractures, such as wrist, forearm, elbow, shoulder, thigh, lower leg and feet. We refer forearm buckle fractures to the family doctor for treatment.

The Fracture Clinic is held four times a week by the residents and a specialty-trained nurse practitioner, with supervision from the orthopaedic staff surgeons. For more see Fracture Clinic.

Hip Follow-up Clinic

The Hip Follow-up Clinic provides conservative management of children with developmental dysplasia of the hip (DDH). The Hip Follow-up Clinic is for graduates of the Baby Hip Clinic or first-time visits of children older than 1 year of age. This clinic is held weekly. The fellow performs a comprehensive assessment including ultrasound on all follow-up infants in the clinic, providing real time education on developmental dysplasia of the hip.  For location and more, see Hip Follow-up Clinic.

Limb Reconstruction Clinic

The Limb Reconstruction Clinic is for the planning and monitoring of complex deformity corrections and limb lengthening using state of the art methods of internal and external fixation.

Multidisciplinary Musculoskeletal Tumour (MMT) Clinic

The team that manages musculoskeletal tumours in children includes specialist sarcoma medical oncologists, a clinical oncology nurse practitioner, specialist diagnostic and interventional radiologists, pathologists, a specialist physiotherapist, an oncology social worker, clinic nurses and administrators, a clinical database manager and specialist orthopaedic oncology surgeons.

We run a multidisciplinary musculoskeletal tumour clinic where we evaluate and expedite work-up of potentially malignant bone and soft tissue tumours. Referrals are quickly processed.

Following thorough structural and functional imaging, a biopsy is often performed. Those tumours requiring chemotherapy are treated as per a Children’s Oncology Group protocol where possible. Those tumours requiring surgery are treated with intralesional, marginal or wide resection, based on the grade of tumour. Limb-sparing reconstructive procedures are usually possible. We aim to maximize function and undertake biological reconstruction with living tissue where possible, sometimes in collaboration with our plastic microvascular surgery colleagues.

Reconstruction with state-of-the-art endoprosthetic implants is an alternative approach we utilize. Our group collaborates with the adult musculoskeletal group based at Mt. Sinai and Princess Margaret Hospitals across the road. We hold joint conferences and together maintain the tumour bank and collaborate on basic science and clinical outcomes research. This clinic runs every week with orthopaedics, medical oncology, physiotherapy and plastic surgery. The combined Brachial Plexus Palsy Clinic runs once a month with plastic surgery and orthopaedics.

Orthopaedic Clinic

The Orthopaedic Clinic helps children with problems with their bones. For location and more, see Orthopaedic Clinic.

Clubfoot Clinic

The Clubfoot Clinic at SickKids is a multidisciplinary clinic designed to assess and treat children with congenital idiopathic talipes equino varus (club foot) foot deformity. Children are ideally seen within four to six weeks of birth, and commence treatment with serial casting immediately. The treatment procedure requires weekly visits and full correction is often achieved within 10 to 12 weeks.

Children are monitored in clinic for the first year, then every other year until approximately five years of age. For more about us,  visit the SickKids Clubfoot Program page. 

Scoliosis Clinic

The Scoliosis Clinic is a practitioner run clinic, with the support of the orthopaedic surgeons, focusing on the conservative management of scoliosis. This clinic, for non-operative management of spine deformity is run by a specialty-trained physiotherapist practitioner. Spinal curvatures between 20 degrees and 45 degrees are assessed and managed with monitoring or bracing. Larger curvatures are followed by the orthopaedic surgeons when considering surgery. Monitoring is appropriate for smaller curves in the growing child or when teenagers are nearing the end of growth. Bracing is used for a child who has growth remaining with curves that are between 25 degrees and 45 degrees. The braces are made at SickKids in Orthotics.

For location and more, see Scoliosis Clinic.

Back to top